Supplies, drugs & other prices at West Jefferson Medical Center
Marrero, LA · every code in this section with a posted price and a Medicare benchmark.
162 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2019-ncov diagnostic p (U0001) | $19.20 | $120 | 0.5× |
| 2d cephalometric image (D0340) | $24.96 | $156 | 0.3× |
| Ablation, irreversible electroporation; 1 or more tumors per organ, including imaging guidance, when performed,… (0600T) likely a partial charge, not the full procedure |
$2,549.60 | $15,935 | 0.3× |
| Ablation, irreversible electroporation; 1 or more tumors, including fluoroscopic and ultrasound guidance, when… (0601T) likely a partial charge, not the full procedure |
$2,549.60 | $15,935 | 0.3× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) | $731.36 | $4,571 | 0.4× |
| Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T) unusually low: confirm this is the full procedure |
$2,666.72 | $16,667 | 0.3× |
| Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) | $731.36 | $4,571 | 0.4× |
| Adapt Bhv Tx Ea 15 Min (0373T) | $116.32 | $727 | 3.3× |
| Adm tocilizu covid-19 1st (M0249) | $231.84 | $1,449 | 0.6× |
| Adm tocilizu covid-19 2nd (M0250) | $210.72 | $1,317 | 0.5× |
| Adv prim care mgmt lvl 1 (G0556) | $13.12 | $82 | 0.4× |
| Adv prim care mgmt lvl 2 (G0557) | $13.12 | $82 | 0.4× |
| Adv prim care mgmt lvl 3 (G0558) | $40.64 | $254 | 0.4× |
| Amalgam 4 or > surfaces perm (D2161) | $43.68 | $273 | 0.1× |
| Amalgam one surface permanen (D2140) | $26.88 | $168 | 0.0× |
| Amalgam three surfaces perma (D2160) | $50.88 | $318 | 0.1× |
| Amalgam two surfaces permane (D2150) | $36.48 | $228 | 0.1× |
| Apicoectomy - anterior (D3410) | $136.80 | $855 | 0.2× |
| Behavior counsel obesity 15m (G0447) | $22.56 | $141 | 0.2× |
| Ca screen;flexi sigmoidscope (G0104) | $303.52 | $1,897 | 0.3× |
| Ca screen;pelvic/breast exam (G0101) | $172.48 | $1,078 | 1.8× |
| Cardiac mri seg dys strain (C9762) | $292.32 | $1,827 | 0.6× |
| Cardiac mri seg dys stress (C9763) | $292.32 | $1,827 | 0.6× |
| Catheterize for urine spec (P9612) | $64.32 | $402 | 6.9× |
| Chemo extend iv infus w/pump (G0498) | $256 | $1,600 | 0.8× |
| Colon ca scrn not hi rsk ind (G0121) | $594.88 | $3,718 | 0.7× |
| Colorectal scrn; hi risk ind (G0105) | $392.32 | $2,452 | 0.4× |
| Colpopexy, min/inv, ex-perit (C9778) | $1,227.20 | $7,670 | 0.3× |
| Comp periodontal evaluation (D0180) | $20.64 | $129 | 0.2× |
| Compre ful bdy 3d mtn alys (0693T) | $207.52 | $1,297 | 0.6× |
| Core build-up incl any pins (D2950) | $96.80 | $605 | 0.2× |
| Crown full cast noble metal (D2792) | $452 | $2,825 | 0.7× |
| Crown resin w/ high noble me (D2720) | $101.28 | $633 | 0.2× |
| Crown resin w/ noble metal (D2722) | $86.40 | $540 | 0.1× |
| Crown resin-based indirect (D2710) | $61.12 | $382 | 0.1× |
| Cysto, litho, vacuum kidney (C9761) likely a partial charge, not the full procedure |
$2,232 | $13,950 | 0.3× |
| Dental bitewing single image (D0270) | $407.36 | $2,546 | 5.0× |
| Dental bitewings two images (D0272) | $407.36 | $2,546 | 5.0× |
| Dental onlay porcelin 3 surf (D2643) | $150.72 | $942 | 0.2× |
| Dental onlay resin 2 surface (D2662) | $90.56 | $566 | 0.1× |
| Dental prophylaxis adult (D1110) | $36.16 | $226 | 0.3× |
| Diab manage trn per indiv (G0108) | $19.52 | $122 | 0.3× |
| Diab manage trn ind/group (G0109) | $20.16 | $126 | 1.3× |
| Direct refer hospital observ (G0379) | $309.12 | $1,932 | 0.6× |
| Drug test def 1-7 classes (G0480) | $57.76 | $361 | 0.5× |
| Drug test def 15-21 classes (G0482) | $89.44 | $559 | 0.5× |
| Egd flexible transnasal dx w/collj spec br/wa (0652T) | $1,408.16 | $8,801 | 0.8× |
| Egd flexible transnasal w/biopsy single/multiple (0653T) | $1,408.16 | $8,801 | 0.8× |
| Egd flexible transnasal w/insj intral tube/cath (0654T) | $760.32 | $4,752 | 0.2× |
| Ekg tracing for initial prev (G0404) | $33.28 | $208 | 1.2× |
| Electrical impedance spectroscopy of 1 or more skin lesions for automated melanoma risk score Other Diagnostic… (0658T) | $90.40 | $565 | 1.6× |
| End thxpy, molar tooth (D3330) | $195.04 | $1,219 | 0.3× |
| Endo outlet restrict w/tube (C9785) likely a partial charge, not the full procedure |
$1,453.92 | $9,087 | 0.1× |
| Esd endoscopy or colonoscopy (C9779) | $1,143.20 | $7,145 | 0.3× |
| Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) unusually low: confirm this is the full procedure |
$4,166.72 | $26,042 | 0.4× |
| Extensv oral eval prob focus (D0160) | $35.84 | $224 | 0.3× |
| Extraction erupted tooth/exr (D7140) | $578.08 | $3,613 | 1.0× |
| Extraoral 2d project image (D0250) | $407.36 | $2,546 | 5.0× |
| Eye mvmt alys w/o calbrj i&r (0615T) | $66.72 | $417 | 0.5× |
| Fecal blood scrn immunoassay (G0328) | $12.48 | $78 | 0.7× |
| Group mnt 2 or more 30 mins (G0271) | $15.84 | $99 | 0.9× |
| Hbot, full body chamber, 30m (G0277) | $251.20 | $1,570 | 1.9× |
| Hepb screen high risk indiv (G0499) | $36.32 | $227 | 1.3× |
| Home sleep test/type 3 porta (G0399) | $235.92 | $1,474.50 | 1.2× |
| Impltj ant sgm io nbiodegradable rx eluting sys (0660T) | $52.48 | $328 | 0.0× |
| Inlay composite/resin one su (D2650) | $80.64 | $504 | 0.1× |
| Insert cv cath inf & sup app (C9780) | $3,859.68 | $24,123 | 0.5× |
| Insertion of gastrostomy tube, percutaneous, with magnetic gastropexy, under ultrasound guidance, image documentation… (0647T) | $773.12 | $4,832 | 0.4× |
| Internal root repair (D3333) | $206.56 | $1,291 | 0.3× |
| Intraoral occlusal film (D0240) | $407.36 | $2,546 | 5.0× |
| Intraoral periapical first (D0220) | $11.36 | $71 | 0.1× |
| Limit oral eval problm focus (D0140) | $20.64 | $129 | 0.2× |
| Liver dis 10 assays w/nash (0003M) | $110.08 | $688 | 0.2× |
| Magnetically controlled capsule endoscopy w/i&r (0651T) | $378.88 | $2,368 | 0.4× |
| Mnt subs tx for change dx (G0270) | $15.84 | $99 | 0.5× |
| Ncntc nr ifr spectrsc oth/thn pad 1st antmc site (0640T) | $84.16 | $526 | 2.4× |
| Neuro csf detcj prion prtn quakg conf conv qual (0035U) | $208.88 | $1,305.50 | 0.4× |
| Non-blind interatrial shunt (C9760) | $53,881.76 | $336,761 | 2.1× |
| Onc Merkel Cll Carc Srm Quan (0058U) | $161.12 | $1,007 | 0.5× |
| Oral/facial photo images (D0350) | $20.80 | $130 | 0.3× |
| Osteotomy, humerus, with insertion of an externally controlled intramedullary lengthening device, including… (0594T) unusually low: confirm this is the full procedure |
$3,155.20 | $19,720 | 0.5× |
| Oth resp proc, group (G0239) | $49.12 | $307 | 1.4× |
| Oth resp proc, indiv (G0238) | $19.20 | $120 | 0.7× |
| Panoramic image (D0330) | $43.04 | $269 | 0.2× |
| Perc d-e cor revasc chro sin (C9607) unusually low: confirm this is the full procedure |
$7,858.72 | $49,117 | 0.5× |
| Perc d-e cor revasc t cabg s (C9604) unusually low: confirm this is the full procedure |
$4,343.20 | $27,145 | 0.4× |
| Perc d-e cor stent ather s (C9602) unusually low: confirm this is the full procedure |
$8,055.36 | $50,346 | 0.5× |
| Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0627T) | $6,951.52 | $43,447 | 0.6× |
| Periodic oral evaluation (D0120) | $20.64 | $129 | 0.2× |
| Perq Sacral Augmt Bilat Inj (0201T) unusually low: confirm this is the full procedure |
$2,245.12 | $14,032 | 0.3× |
| Perq Sacral Augmt Unilat Inj (0200T) | $3,531.20 | $22,070 | 0.5× |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) likely a partial charge, not the full procedure |
$2,247.04 | $14,044 | 0.2× |
| Place device/marker, non pro (C9728) | $1,162.08 | $7,263 | 0.9× |
| Place direct restoration (D2940) | $11.04 | $69 | 0.0× |
| Post 1 srfc resinbased cmpst (D2391) | $49.12 | $307 | 0.1× |
| Post 2 srfc resinbased cmpst (D2392) | $62.24 | $389 | 0.1× |
| Post 3 srfc resinbased cmpst (D2393) | $75.04 | $469 | 0.1× |
| Post >=4srfc resinbase cmpst (D2394) | $88.48 | $553 | 0.1× |
| Post and core cast + crown (D2952) | $150.72 | $942 | 0.2× |
| Post-coital mucous exam (Q0115) | $21.76 | $136 | 0.9× |
| Potassium hydroxide preps (Q0112) | $7.68 | $48 | 1.3× |
| Ppps, initial visit (G0438) | $64.16 | $401 | 0.4× |
| Ppps, subseq visit (G0439) | $54.40 | $340 | 0.4× |
| Prefab stnlss steel crwn pri (D2930) | $96.16 | $601 | 0.2× |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) | $14.72 | $92 | 0.4× |
| Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) | $14.72 | $92 | 0.4× |
| Programming device evaluation (remote) of subcutaneous cardiac rhythm monitor system, with iterative adjustment of the… (0650T) | $60.16 | $376 | 1.7× |
| Prolonged iv inf, req pump (C8957) | $318.08 | $1,988 | 1.6× |
| Pulp vitality test (D0460) | $407.36 | $2,546 | 0.7× |
| Quan mr alys tiss compj w/o MRI same sess 1orgn (0648T) | $511.52 | $3,197 | 0.6× |
| Quan mr alys tiss composition w/MRI 1orgn (0649T) | $511.52 | $3,197 | 0.6× |
| Radiologic examination, radiostereometric analysis (RSA); spine, (includes cervical, thoracic and lumbosacral, when… (0348T) | $95.52 | $597 | 1.0× |
| Radiologic examination, radiostereometric analysis (RSA); upper extremity(ies), (includes shoulder, elbow, and wrist,… (0349T) | $95.52 | $597 | 1.0× |
| Re-cement or re-bond crown (D2920) | $37.60 | $235 | 0.1× |
| Re-eval,est pt,problem focus (D0170) | $20.64 | $129 | 0.2× |
| Real-time fluorescence wound imaging with clinical darkness, to identify location of bacterial wound pathogens and… (0598T) | $154.56 | $966 | 0.8× |
| Recement inlay onlay or part (D2910) | $19.20 | $120 | 0.0× |
| Rem imp tooth w mucoper flp (D7210) | $711.36 | $4,446 | 0.5× |
| Remove w insert drug implant (G0518) | $126.72 | $792 | 0.3× |
| Resin 4/> surf or w incis an (D2335) | $108.48 | $678 | 0.2× |
| Resin one surface-anterior (D2330) | $57.28 | $358 | 0.1× |
| Resin three surfaces-anterio (D2332) | $86.72 | $542 | 0.1× |
| Resin two surfaces-anterior (D2331) | $36.64 | $229 | 0.1× |
| Revasc intra lithotrip-ather (C9766) unusually low: confirm this is the full procedure |
$6,009.92 | $37,562 | 0.3× |
| Revasc intra lithotrip-stent (C9765) unusually low: confirm this is the full procedure |
$6,009.92 | $37,562 | 0.3× |
| Revasc intravasc lithotripsy (C9764) likely a partial charge, not the full procedure |
$3,004.96 | $18,781 | 0.3× |
| Revasc lith-sten-ath tib/per (C9775) unusually low: confirm this is the full procedure |
$7,673.28 | $47,958 | 0.4× |
| Revasc lithotr-ather tib/per (C9774) unusually low: confirm this is the full procedure |
$7,673.28 | $47,958 | 0.4× |
| Revasc lithotr-stent tib/per (C9773) unusually low: confirm this is the full procedure |
$7,673.28 | $47,958 | 0.4× |
| Revasc lithotrip tibi/perone (C9772) unusually low: confirm this is the full procedure |
$4,799.04 | $29,994 | 0.4× |
| Revasc lithotrip-stent-ather (C9767) | $9,668.16 | $60,426 | 0.6× |
| Rmvl&rimpltj ant sgm io nbiodgrd rx elut implt (0661T) | $126.72 | $792 | 0.0× |
| Rmvl&rplcmt substernal impltbl defibrillator pg (0614T) | $13,776.16 | $86,101 | 0.7× |
| Screen pap by tech w md supv (P3000) | $17.44 | $109 | 0.9× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) unusually low: confirm this is the full procedure |
$7,516.32 | $46,977 | 0.4× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) unusually low: confirm this is the full procedure |
$7,516.32 | $46,977 | 0.4× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) unusually low: confirm this is the full procedure |
$7,516.32 | $46,977 | 0.4× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) unusually low: confirm this is the full procedure |
$7,516.32 | $46,977 | 0.4× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) | $1,240.48 | $7,753 | 0.4× |
| Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) | $1,240.48 | $7,753 | 0.4× |
| Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) | $1,240.48 | $7,753 | 0.4× |
| Tcat rmvl perm dual chamber ldls pm compl sys (0798T) | $1,240.48 | $7,753 | 0.4× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) unusually low: confirm this is the full procedure |
$7,516.32 | $46,977 | 0.4× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) unusually low: confirm this is the full procedure |
$7,516.32 | $46,977 | 0.4× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) unusually low: confirm this is the full procedure |
$7,516.32 | $46,977 | 0.4× |
| Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) unusually low: confirm this is the full procedure |
$7,516.32 | $46,977 | 0.4× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) unusually low: confirm this is the full procedure |
$2,319.04 | $14,494 | 0.4× |
| Temporary female intraurethral valve-pump (ie, voiding prosthesis); initial insertion, including urethral measurement (0596T) | $979.36 | $6,121 | 1.5× |
| Temporary female intraurethral valve-pump (ie, voiding prosthesis); replacement (0597T) | $979.36 | $6,121 | 1.5× |
| Therapeutic procd strg endur (G0237) | $24.96 | $156 | 0.9× |
| Therapeutic pulpotomy (D3220) | $46.40 | $290 | 0.1× |
| Tooth pin retention (D2951) | $26.56 | $166 | 0.0× |
| Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) | $6,988.96 | $43,681 | 0.6× |
| Transperineal focal laser abltj mal prst8 tiss (0655T) likely a partial charge, not the full procedure |
$1,439.20 | $8,995 | 0.3× |
| Trim nail(s) (G0127) | $31.36 | $196 | 0.6× |
| Trluml Perip Athrc Renal Art (0234T) | $7,566.56 | $47,291 | 0.7× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) | $6,988.96 | $43,681 | 0.6× |
| Trluml peripheral atherectomy iliac artery ea (0238T) likely a partial charge, not the full procedure |
$4,156.96 | $25,981 | 0.2× |
| Unsched dialysis esrd pt hos (G0257) | $491.20 | $3,070 | 0.8× |
| Vasc emb/occ w/prs cath (C9797) unusually low: confirm this is the full procedure |
$7,351.20 | $45,945 | 0.4× |
| Vert bitewings 7 to 8 images (D0277) | $407.36 | $2,546 | 1.8× |
| Visit to determ ldct elig (G0296) | $63.84 | $399 | 0.7× |