Supplies, drugs & other prices at Three Rivers Medical Center

Louisa, KY · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
2019-ncov diagnostic p (U0001) $75.64 $126.06 2.1×
Admin influenza virus vac (G0008) $79.67 $132.78 1.8×
Admin pneumococcal vaccine (G0009) $79.67 $132.78 1.8×
Catheterize for urine spec (P9612) $78.97 $131.61 8.5×
Covid-19 lab test non-cdc (U0002) $108.05 $180.08 2.1×
Direct refer hospital observ (G0379) $425.44 $709.06 0.8×
Elec stim other than wound (G0283) $145.65 $242.75 11.5×
Elisa hiv-1/hiv-2 screen (G0433) $106.69 $177.82 5.8×
Hiv combination assay (G0475) $92.30 $153.84 3.8×
Home sleep test/type 3 porta (G0399) $313.76 $522.93 1.5×
Mra w/cont, chest (C8909) $4,239.56 $7,065.94 13.0×
Mra w/cont, lwr ext (C8912) $4,239.56 $7,065.94 13.0×
Mra w/cont, pelvis (C8918) $4,239.56 $7,065.94 13.0×
Mra w/o cont, pelvis (C8919) $4,239.56 $7,065.94 18.9×
Mra w/o fol w/cont, abd (C8902) $4,239.56 $7,065.94 13.0×
Mra w/o fol w/cont, pelvis (C8920) $4,239.56 $7,065.94 13.0×
Mra, w/dye, upper extremity (C8934) $4,409.08 $7,348.46 13.5×
Mra, w/o dye, upper extr (C8935) $3,691.37 $6,152.29 16.5×
Mra, w/o&w/dye, upper extr (C8936) $4,963.59 $8,272.65 15.2×
Oral hiv-1/hiv-2 screen (G0435) $106.69 $177.82 8.9×
Psa screening (G0103) $141.08 $235.14 7.3×
Tomosynthesis, mammo (G0279) $187.20 $312 14.8×
Unsched dialysis esrd pt hos (G0257) $2,145.76 $3,576.26 3.3×