Supplies, drugs & other prices at Our Lady of Lourdes Memorial Hospital, Inc
Binghamton, NY · every code in this section with a posted price and a Medicare benchmark.
93 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $1,775 | $3,550 | 1.8× |
| 2d tte w or w/o fol w/con,fu (C8924) range across 2 matching MRF lines |
$418.90–$952.62 | $837.80–$1,905.23 | varies |
| Adm tocilizu covid-19 1st (M0249) | $751.50 | $1,503 | 1.4× |
| Admin hepatitis b vaccine (G0010) range across 2 matching MRF lines |
$11.07–$38.39 | $22.14–$76.77 | varies |
| Admin influenza virus vac (G0008) range across 2 matching MRF lines |
$9.38–$38.39 | $18.76–$76.77 | varies |
| Admin pneumococcal vaccine (G0009) range across 2 matching MRF lines |
$9.38–$38.39 | $18.76–$76.77 | varies |
| Behavior counsel obesity 15m (G0447) | $75 | $150 | 0.6× |
| Bia whole body composition assessment w/i&r (0358T) | $27.50 | $55 | 0.8× |
| Ca screen;flexi sigmoidscope (G0104) | $2,370 | $4,740 | 2.0× |
| Ca screen;pelvic/breast exam (G0101) | $132.67 | $265.34 | 1.0× |
| Catheterize for urine spec (P9612) | $75.55 | $151.09 | 8.1× |
| Chemo extend iv infus w/pump (G0498) | $766.50 | $1,533 | 1.9× |
| Colon ca scrn not hi rsk ind (G0121) | $2,191 | $4,382 | 1.9× |
| Colorectal scrn; hi risk ind (G0105) | $2,190.75 | $4,381.50 | 1.9× |
| Depression screen annual (G0444) | $21.45 | $42.90 | 0.5× |
| Devlopment test interpt&rep (G0451) | $11.90 | $23.80 | 0.1× |
| Diab manage trn per indiv (G0108) | $78 | $156 | 1.4× |
| Diab manage trn ind/group (G0109) | $41.50 | $83 | 2.6× |
| Direct refer hospital observ (G0379) | $367.25 | $734.50 | 0.5× |
| Drug test def 1-7 classes (G0480) range across 21 matching MRF lines |
$48.65–$760.50 | $97.29–$1,521 | varies |
| Drug test def 15-21 classes (G0482) | $1,321 | $2,642 | 6.6× |
| Drug test def 22+ classes (G0483) | $1,548.13 | $3,096.25 | 6.3× |
| Drug test def 8-14 classes (G0481) | $161.50 | $323 | 1.0× |
| Ekg tracing for initial prev (G0404) | $76.73 | $153.45 | 2.1× |
| Elec stim other than wound (G0283) | $48 | $96 | 3.8× |
| Extraction erupted tooth/exr (D7140) | $1,258.38 | $2,516.75 | 1.6× |
| Fecal blood scrn immunoassay (G0328) range across 2 matching MRF lines |
$20–$97.50 | $40–$195 | varies |
| Hbot, full body chamber, 30m (G0277) | $335.25 | $670.49 | 2.0× |
| Home sleep test/type 3 porta (G0399) | $329.13 | $658.26 | 1.2× |
| Hospital outpt clinic visit (G0463) range across 20 matching MRF lines |
$56.50–$312.50 | $113–$625 | varies |
| Initial preventive exam (G0402) | $65.70 | $131.39 | 0.4× |
| Inj for sacroiliac jt anesth (G0260) range across 3 matching MRF lines |
$189.93–$933.50 | $379.85–$1,867 | varies |
| Instlj fecal microbiota ssp (0780T) | $39.90 | $79.80 | 0.2× |
| Interro Device Evaluation Cardiac Modulj System (0418T) | $37.29 | $74.58 | 0.8× |
| Mra w/cont, abd (C8900) | $2,987 | $5,974 | 6.9× |
| Mra w/cont, chest (C8909) | $2,987 | $5,974 | 6.9× |
| Mra w/cont, lwr ext (C8912) | $2,987 | $5,974 | 6.9× |
| Mra w/cont, pelvis (C8918) | $2,987 | $5,974 | 6.9× |
| Mra w/o cont, abd (C8901) | $1,496 | $2,992 | 5.0× |
| Mra w/o cont, chest (C8910) | $1,596 | $3,192 | 5.4× |
| Mra w/o cont, lwr ext (C8913) | $1,785 | $3,570 | 6.0× |
| Mra w/o cont, pelvis (C8919) | $1,785 | $3,570 | 6.0× |
| Mra w/o fol w/cont, abd (C8902) | $2,225 | $4,450 | 5.1× |
| Mra w/o fol w/cont, chest (C8911) | $1,917 | $3,834 | 4.4× |
| Mra w/o fol w/cont, lwr ext (C8914) | $2,618.50 | $5,237 | 6.0× |
| Mra w/o fol w/cont, pelvis (C8920) | $940.40 | $1,880.80 | 2.2× |
| Mra, w/dye, spinal canal (C8931) | $2,987 | $5,974 | 6.9× |
| Mra, w/dye, upper extremity (C8934) | $2,987 | $5,974 | 6.9× |
| Mra, w/o dye, spinal canal (C8932) | $1,450 | $2,900 | 4.9× |
| Mra, w/o dye, upper extr (C8935) | $1,785 | $3,570 | 6.0× |
| Mra, w/o&w/dye, spinal canal (C8933) | $2,987 | $5,974 | 6.9× |
| Mra, w/o&w/dye, upper extr (C8936) | $2,987 | $5,974 | 6.9× |
| Mri w/o fol w/cont, breast, (C8908) | $3,233.13 | $6,466.25 | 7.4× |
| Mri w/o fol w/cont, brst, un (C8905) | $2,818 | $5,636 | 6.5× |
| Njx platelet plasma (0232T) range across 2 matching MRF lines |
$150–$1,910 | $300–$3,820 | varies |
| Obtaining screen pap smear (Q0091) | $49.13 | $98.25 | 1.4× |
| Onc aml DNA gntyp int tandem dup detcj/nondetcj (0023U) | $864 | $1,728 | 3.5× |
| Oth resp proc, group (G0239) | $177.09 | $354.18 | 3.8× |
| Oth resp proc, indiv (G0238) | $177.09 | $354.18 | 4.9× |
| Perq Sacral Augmt Bilat Inj (0201T) | $8,609.50 | $17,219 | 1.0× |
| Perq Sacral Augmt Unilat Inj (0200T) | $9,760 | $19,520 | 1.1× |
| Place endorectal app (C9725) | $2,227.50 | $4,455 | 1.9× |
| Prgrmg Device Evaluation Cardiac Modulj System (0417T) | $118.13 | $236.25 | 2.5× |
| Programming dev eval icds w/ss eltrd in person (0575T) | $136.50 | $273 | 2.9× |
| Prolonged iv inf, req pump (C8957) | $612 | $1,224 | 2.3× |
| Psa screening (G0103) | $88.39 | $176.78 | 4.6× |
| Rem imp tooth w mucoper flp (D7210) | $2,179.63 | $4,359.25 | 1.1× |
| Revasc intra lithotrip-stent (C9765) | $16,855.77 | $33,711.53 | 0.7× |
| Revasc intravasc lithotripsy (C9764) | $10,542.70 | $21,085.39 | 0.7× |
| Revasc lithotr-stent tib/per (C9773) | $17,422.99 | $34,845.98 | 0.8× |
| Revasc lithotrip tibi/perone (C9772) | $10,542.70 | $21,085.39 | 0.7× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $184.63 | $369.25 | 7.0× |
| Sim ang w/prs cath rad emb (C8004) | $17,691.35 | $35,382.69 | 1.2× |
| Tee w or w/o fol w/cont,cong (C8926) | $2,329.50 | $4,659 | 2.4× |
| Therapeutic procd strg endur (G0237) | $63 | $126 | 1.7× |
| Tomosynthesis, mammo (G0279) | $116.48 | $232.96 | 9.2× |
| Trauma respons w/hosp criti (G0390) | $5,950 | $11,900 | 3.6× |
| Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) | $2,444 | $4,888 | 0.7× |
| Trim nail(s) (G0127) | $47.50 | $95 | 0.6× |
| Trluml perip athrc abd aorta (0236T) | $19,807.50 | $39,615 | 1.4× |
| Trluml Perip Athrc Brchiocph (0237T) | $19,807.50 | $39,615 | 1.4× |
| Trluml Perip Athrc Iliac Art (0238T) | $19,807.50 | $39,615 | 0.9× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) | $19,807.50 | $39,615 | 1.4× |
| Tte w or w/o contr, cont ecg (C8930) range across 2 matching MRF lines |
$690–$1,030.83 | $1,380–$2,061.66 | varies |
| Tte w or w/o fol w/con,stres (C8928) range across 3 matching MRF lines |
$701.08–$2,534 | $1,402.15–$5,068 | varies |
| Tte w or w/o fol w/cont, com (C8921) | $763 | $1,526 | 0.8× |
| Tte w or w/o fol w/cont, f/u (C8922) | $763 | $1,526 | 0.8× |
| Tte w or wo fol wcon,doppler (C8929) range across 2 matching MRF lines |
$1,242.65–$1,857.46 | $2,485.29–$3,714.92 | varies |
| Unsched dialysis esrd pt hos (G0257) | $787.13 | $1,574.26 | 0.9× |
| Vasc emb/occ w/prs cath (C9797) | $26,592 | $53,184 | 1.2× |
| Visit esketamine 56m or less (G2082) | $1,035 | $2,070 | 0.8× |
| Visit esketamine, > 56m (G2083) | $1,580 | $3,160 | 0.8× |
| Visit to determ ldct elig (G0296) | $73.09 | $146.18 | 0.6× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.