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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| Procedure | Cash price | Gross charge | × 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) | $49.09 | $181.81 | 1.2× |
| Admin influenza virus vac (G0008) | $69.28 | $256.61 | 1.6× |
| Admin pneumococcal vaccine (G0009) | $109.16 | $404.30 | 2.6× |
| Autolog prp not diab ulcer (G0460) | $1,863.45 | $6,901.67 | 1.0× |
| Catheterize for urine spec (P9612) | $8.41 | $31.13 | 0.9× |
| 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) | $35.95 | $133.14 | 1.8× |
| 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) | $65.77 | $243.60 | 3.6× |
| 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) | $186.09 | $689.21 | 1.5× |
| Inj for sacroiliac jt anesth (G0260) | $1,573.64 | $5,828.29 | 2.5× |
| Liver dis 10 assays 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) | $1,435.31 | $5,315.96 | 4.5× |
| 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) | $1,316.28 | $4,875.13 | 6.1× |
| 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) | $2,583.47 | $9,568.41 | 8.2× |
| 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) | $686.96 | $2,544.31 | 4.3× |
| 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 detcj prion prtn quakg conf conv 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) | $51.64 | $191.25 | 4.1× |
| 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× |