Supplies, drugs & other prices at Willis Knighton North

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

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

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ProcedureCash priceGross charge× Medicare
2d tee w or w/o fol w/con,in (C8925) $3,022.40 $3,778 4.1×
2d tte w or w/o fol w/con,co (C8923) $3,022.40 $3,778 4.1×
2d tte w or w/o fol w/con,fu (C8924) $3,022.40 $3,778 9.2×
Admin hepatitis b vaccine (G0010) $97.60 $122 2.2×
Admin influenza virus vac (G0008) $82.40 $103 1.9×
Admin pneumococcal vaccine (G0009) $82.40 $103 1.9×
Bia whole body composition assessment w/i&r (0358T) $216 $270 8.0×
Cardiac mri seg dys strain (C9762) $1,744 $2,180 3.4×
Comt gene (0032U) $620.11 $775.14 3.5×
Diab manage trn per indiv (G0108) $118.40 $148 2.1×
Diab manage trn ind/group (G0109) $78.40 $98 4.9×
Direct refer hospital observ (G0379) $1,855.20 $2,319 3.3×
Drug test def 1-7 classes (G0480) $274.63 $343.29 2.4×
Drug test def 8-14 classes (G0481) $431.51 $539.38 2.8×
Eia hiv-1/hiv-2 screen (G0432) $87.48 $109.36 4.5×
Elec stim other than wound (G0283) $116.80 $146 9.2×
Elec stim unattend for press (G0281) $112 $140 9.6×
Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) $11,704 $14,630 1.1×
Fecal blood scrn immunoassay (G0328) $154.06 $192.58 8.5×
Hbot, full body chamber, 30m (G0277) $808 $1,010 6.3×
Hiv combination assay (G0475) $262.97 $328.72 10.9×
Home sleep test/type 3 porta (G0399) $705.60 $882 3.5×
Hospital outpt clinic visit (G0463) $136.80 $171 1.1×
Ig paraprotein qual bld/ur (0077U) $132.40 $165.50 3.0×
Inj for sacroiliac jt anesth (G0260) $926.40 $1,158 1.4×
Instlj fecal microbiota ssp (0780T) $284.80 $356 2.3×
Intens cardiac rehab no exer (G0423) $248 $310 2.1×
Intens cardiac rehab w/exerc (G0422) $248 $310 2.1×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) $412.45 $515.56 3.4×
Mra w/cont, abd (C8900) $1,600 $2,000 4.9×
Mra w/cont, chest (C8909) $1,635.20 $2,044 5.0×
Mra w/cont, lwr ext (C8912) $1,653.60 $2,067 5.1×
Mra w/cont, pelvis (C8918) $1,387.20 $1,734 4.2×
Mra w/o cont, abd (C8901) $1,488 $1,860 6.6×
Mra w/o cont, chest (C8910) $1,260 $1,575 5.6×
Mra w/o cont, lwr ext (C8913) $1,434.40 $1,793 6.4×
Mra w/o cont, pelvis (C8919) $1,260 $1,575 5.6×
Mra w/o fol w/cont, abd (C8902) $2,125.60 $2,657 6.5×
Mra w/o fol w/cont, chest (C8911) $1,765.60 $2,207 5.4×
Mra w/o fol w/cont, lwr ext (C8914) $2,116.80 $2,646 6.5×
Mra w/o fol w/cont, pelvis (C8920) $1,792.80 $2,241 5.5×
Mra, w/o&w/dye, upper extr (C8936) $1,840 $2,300 5.6×
Mri w/o fol w/cont, breast, (C8908) $3,235.20 $4,044 9.9×
Mri w/o fol w/cont, brst, un (C8905) $2,579.20 $3,224 7.9×
Neuro csf detcj prion prtn quakg conf conv qual (0035U) $1,385.99 $1,732.48 2.6×
Oth resp proc, indiv (G0238) $193.60 $242 7.1×
Perc d-e cor revasc chro sin (C9607) $23,912 $29,890 1.4×
Perc d-e cor revasc t cabg s (C9604) $17,950.40 $22,438 1.7×
Perc d-e cor stent ather s (C9602) $19,129.60 $23,912 1.1×
Perc drug-el cor stent sing (C9600) $21,091.60 $26,364.50 1.9×
Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) $7,613.60 $9,517 0.7×
Prostate biopsy, any mthd (G0416) $1,936.42 $2,420.52 5.8×
Psa screening (G0103) $113.62 $142.02 5.9×
Revasc intra lithotrip-ather (C9766) $33,072.80 $41,341 1.9×
Revasc intra lithotrip-stent (C9765) $33,409.60 $41,762 1.9×
Revasc intravasc lithotripsy (C9764) $17,812.80 $22,266 1.6×
Revasc lith-sten-ath tib/per (C9775) $23,496 $29,370 1.4×
Revasc lithotr-ather tib/per (C9774) $23,496 $29,370 1.4×
Revasc lithotr-stent tib/per (C9773) $23,496 $29,370 1.4×
Revasc lithotrip tibi/perone (C9772) $14,688.80 $18,361 1.4×
Revasc lithotrip-stent-ather (C9767) $55,414.40 $69,268 3.2×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $6,532.80 $8,166 1.2×
Therapeutic procd strg endur (G0237) $193.60 $242 7.1×
Tomosynthesis, mammo (G0279) $67.20 $84 5.3×
Tpmt Nudt15 Gene Analysis Common Variants (0034U) $1,186.60 $1,483.26 2.5×
Transcatheter Renal Sympath Denervation Bilat (0339T) $7,934.40 $9,918 1.5×
Transcatheter renal sympath denervation unilat (0338T) $6,102.40 $7,628 1.1×
Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) $9,770.40 $12,213 0.9×
Trluml Perip Athrc Renal Art (0234T) $10,270.40 $12,838 0.9×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) $10,174.40 $12,718 0.9×
Trluml peripheral atherectomy iliac artery ea (0238T) $11,275.20 $14,094 0.7×
Tte w or wo fol wcon,doppler (C8929) $3,178.40 $3,973 4.3×