Supplies, drugs & other prices at St. Francis Medical Center

Monroe, LA · every code in this section with a posted price and a Medicare benchmark.

40 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Adm tocilizu covid-19 1st (M0249) $422 $844 1.1×
Adm tocilizu covid-19 2nd (M0250) $422 $844 1.1×
Diab manage trn per indiv (G0108) $101 $202 1.8×
Direct refer hospital observ (G0379) $605 $1,210 1.1×
Elec stim other than wound (G0283) $78 $156 6.1×
Fecal blood scrn immunoassay (G0328) $80 $160 4.4×
Hair analysis (P2031) $80 $160 16.2×
Hbot, full body chamber, 30m (G0277) $423.50 $847 3.4×
Ig paraprotein qual bld/ur (0077U) $37 $74 0.9×
Liver dis 10 assays w/nash (0003M) $400.50 $801 0.8×
Mra w/cont, lwr ext (C8912) $2,508 $5,016 7.9×
Mra w/o cont, abd (C8901) $1,946 $3,892 9.0×
Mra w/o cont, lwr ext (C8913) $2,087.50 $4,175 9.7×
Mra w/o fol w/cont, abd (C8902) $2,974 $5,948 9.4×
Mra w/o fol w/cont, chest (C8911) $1,681 $3,362 5.3×
Mra w/o fol w/cont, lwr ext (C8914) $2,981 $5,962 9.4×
Mri w/cont, breast, uni (C8903) $898 $1,796 5.7×
Mri w/o fol w/cont, breast, (C8908) $2,638.50 $5,277 8.4×
Mri w/o fol w/cont, brst, un (C8905) $1,257 $2,514 4.0×
Oth resp proc, group (G0239) $89 $178 2.6×
Oth resp proc, indiv (G0238) $77.50 $155 3.0×
Perc d-e cor revasc chro sin (C9607) $14,707.50 $29,415 0.9×
Perc d-e cor revasc t cabg s (C9604) $15,884.50 $31,769 1.5×
Perc d-e cor stent ather s (C9602) $15,884.50 $31,769 1.0×
Perc drug-el cor stent sing (C9600) $20,143 $40,286 1.9×
Perq Sacral Augmt Bilat Inj (0201T) $11,309 $22,618 1.7×
Perq Sacral Augmt Unilat Inj (0200T) $4,331 $8,662 0.7×
Psa screening (G0103) $143.50 $287 7.4×
Revasc intra lithotrip-ather (C9766) $9,785.50 $19,571 0.6×
Revasc intra lithotrip-stent (C9765) $12,263 $24,526 0.7×
Revasc intravasc lithotripsy (C9764) $6,132.50 $12,265 0.6×
Revasc lithotrip tibi/perone (C9772) $10,124 $20,248 1.0×
Revasc lithotrip-stent-ather (C9767) $17,297.50 $34,595 1.0×
Therapeutic procd strg endur (G0237) $78 $156 3.0×
Trauma respons w/hosp criti (G0390) $2,201.50 $4,403 1.8×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) $5,826 $11,652 0.6×
Trluml peripheral atherectomy iliac artery ea (0238T) $11,880.50 $23,761 0.7×
Tte w or wo fol wcon,doppler (C8929) $1,338 $2,676 1.9×
Unsched dialysis esrd pt hos (G0257) $1,520 $3,040 2.4×
Vasc emb/occ w/prs cath (C9797) $19,750 $39,500 1.2×