Supplies, drugs & other prices at Tennova LaFollette Medical Center

LaFollette, TN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
2d tee w or w/o fol w/con,in (C8925) $1,509.78 $5,591.78 2.1×
2d tte w or w/o fol w/con,co (C8923) $1,126.26 $4,171.32 1.6×
2d tte w or w/o fol w/con,fu (C8924) $1,175.86 $4,355.04 3.7×
Adm tocilizu covid-19 1st (M0249) $350.39 $1,297.73 0.9×
Adm tocilizu covid-19 2nd (M0250) $350.39 $1,297.73 0.9×
Admin hepatitis b vaccine (G0010)
range across 3 matching MRF lines
$46.59–$225.01 $172.57–$833.38 varies
Admin influenza virus vac (G0008)
range across 3 matching MRF lines
$65.76–$69.29 $243.57–$256.62 varies
Admin pneumococcal vaccine (G0009)
range across 3 matching MRF lines
$103.62–$109.17 $383.77–$404.33 varies
Autolog prp not diab ulcer (G0460) $1,863.45 $6,901.67 1.0×
Catheterize for urine spec (P9612)
range across 3 matching MRF lines
$4.08–$68.85 $15.11–$254.99 varies
Colon ca scrn not hi rsk ind (G0121) $3,694.14 $13,682 4.4×
Colorectal scrn; hi risk ind (G0105) $3,629.76 $13,443.54 4.3×
Diab manage trn per indiv (G0108) $44.58 $165.12 0.8×
Diab manage trn ind/group (G0109) $22.29 $82.56 1.4×
Direct refer hospital observ (G0379) $566.96 $2,099.84 1.0×
Eia hiv-1/hiv-2 screen (G0432)
range across 4 matching MRF lines
$28.47–$43.32 $105.44–$160.44 varies
Elec stim other than wound (G0283) $106.64 $394.96 8.4×
Elec stim unattend for press (G0281) $18.18 $67.34 1.6×
Elisa hiv-1/hiv-2 screen (G0433)
range across 2 matching MRF lines
$28.47–$103.07 $105.44–$381.75 varies
Fecal blood scrn immunoassay (G0328) $62.78 $232.51 3.5×
Group mnt 2 or more 30 mins (G0271) $24.36 $90.21 1.4×
Hbot, full body chamber, 30m (G0277) $305.82 $1,132.65 2.4×
Hep c screen high risk/other (G0472) $93.84 $347.57 2.0×
Hepb screen high risk indiv (G0499) $226.52 $838.98 8.0×
Hiv combination assay (G0475) $62.19 $230.32 2.6×
Hospital outpt clinic visit (G0463)
range across 28 matching MRF lines
$134.43–$377 $497.88–$1,396.30 varies
Inj for sacroiliac jt anesth (G0260) $1,573.64 $5,828.29 2.5×
Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) $335.53 $1,242.69 0.7×
Mnt subs tx for change dx (G0270) $45.90 $170 1.4×
Mra w/cont, abd (C8900) $927.63 $3,435.66 2.9×
Mra w/cont, chest (C8909) $1,055.60 $3,909.62 3.3×
Mra w/cont, lwr ext (C8912)
range across 2 matching MRF lines
$956.88–$1,913.74 $3,543.99–$7,087.92 varies
Mra w/cont, pelvis (C8918) $985.24 $3,649.02 3.1×
Mra w/o cont, abd (C8901) $1,102.29 $4,082.54 5.1×
Mra w/o cont, chest (C8910) $820.43 $3,038.62 3.8×
Mra w/o cont, lwr ext (C8913)
range across 2 matching MRF lines
$925.92–$1,706.65 $3,429.32–$6,320.94 varies
Mra w/o cont, pelvis (C8919) $925.92 $3,429.32 4.3×
Mra w/o fol w/cont, abd (C8902) $1,836.45 $6,801.67 5.8×
Mra w/o fol w/cont, chest (C8911) $2,311.39 $8,560.70 7.3×
Mra w/o fol w/cont, lwr ext (C8914)
range across 2 matching MRF lines
$1,722.31–$3,444.63 $6,378.94–$12,757.88 varies
Mra w/o fol w/cont, pelvis (C8920) $1,375.10 $5,092.97 4.3×
Mra, w/dye, upper extremity (C8934) $1,107.22 $4,100.83 3.5×
Mra, w/o&w/dye, upper extr (C8936) $874.56 $3,239.10 2.8×
Mri w/cont, breast, bi (C8906) $1,430.31 $5,297.46 4.5×
Mri w/cont, breast, uni (C8903)
range across 2 matching MRF lines
$686.95–$686.97 $2,544.27–$2,544.35 varies
Mri w/o fol w/cont, breast, (C8908) $1,922.94 $7,122.01 6.1×
Mri w/o fol w/cont, brst, un (C8905) $1,379.85 $5,110.55 4.4×
Neuro csf prion prtn qual (0035U) $358.06 $1,326.13 0.7×
Oral hiv-1/hiv-2 screen (G0435) $30.44 $112.73 2.5×
Oth resp proc, group (G0239) $62.56 $231.70 1.8×
Perc d-e cor revasc chro sin (C9607) $26,999.94 $99,999.77 1.6×
Perc d-e cor revasc t cabg s (C9604) $18,120.47 $67,112.86 1.7×
Perc d-e cor stent ather s (C9602) $26,999.94 $99,999.77 1.6×
Perc drug-el cor stent sing (C9600) $17,105.03 $63,351.97 1.6×
Prolonged iv inf, req pump (C8957) $318.60 $1,180 1.7×
Prostate biopsy, any mthd (G0416) $649.23 $2,404.57 2.0×
Psa screening (G0103) $81.75 $302.78 4.2×
Tee w or w/o fol w/cont, mon (C8927) $939.76 $3,480.59 1.3×
Tomosynthesis, mammo (G0279)
range across 5 matching MRF lines
$48.55–$54.81 $179.83–$203.01 varies
Trauma respons w/hosp criti (G0390) $979.05 $3,626.11 0.8×
Tte w or w/o contr, cont ecg (C8930) $1,393.38 $5,160.67 2.0×
Tte w or w/o fol w/con,stres (C8928) $1,393.38 $5,160.67 2.0×
Tte w or wo fol wcon,doppler (C8929) $1,212.72 $4,491.56 1.7×
Unsched dialysis esrd pt hos (G0257) $2,700.76 $10,002.83 4.3×

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.