Supplies, drugs & other prices at Our Lady of Lourdes Regional Medical Center
Lafayette, LA · every code in this section with a posted price and a Medicare benchmark.
72 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,fu (C8924) | $1,049 | $2,098 | 3.3× |
| 3D contour simulaj trgt lvr les&mrgn micrwv ablt (0944T) | $265.50 | $531 | 1.2× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) | $6,284.50 | $12,569 | 3.6× |
| Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) | $6,284.50 | $12,569 | 3.6× |
| Adm tocilizu covid-19 1st (M0249) | $409.50 | $819 | 1.0× |
| Adm tocilizu covid-19 2nd (M0250) | $409.50 | $819 | 1.0× |
| Ca screen;pelvic/breast exam (G0101) | $82 | $164 | 0.9× |
| Chemo extend iv infus w/pump (G0498) | $490.50 | $981 | 1.6× |
| CT breast w/3d rendering bi with contrast (0637T) | $554.50 | $1,109 | 1.8× |
| CT breast w/3d rendering bi without contrast (0636T) | $285.50 | $571 | 1.3× |
| CT breast w/3d rendering uni with contrast (0634T) | $554.50 | $1,109 | 3.5× |
| CT breast w/3d rendering uni without contrast (0633T) | $285.50 | $571 | 3.0× |
| CT brst w/3d rendering bi wo cntrst flwd cntrst (0638T) | $554.50 | $1,109 | 1.8× |
| CT brst w/3d rendering uni wo cntrst flwd cntrst (0635T) | $554.50 | $1,109 | 3.5× |
| Depression screen annual (G0444) | $25 | $50 | 0.7× |
| Diab manage trn per indiv (G0108) | $43.50 | $87 | 0.8× |
| Diab manage trn ind/group (G0109) | $28.50 | $57 | 1.8× |
| Direct refer hospital observ (G0379) | $1,193 | $2,386 | 2.2× |
| Drug test def 1-7 classes (G0480) | $200 | $400 | 1.7× |
| Drug test def 15-21 classes (G0482) | $400 | $800 | 2.0× |
| Drug test def 22+ classes (G0483) | $518.50 | $1,037 | 2.1× |
| Drug test def 8-14 classes (G0481) | $296.50 | $593 | 1.9× |
| Elec stim other than wound (G0283) | $77.50 | $155 | 6.1× |
| Fecal blood scrn immunoassay (G0328) | $35.50 | $71 | 2.0× |
| Hbot, full body chamber, 30m (G0277) | $418.50 | $837 | 3.4× |
| Home sleep test/type 3 porta (G0399) | $367 | $734 | 1.9× |
| Inj for sacroiliac jt anesth (G0260) | $2,101.50 | $4,203 | 3.3× |
| Instill pharm renal pelvis (C9789) | $1,519 | $3,038 | 1.4× |
| Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) | $904.50 | $1,809 | 1.8× |
| Mra w/cont, abd (C8900) | $2,253.50 | $4,507 | 7.1× |
| Mra w/cont, chest (C8909) | $1,458 | $2,916 | 4.6× |
| Mra w/cont, lwr ext (C8912) | $1,271.50 | $2,543 | 4.0× |
| Mra w/cont, pelvis (C8918) | $1,880 | $3,760 | 6.0× |
| Mra w/o cont, abd (C8901) | $1,589.50 | $3,179 | 7.4× |
| Mra w/o cont, lwr ext (C8913) | $882.50 | $1,765 | 4.1× |
| Mra w/o cont, pelvis (C8919) | $1,045 | $2,090 | 4.8× |
| Mra w/o fol w/cont, abd (C8902) | $2,568.50 | $5,137 | 8.1× |
| Mra w/o fol w/cont, chest (C8911) | $1,642.50 | $3,285 | 5.2× |
| Mra w/o fol w/cont, lwr ext (C8914) | $1,280.50 | $2,561 | 4.1× |
| Mra w/o fol w/cont, pelvis (C8920) | $2,297 | $4,594 | 7.3× |
| Mra, w/dye, upper extremity (C8934) | $4,681.50 | $9,363 | 14.8× |
| Mra, w/o dye, upper extr (C8935) | $1,712 | $3,424 | 7.9× |
| Mra, w/o&w/dye, upper extr (C8936) | $7,205.50 | $14,411 | 22.8× |
| Mri w/cont, breast, bi (C8906) | $1,772 | $3,544 | 5.6× |
| Mri w/o fol w/cont, breast, (C8908) | $2,084.50 | $4,169 | 6.6× |
| Mri w/o fol w/cont, brst, un (C8905) | $1,610.50 | $3,221 | 5.1× |
| Njx platelet plasma (0232T) | $1,375.50 | $2,751 | 3.4× |
| Oth resp proc, group (G0239) | $81.50 | $163 | 2.4× |
| Perc d-e cor revasc chro sin (C9607) | $20,270.50 | $40,541 | 1.2× |
| Perc d-e cor revasc t cabg s (C9604) | $21,081.50 | $42,163 | 2.0× |
| Perc d-e cor stent ather s (C9602) | $21,081.50 | $42,163 | 1.3× |
| Perc drug-el cor stent sing (C9600) | $21,081.50 | $42,163 | 2.0× |
| Perq njx algc cell &/prdct uni/bi fluor lmbr 1st (0627T) | $13,571 | $27,142 | 1.2× |
| Perq njx algc cell&/prdct uni/bi CT lmbr 1st (0629T) | $13,571 | $27,142 | 1.2× |
| Prolonged iv inf, req pump (C8957) | $378.50 | $757 | 2.0× |
| Psa screening (G0103) range across 2 matching MRF lines |
$60.50–$66 | $121–$132 | varies |
| Revasc intra lithotrip-ather (C9766) | $13,414.50 | $26,829 | 0.8× |
| Revasc intra lithotrip-stent (C9765) | $13,414.50 | $26,829 | 0.8× |
| Revasc intravasc lithotripsy (C9764) | $7,150.50 | $14,301 | 0.7× |
| Revasc lith-sten-ath tib/per (C9775) | $21,580 | $43,160 | 1.3× |
| Revasc lithotr-ather tib/per (C9774) | $21,580 | $43,160 | 1.3× |
| Revasc lithotr-stent tib/per (C9773) | $21,580 | $43,160 | 1.3× |
| Revasc lithotrip tibi/perone (C9772) | $13,414.50 | $26,829 | 1.3× |
| Revasc lithotrip-stent-ather (C9767) | $21,580 | $43,160 | 1.3× |
| Therapeutic procd strg endur (G0237) | $80 | $160 | 3.1× |
| Tpmt and Nudt15 Genotype (0034U) | $302.50 | $605 | 0.6× |
| Trauma respons w/hosp criti (G0390) range across 2 matching MRF lines |
$1,537.50–$1,599.50 | $3,075–$3,199 | varies |
| Trim nail(s) (G0127) | $79 | $158 | 1.5× |
| Trluml Perip Athrc Brchiocph (0237T) | $22,936 | $45,872 | 2.2× |
| Trluml Perip Athrc Iliac Art (0238T) | $23,233.50 | $46,467 | 1.4× |
| Unsched dialysis esrd pt hos (G0257) | $1,203 | $2,406 | 1.9× |
| Vasc emb/occ w/prs cath (C9797) | $19,750 | $39,500 | 1.2× |
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.