Baton Rouge General Medical Center
Baton Rouge General Medical Center in Baton Rouge, LA publishes cash prices for 248 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are above the Louisiana median for 234 of 246 procedures and below it for 11. By typical cash price it ranks #25 of 28 Louisiana hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
8585 PICARDY AVE, BATON ROUGE, LA 708063842 Collected Sep 27, 2026 Source price file (225) 387-7767
Acute care hospital Emergency department CMS star rating 3 of 5 CCN 190065 · CMS hospital register
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Louisiana | Off list |
|---|---|---|---|---|---|
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR/L XTREMITY ART 2 LEVELS | $380.35 | $543.35 | $102.59–$418.38 | 97% above | 30% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 UPR/L XTREMITY ART 2 LEVELS | $380.35 | $543.35 | $102.59–$418.38 | — | 30% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 X ESOPHAGRAM | $420.00 | $600.00 | $67.34–$462.00 | 77% above | 30% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 X ESOPHAGRAM | $420.00 | $600.00 | $67.34–$462.00 | — | 30% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE SCAN TOTAL BODY | $1,150.35 | $1,643.35 | $330.32–$1,265.38 | 89% above | 30% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE SCAN TOTAL BODY | $1,150.35 | $1,643.35 | $330.32–$1,265.38 | — | 30% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST W & W/O | $2,286.52 | $3,266.45 | $158.83–$2,515.17 | 141% above | 30% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIO CHEST W & W/O | $2,286.52 | $3,266.45 | $158.83–$2,515.17 | — | 30% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT CORONARY ANGIOGRAM | $1,323.63 | $1,890.90 | $289.28–$1,866.00 | 308% above | 30% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT CORONARY ANGIOGRAM | $1,323.63 | $1,890.90 | $289.28–$1,866.00 | — | 30% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CARDIAC W/O(CALCIUM SCORING | $337.65 | $482.35 | $81.06–$1,866.00 | 327% above | 30% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT CARDIAC W/O(CALCIUM SCORING | $337.65 | $482.35 | $81.06–$1,866.00 | — | 30% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 PET CT ABDOMEN & PELVIS W/O CONTRAST | $1,694.21 | $2,420.30 | $101.55–$1,866.00 | 36% above | 30% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN/PELVIS W/O | $3,115.77 | $4,451.10 | $101.55–$3,427.35 | 150% above | 30% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 PET CT ABDOMEN & PELVIS W/O CONTRAST | $1,694.21 | $2,420.30 | $101.55–$1,866.00 | — | 30% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN/PELVIS W/O | $3,115.77 | $4,451.10 | $101.55–$3,427.35 | — | 30% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 PET CT ABDOMEN & PELVIS W CONTRAST | $2,053.98 | $2,934.25 | $226.90–$2,259.37 | 26% above | 30% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN/PELVIS W | $3,853.61 | $5,505.15 | $226.90–$4,238.97 | 136% above | 30% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 PET CT ABDOMEN & PELVIS W CONTRAST | $2,053.98 | $2,934.25 | $226.90–$2,259.37 | — | 30% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN/PELVIS W | $3,853.61 | $5,505.15 | $226.90–$4,238.97 | — | 30% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN/PELVIS W & W/O | $4,473.46 | $6,390.65 | $289.28–$4,920.80 | 163% above | 30% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN/PELVIS W & W/O | $4,473.46 | $6,390.65 | $289.28–$4,920.80 | — | 30% |
| CT scan of the abdomen with contrast CPT 74160 PET CT ABDOMEN W CONTRAST | $1,233.37 | $1,761.95 | $163.38–$1,866.00 | 37% above | 30% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMINAL W/ CONTRAST | $1,926.75 | $2,752.50 | $163.38–$2,119.43 | 114% above | 30% |
| CT scan of the abdomen with contrast inpatient CPT 74160 PET CT ABDOMEN W CONTRAST | $1,233.37 | $1,761.95 | $163.38–$1,866.00 | — | 30% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMINAL W/ CONTRAST | $1,926.75 | $2,752.50 | $163.38–$2,119.43 | — | 30% |
| CT scan of the abdomen without contrast CPT 74150 PET CT ABDOMEN W/O CONTRAST | $964.85 | $1,378.35 | $80.91–$1,866.00 | 13% above | 30% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST | $1,650.46 | $2,357.80 | $80.91–$1,866.00 | 93% above | 30% |
| CT scan of the abdomen without contrast inpatient CPT 74150 PET CT ABDOMEN W/O CONTRAST | $964.85 | $1,378.35 | $80.91–$1,866.00 | — | 30% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O CONTRAST | $1,650.46 | $2,357.80 | $80.91–$1,866.00 | — | 30% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXIOFACIAL/SINUS W EXT W/O | $1,666.53 | $2,380.75 | $88.75–$1,866.00 | 151% above | 30% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXIOFACIAL/SINUS W EXT W/O | $1,666.53 | $2,380.75 | $88.75–$1,866.00 | — | 30% |
| CT scan of the head or brain, no contrast dye CPT 70450 PET CT BRAIN W/O CONTRAST | $835.21 | $1,193.15 | $66.93–$1,866.00 | 27% above | 30% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O CONTRAST | $1,452.78 | $2,075.40 | $66.93–$1,866.00 | 122% above | 30% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 PET CT BRAIN W/O CONTRAST | $835.21 | $1,193.15 | $66.93–$1,866.00 | — | 30% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD W/O CONTRAST | $1,452.78 | $2,075.40 | $66.93–$1,866.00 | — | 30% |
| CT scan of the head with contrast CPT 70460 CT HEAD W/ CONTRAST | $1,677.31 | $2,396.15 | $163.38–$1,866.00 | 110% above | 30% |
| CT scan of the head with contrast inpatient CPT 70460 CT HEAD W/ CONTRAST | $1,677.31 | $2,396.15 | $163.38–$1,866.00 | — | 30% |
| CT scan of the head without and with contrast CPT 70470 PET CT BRAIN W/O AND W CONTRAST | $1,240.26 | $1,771.80 | $116.02–$1,866.00 | 31% above | 30% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD W/ & W/O CONTRAST | $1,877.58 | $2,682.25 | $116.02–$2,065.33 | 98% above | 30% |
| CT scan of the head without and with contrast inpatient CPT 70470 PET CT BRAIN W/O AND W CONTRAST | $1,240.26 | $1,771.80 | $116.02–$1,866.00 | — | 30% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W/ & W/O CONTRAST | $1,877.58 | $2,682.25 | $116.02–$2,065.33 | — | 30% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR W/O CONTRAST | $2,166.71 | $3,095.30 | $94.67–$2,383.38 | 173% above | 30% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR W/O CONTRAST | $2,166.71 | $3,095.30 | $94.67–$2,383.38 | — | 30% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE W/EXT W/O | $1,606.36 | $2,294.80 | $82.80–$1,866.00 | 104% above | 30% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE W/EXT W/O | $1,606.36 | $2,294.80 | $82.80–$1,866.00 | — | 30% |
| CT scan of the pelvis, with contrast dye CPT 72193 PET CT PELVIS W CONTRAST | $1,170.58 | $1,672.25 | $163.38–$1,866.00 | 41% above | 30% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST | $2,236.57 | $3,195.10 | $163.38–$2,460.23 | 170% above | 30% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 PET CT PELVIS W CONTRAST | $1,170.58 | $1,672.25 | $163.38–$1,866.00 | — | 30% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/CONTRAST | $2,236.57 | $3,195.10 | $163.38–$2,460.23 | — | 30% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 EXTRACRANIAL BILAT STUDY | $767.55 | $1,096.50 | $119.00–$844.31 | — | 30% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 EXTRACRANIAL BILAT STUDY | $767.55 | $1,096.50 | $119.00–$844.31 | — | 30% |
| Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS | $224.77 | $321.10 | $20.30–$247.25 | 64% above | 30% |
| Chest X-ray, 2 views inpatient CPT 71046 X-RAY EXAM CHEST 2 VIEWS | $224.77 | $321.10 | $20.30–$247.25 | — | 30% |
| Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW | $177.03 | $252.90 | $15.43–$194.73 | 58% above | 30% |
| Chest X-ray, single view inpatient CPT 71045 X-RAY EXAM CHEST 1 VIEW | $177.03 | $252.90 | $15.43–$194.73 | — | 30% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US ABDOMEN RETROPERITONEAL | $532.91 | $761.30 | $70.49–$586.20 | 79% above | 30% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US ABDOMEN RETROPERITONEAL | $532.91 | $761.30 | $70.49–$586.20 | — | 30% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 MA BONE DENSITY HIPS PELVIS SP | $449.40 | $642.00 | $26.51–$494.34 | 168% above | 30% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 MA BONE DENSITY HIPS PELVIS SP | $449.40 | $642.00 | $26.51–$494.34 | — | 30% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 MA BONE DENSITY SKELETON EXT | $179.27 | $256.10 | $27.75–$197.20 | 139% above | 30% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 MA BONE DENSITY SKELETON EXT | $179.27 | $256.10 | $27.75–$197.20 | — | 30% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 OB COMPLETE+FETAL DETAIL | $561.02 | $801.45 | $103.95–$617.12 | 111% above | 30% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 OB COMPLETE+FETAL DETAIL | $561.02 | $801.45 | $103.95–$617.12 | — | 30% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 PET CT CHEST W/O CONTRAST | $936.78 | $1,338.25 | $86.25–$1,866.00 | 21% above | 30% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST SCAN | $1,663.48 | $2,376.40 | $86.25–$1,866.00 | 115% above | 30% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 PET CT CHEST W/O CONTRAST | $936.78 | $1,338.25 | $86.25–$1,866.00 | — | 30% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST SCAN | $1,663.48 | $2,376.40 | $86.25–$1,866.00 | — | 30% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 PET CT CHEST W CONTRAST | $1,202.29 | $1,717.55 | $111.65–$1,866.00 | 27% above | 30% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST SCAN W/CONTRAST | $2,070.01 | $2,957.15 | $111.65–$2,277.01 | 118% above | 30% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 PET CT CHEST W CONTRAST | $1,202.29 | $1,717.55 | $111.65–$1,866.00 | — | 30% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST SCAN W/CONTRAST | $2,070.01 | $2,957.15 | $111.65–$2,277.01 | — | 30% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI | $272.72 | $389.60 | $97.89–$299.99 | — | 30% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DX MAMMO INCL CAD BI | $272.72 | $389.60 | $97.89–$299.99 | — | 30% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 PERIPH GFTS BIL LWR EXTS | $562.73 | $803.90 | $159.00–$762.10 | 24% above | 30% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 PERIPH GFTS BIL LWR EXTS | $562.73 | $803.90 | $159.00–$762.10 | — | 30% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 EXTREMITY STUDY | $832.23 | $1,188.90 | $159.00–$915.45 | 99% above | 30% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 EXTREMITY STUDY | $832.23 | $1,188.90 | $159.00–$915.45 | — | 30% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE | $1,907.47 | $2,724.95 | $192.19–$2,098.21 | 165% above | 30% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE W/DOPPLER COMPLETE | $1,907.47 | $2,724.95 | $192.19–$2,098.21 | — | 30% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM CHOLESCINTIGRAM (HIDA) | $1,347.47 | $1,924.95 | $279.22–$1,482.21 | 167% above | 30% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM CHOLESCINTIGRAM (HIDA) | $1,347.47 | $1,924.95 | $279.22–$1,482.21 | — | 30% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATT & RESP EFFT | $951.23 | $1,358.90 | $172.89–$3,214.00 | 625% above | 30% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLEEP STUDY UNATT & RESP EFFT | $951.23 | $1,358.90 | $172.89–$3,214.00 | — | 30% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 NOCTURNAL POLSOMNOGRAPHY CPAP | $3,204.81 | $4,578.30 | $799.91–$3,839.00 | 176% above | 30% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 NOCTURNAL POLSOMNOGRAPHY CPAP | $3,204.81 | $4,578.30 | $799.91–$3,839.00 | — | 30% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHO EXAM OF ABDOMEN | $645.44 | $922.05 | $60.34–$709.98 | 116% above | 30% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ECHO EXAM OF ABDOMEN | $645.44 | $922.05 | $60.34–$709.98 | — | 30% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT CHEST LOW DOSE | $963.10 | $1,375.85 | $97.38–$1,866.00 | 803% above | 30% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT CHEST LOW DOSE | $963.10 | $1,375.85 | $97.38–$1,866.00 | — | 30% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST | $2,265.76 | $3,236.80 | $222.25–$2,492.34 | 110% above | 30% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN W/O CONTRAST | $2,265.76 | $3,236.80 | $222.25–$2,492.34 | — | 30% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W & W/O | $3,494.58 | $4,992.25 | $245.28–$3,844.03 | 158% above | 30% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W & W/O | $3,494.58 | $4,992.25 | $245.28–$3,844.03 | — | 30% |
| MRI of the brain, no contrast dye CPT 70551 MRI HEAD W/O CONTRAST | $1,999.17 | $2,855.95 | $119.57–$2,367.00 | 77% above | 30% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI HEAD W/O CONTRAST | $1,999.17 | $2,855.95 | $119.57–$2,367.00 | — | 30% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI HEAD W/ & W/O CONTRAST | $3,286.96 | $4,695.65 | $218.66–$3,615.65 | 127% above | 30% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI HEAD W/ & W/O CONTRAST | $3,286.96 | $4,695.65 | $218.66–$3,615.65 | — | 30% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR W/O CONTRAST | $1,935.54 | $2,765.05 | $133.15–$2,367.00 | 53% above | 30% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR W/O CONTRAST | $1,935.54 | $2,765.05 | $133.15–$2,367.00 | — | 30% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR W/ & W/O CONTRAST | $3,400.57 | $4,857.95 | $234.60–$3,740.62 | 144% above | 30% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR W/ & W/O CONTRAST | $3,400.57 | $4,857.95 | $234.60–$3,740.62 | — | 30% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC W/O CONTRAST | $2,309.20 | $3,298.85 | $222.25–$2,540.11 | 92% above | 30% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI THORACIC W/O CONTRAST | $2,309.20 | $3,298.85 | $222.25–$2,540.11 | — | 30% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL W/ & W/O CONT | $3,970.86 | $5,672.65 | $315.90–$4,367.94 | 140% above | 30% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI CERVICAL W/ & W/O CONT | $3,970.86 | $5,672.65 | $315.90–$4,367.94 | — | 30% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL W/O CONTRAST | $1,951.29 | $2,787.55 | $121.43–$2,367.00 | 59% above | 30% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI CERVICAL W/O CONTRAST | $1,951.29 | $2,787.55 | $121.43–$2,367.00 | — | 30% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W & W/O | $2,706.20 | $3,866.00 | $244.32–$2,976.82 | 112% above | 30% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W & W/O | $2,706.20 | $3,866.00 | $244.32–$2,976.82 | — | 30% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O | $2,074.52 | $2,963.60 | $150.97–$2,367.00 | 84% above | 30% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O | $2,074.52 | $2,963.60 | $150.97–$2,367.00 | — | 30% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPECT MULT | $2,723.25 | $3,890.35 | $498.91–$3,057.33 | 118% above | 30% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HT MUSCLE IMAGE SPECT MULT | $2,723.25 | $3,890.35 | $498.91–$3,057.33 | — | 30% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 BB PET NETSPOT | $5,398.44 | $7,712.05 | $1,130.00–$5,938.28 | 165% above | 30% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 BB PET NETSPOT | $5,398.44 | $7,712.05 | $1,130.00–$5,938.28 | — | 30% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US BLADDER RESIDUAL | $416.71 | $595.30 | $24.12–$458.38 | 135% above | 30% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US BLADDER RESIDUAL | $416.71 | $595.30 | $24.12–$458.38 | — | 30% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC | $606.20 | $866.00 | $73.57–$666.82 | 110% above | 30% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC | $606.20 | $866.00 | $73.57–$666.82 | — | 30% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB COMPLETE >14WKS | $531.79 | $759.70 | $87.54–$584.97 | 92% above | 30% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB COMPLETE >14WKS | $531.79 | $759.70 | $87.54–$584.97 | — | 30% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB COMPLETE <14 WKS | $476.42 | $680.60 | $90.86–$524.06 | 79% above | 30% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 OB COMPLETE <14 WKS | $476.42 | $680.60 | $90.86–$524.06 | — | 30% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED FETUS(S) | $290.92 | $415.60 | $64.64–$320.01 | 115% above | 30% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB US LIMITED FETUS(S) | $290.92 | $415.60 | $64.64–$320.01 | — | 30% |
| Screening mammogram, both breasts CPT 77067 MA MAMMOGRAM DG SCREENING | $239.61 | $342.30 | $80.72–$263.57 | 99% above | 30% |
| Screening mammogram, both breasts inpatient CPT 77067 MA MAMMOGRAM DG SCREENING | $239.61 | $342.30 | $80.72–$263.57 | — | 30% |
| Sleep study in a lab (polysomnography) CPT 95810 NOCTURNAL POLYSOMNOGRAPHY | $3,062.85 | $4,375.50 | $799.91–$3,839.00 | 129% above | 30% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 NOCTURNAL POLYSOMNOGRAPHY | $3,062.85 | $4,375.50 | $799.91–$3,839.00 | — | 30% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS TTE COMPLETE | $1,398.39 | $1,997.70 | $214.21–$1,538.23 | 131% above | 30% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS TTE COMPLETE MCR | $1,431.19 | $2,044.55 | $214.21–$1,574.30 | 137% above | 30% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 STRESS TTE COMPLETE | $1,398.39 | $1,997.70 | $214.21–$1,538.23 | — | 30% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 STRESS TTE COMPLETE MCR | $1,431.19 | $2,044.55 | $214.21–$1,574.30 | — | 30% |
| Transvaginal pelvic ultrasound CPT 76830 TRANS VAG/NON PREGNANT | $407.65 | $582.35 | $85.40–$448.41 | 101% above | 30% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 TRANS VAG/NON PREGNANT | $407.65 | $582.35 | $85.40–$448.41 | — | 30% |
| Transvaginal ultrasound during pregnancy CPT 76817 TRANS VAG/PREGNANT | $418.99 | $598.55 | $73.09–$460.88 | 144% above | 30% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 TRANS VAG/PREGNANT | $418.99 | $598.55 | $73.09–$460.88 | — | 30% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMINAL COMPLETE | $746.34 | $1,066.20 | $79.49–$820.97 | 122% above | 30% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMINAL COMPLETE | $746.34 | $1,066.20 | $79.49–$820.97 | — | 30% |
| Ultrasound of the scrotum and testicles CPT 76870 US TESTICULAR | $622.02 | $888.60 | $70.22–$684.22 | 174% above | 30% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US TESTICULAR | $622.02 | $888.60 | $70.22–$684.22 | — | 30% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK | $589.75 | $842.50 | $85.40–$648.73 | 105% above | 30% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US EXAM OF HEAD AND NECK | $589.75 | $842.50 | $85.40–$648.73 | — | 30% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X GI SERIES W ESOPHAGUS | $555.98 | $794.25 | $99.76–$611.57 | 105% above | 30% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 X GI SERIES W ESOPHAGUS | $555.98 | $794.25 | $99.76–$611.57 | — | 30% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 EXTREMITY STUDY | $494.13 | $705.90 | $97.38–$543.54 | 47% above | 30% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 EXTREMITY STUDY | $494.13 | $705.90 | $97.38–$543.54 | — | 30% |
| X-ray of the abdomen, 1 view CPT 74018 RADEX ABDOMEN 1 VIEW | $261.70 | $373.85 | $19.30–$287.86 | 131% above | 30% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 RADEX ABDOMEN 1 VIEW | $261.70 | $373.85 | $19.30–$287.86 | — | 30% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X LUMBAR SPINE AP AND LATERAL | $353.33 | $504.75 | $24.83–$388.66 | 133% above | 30% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 X LUMBAR SPINE AP AND LATERAL | $353.33 | $504.75 | $24.83–$388.66 | — | 30% |
| X-ray of the lower back, 4 or more views CPT 72110 X LUMBOSACRAL MIN OF 4 VIEWS | $344.61 | $492.30 | $34.80–$379.07 | 50% above | 30% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 X LUMBOSACRAL MIN OF 4 VIEWS | $344.61 | $492.30 | $34.80–$379.07 | — | 30% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X THORACIC SPINE 2 VIEWS | $286.86 | $409.80 | $22.39–$315.55 | 62% above | 30% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 X THORACIC SPINE 2 VIEWS | $286.86 | $409.80 | $22.39–$315.55 | — | 30% |
| X-ray of the nasal bones, 3 or more views CPT 70160 X NASAL BONES CMPT MIN 3 VIEWS | $214.87 | $306.95 | $32.66–$236.35 | 78% above | 30% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 X NASAL BONES CMPT MIN 3 VIEWS | $214.87 | $306.95 | $32.66–$236.35 | — | 30% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X CERVICAL SP 3 VIEWS OR LESS | $332.29 | $474.70 | $25.80–$365.52 | 131% above | 30% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 X CERVICAL SP 3 VIEWS OR LESS | $332.29 | $474.70 | $25.80–$365.52 | — | 30% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 X PELVIS | $216.06 | $308.65 | $18.81–$269.35 | 50% above | 30% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 X PELVIS | $216.06 | $308.65 | $18.81–$269.35 | — | 30% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X SACRUM/COCCYX | $260.02 | $371.45 | $21.35–$286.02 | 84% above | 30% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 X SACRUM/COCCYX | $260.02 | $371.45 | $21.35–$286.02 | — | 30% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Louisiana | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT SGPT | $49.56 | $70.80 | $2.65–$54.52 | 60% above | 30% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT SGPT | $49.56 | $70.80 | $2.65–$54.52 | — | 30% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST SGOT | $49.56 | $70.80 | $2.59–$54.52 | 50% above | 30% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST SGOT | $49.56 | $70.80 | $2.59–$54.52 | — | 30% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL ACUTE | $224.88 | $321.25 | $23.82–$247.36 | 94% above | 30% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL ACUTE | $224.88 | $321.25 | $23.82–$247.36 | — | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA | $16.21 | $23.15 | $2.61–$17.83 | 61% above | 30% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG SPEC IGE CRUDE XTRC EA | $16.21 | $23.15 | $2.61–$17.83 | — | 30% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRUL PEPTIDE IGG ABS | $145.81 | $208.30 | $6.48–$160.39 | 206% above | 30% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRUL PEPTIDE IGG ABS | $145.81 | $208.30 | $6.48–$160.39 | — | 30% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA ANTINUCLEAR ANTIBODY | $45.85 | $65.50 | $6.05–$50.44 | 13% below | 30% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA ANTINUCLEAR ANTIBODY | $45.85 | $65.50 | $6.05–$50.44 | — | 30% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP B-TYPE NATRIURETIC PEPT | $146.83 | $209.75 | $19.63–$161.51 | 87% above | 30% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP B-TYPE NATRIURETIC PEPT | $146.83 | $209.75 | $19.63–$161.51 | — | 30% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $154.32 | $220.45 | $4.23–$169.75 | 152% above | 30% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $154.32 | $220.45 | $4.23–$169.75 | — | 30% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURGICAL PATHOLOGY LEVEL IV | $140.67 | $200.95 | $33.76–$154.73 | 93% above | 30% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURGICAL PATHOLOGY LEVEL IV | $140.67 | $200.95 | $33.76–$154.73 | — | 30% |
| Blood culture for bacteria CPT 87040 CULT BLOOD | $89.08 | $127.25 | $5.16–$97.98 | 22% above | 30% |
| Blood culture for bacteria inpatient CPT 87040 CULT BLOOD | $89.08 | $127.25 | $5.16–$97.98 | — | 30% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLL VENOUS BLD VENIPUNCTURE | $19.53 | $27.90 | $3.00–$21.48 | 128% above | 30% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLL VENOUS BLD VENIPUNCTURE | $19.53 | $27.90 | $3.00–$21.48 | — | 30% |
| Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLOOD QUANT | $58.38 | $83.40 | $1.97–$64.22 | 237% above | 30% |
| Blood glucose (sugar) test inpatient CPT 82947 ASSAY GLUCOSE BLOOD QUANT | $58.38 | $83.40 | $1.97–$64.22 | — | 30% |
| Blood lead test CPT 83655 ASSAY OF LEAD | $102.73 | $146.75 | $6.06–$113.00 | 230% above | 30% |
| Blood lead test inpatient CPT 83655 ASSAY OF LEAD | $102.73 | $146.75 | $6.06–$113.00 | — | 30% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 CHORIONIC GONADOTROPIN ASSAY | $89.22 | $127.45 | $3.76–$98.14 | 62% above | 30% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 CHORIONIC GONADOTROPIN ASSAY | $89.22 | $127.45 | $3.76–$98.14 | — | 30% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO | $27.30 | $39.00 | $2.99–$130.13 | 42% below | 30% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING ABO | $27.30 | $39.00 | $2.99–$130.13 | — | 30% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP C-REACTIVE PROTEIN | $39.66 | $56.65 | $2.59–$43.62 | 17% above | 30% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP C-REACTIVE PROTEIN | $39.66 | $56.65 | $2.59–$43.62 | — | 30% |
| C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM DIFFICILE BY PCR | $126.95 | $181.35 | $18.64–$139.64 | 85% above | 30% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CLOSTRIDIUM DIFFICILE BY PCR | $126.95 | $181.35 | $18.64–$139.64 | — | 30% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 TUMOR ANTIGEN | $123.73 | $176.75 | $10.41–$136.10 | 154% above | 30% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 TUMOR ANTIGEN | $123.73 | $176.75 | $10.41–$136.10 | — | 30% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 TUMOR ANTIGEN | $143.75 | $205.35 | $10.41–$158.12 | 115% above | 30% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 TUMOR ANTIGEN | $143.75 | $205.35 | $10.41–$158.12 | — | 30% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 NAA, AMP PROBE TECH | $50.16 | $71.65 | $25.66–$77.00 | 11% below | 30% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 (NON-CDC LAB) HIGH THROUGHPUT | $129.64 | $185.20 | $25.66–$142.60 | 129% above | 30% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 NAA, AMP PROBE TECH | $50.16 | $71.65 | $25.66–$77.00 | — | 30% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 (NON-CDC LAB) HIGH THROUGHPUT | $129.64 | $185.20 | $25.66–$142.60 | — | 30% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TACHOMATIS, PHAR SWAB NAA | $128.31 | $183.30 | $17.55–$141.14 | 129% above | 30% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TACHOMATIS, PHAR SWAB NAA | $128.31 | $183.30 | $17.55–$141.14 | — | 30% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $122.26 | $174.65 | $6.70–$134.48 | 73% above | 30% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $122.26 | $174.65 | $6.70–$134.48 | — | 30% |
| Complete blood count (CBC) with differential CPT 85025 CBC WITH DIFFERENTIAL | $70.49 | $100.70 | $3.89–$77.54 | 85% above | 30% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC WITH DIFFERENTIAL | $70.49 | $100.70 | $3.89–$77.54 | — | 30% |
| Complete blood count (CBC), no differential CPT 85027 CBC WITHOUT DIFFERENTIAL | $59.92 | $85.60 | $3.24–$65.91 | 36% above | 30% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC WITHOUT DIFFERENTIAL | $59.92 | $85.60 | $3.24–$65.91 | — | 30% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $171.89 | $245.55 | $5.28–$189.07 | 52% above | 30% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL | $171.89 | $245.55 | $5.28–$189.07 | — | 30% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANTITATIVE | $111.48 | $159.25 | $5.09–$122.62 | 55% above | 30% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QUANTITATIVE | $111.48 | $159.25 | $5.09–$122.62 | — | 30% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE SERUM | $148.79 | $212.55 | $11.12–$163.66 | 140% above | 30% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE SERUM | $148.79 | $212.55 | $11.12–$163.66 | — | 30% |
| Estradiol blood test CPT 82670 ESTRADIOL | $141.72 | $202.45 | $13.97–$155.89 | 80% above | 30% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL | $141.72 | $202.45 | $13.97–$155.89 | — | 30% |
| FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMONE | $90.55 | $129.35 | $9.29–$99.60 | 43% above | 30% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIMULATING HORMONE | $90.55 | $129.35 | $9.29–$99.60 | — | 30% |
| Fecal calprotectin (stool inflammation test) CPT 83993 FECAL CALPROTECTIN | $211.26 | $301.80 | $9.82–$232.39 | 60% above | 30% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 FECAL CALPROTECTIN | $211.26 | $301.80 | $9.82–$232.39 | — | 30% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $78.47 | $112.10 | $6.82–$86.32 | 42% above | 30% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $78.47 | $112.10 | $6.82–$86.32 | — | 30% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID SERUM | $78.12 | $111.60 | $7.35–$85.93 | 67% above | 30% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID SERUM | $78.12 | $111.60 | $7.35–$85.93 | — | 30% |
| Free T3 thyroid hormone test CPT 84481 T3 FREE | $52.68 | $75.25 | $8.47–$57.94 | 5% below | 30% |
| Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE | $52.68 | $75.25 | $8.47–$57.94 | — | 30% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE | $54.50 | $77.85 | $4.51–$59.94 | 6% below | 30% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE | $54.50 | $77.85 | $4.51–$59.94 | — | 30% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE | $73.08 | $104.40 | $12.74–$80.39 | at median | 30% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE | $73.08 | $104.40 | $12.74–$80.39 | — | 30% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $356.16 | $508.80 | $36.41–$391.78 | 85% above | 30% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL | $356.16 | $508.80 | $36.41–$391.78 | — | 30% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TEST | $57.26 | $81.80 | $2.38–$62.99 | 256% above | 30% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE TEST | $57.26 | $81.80 | $2.38–$62.99 | — | 30% |
| Glucose tolerance test, 3 samples CPT 82951 GTT 3SPEC INCLUDES GLU | $85.47 | $122.10 | $6.44–$94.02 | 85% above | 30% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 3SPEC INCLUDES GLU | $85.47 | $122.10 | $6.44–$94.02 | — | 30% |
| H. pylori antibody blood test CPT 86677 H PYLORI ANTIBODY | $111.41 | $159.15 | $8.43–$122.55 | 44% above | 30% |
| H. pylori antibody blood test inpatient CPT 86677 H PYLORI ANTIBODY | $111.41 | $159.15 | $8.43–$122.55 | — | 30% |
| H. pylori stool antigen test CPT 87338 H. PYLORI AG STOOL | $163.70 | $233.85 | $5.57–$180.06 | 148% above | 30% |
| H. pylori stool antigen test inpatient CPT 87338 H. PYLORI AG STOOL | $163.70 | $233.85 | $5.57–$180.06 | — | 30% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ | $354.24 | $506.05 | $42.55–$389.66 | 85% above | 30% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ | $354.24 | $506.05 | $42.55–$389.66 | — | 30% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV 1/2 SINGLE ASSAY | $54.81 | $78.30 | $6.86–$60.29 | 7% above | 30% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1/2 SINGLE ASSAY | $54.81 | $78.30 | $6.86–$60.29 | — | 30% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W HIV 1/2 AB, SINGLE RESULT | $89.01 | $127.15 | $12.04–$97.91 | 80% above | 30% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1 AG W HIV 1/2 AB, SINGLE RESULT | $89.01 | $127.15 | $12.04–$97.91 | — | 30% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HUMAN PAPILLOMAVIRUS, HIGH RISK | $97.27 | $138.95 | $17.55–$106.99 | 114% above | 30% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HUMAN PAPILLOMAVIRUS, HIGH RISK | $97.27 | $138.95 | $17.55–$106.99 | — | 30% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCATED | $66.26 | $94.65 | $4.86–$72.88 | 34% above | 30% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN GLYCATED | $66.26 | $94.65 | $4.86–$72.88 | — | 30% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE AB | $69.23 | $98.90 | $5.37–$76.15 | 72% above | 30% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE AB | $69.23 | $98.90 | $5.37–$76.15 | — | 30% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN | $64.05 | $91.50 | $5.17–$70.46 | 48% above | 30% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIGEN | $64.05 | $91.50 | $5.17–$70.46 | — | 30% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY | $78.54 | $112.20 | $7.14–$86.39 | 53% above | 30% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY | $78.54 | $112.20 | $7.14–$86.39 | — | 30% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C REVRS TRNSCRPJ | $320.32 | $457.60 | $21.42–$352.35 | 93% above | 30% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C REVRS TRNSCRPJ | $320.32 | $457.60 | $21.42–$352.35 | — | 30% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 TEST | $46.62 | $66.60 | $6.60–$51.28 | 28% above | 30% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE 1 TEST | $46.62 | $66.60 | $6.60–$51.28 | — | 30% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 TEST | $55.09 | $78.70 | $9.68–$60.60 | 22% above | 30% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2 TEST | $55.09 | $78.70 | $9.68–$60.60 | — | 30% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C REACTIVE PROTEIN HIGH SENS | $37.17 | $53.10 | $6.48–$40.89 | 17% below | 30% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C REACTIVE PROTEIN HIGH SENS | $37.17 | $53.10 | $6.48–$40.89 | — | 30% |
| Homocysteine blood test CPT 83090 HOMOCYSTINE | $127.05 | $181.50 | $8.96–$139.76 | 123% above | 30% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE | $127.05 | $181.50 | $8.96–$139.76 | — | 30% |
| Insulin blood test CPT 83525 INSULIN TOTAL | $72.03 | $102.90 | $5.72–$79.23 | 71% above | 30% |
| Insulin blood test inpatient CPT 83525 INSULIN TOTAL | $72.03 | $102.90 | $5.72–$79.23 | — | 30% |
| Iron blood test (serum iron) CPT 83540 IRON | $44.66 | $63.80 | $3.24–$49.13 | 29% above | 30% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON | $44.66 | $63.80 | $3.24–$49.13 | — | 30% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY | $44.24 | $63.20 | $4.37–$48.66 | at median | 30% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY | $44.24 | $63.20 | $4.37–$48.66 | — | 30% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $109.87 | $156.95 | $4.34–$120.85 | 34% above | 30% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $109.87 | $156.95 | $4.34–$120.85 | — | 30% |
| LH (luteinizing hormone) test CPT 83002 LUTEININZING HORMONE | $129.15 | $184.50 | $9.26–$142.07 | 112% above | 30% |
| LH (luteinizing hormone) test inpatient CPT 83002 LUTEININZING HORMONE | $129.15 | $184.50 | $9.26–$142.07 | — | 30% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $79.77 | $113.95 | $3.45–$87.74 | 90% above | 30% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $79.77 | $113.95 | $3.45–$87.74 | — | 30% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $113.44 | $162.05 | $4.09–$124.78 | 34% above | 30% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $113.44 | $162.05 | $4.09–$124.78 | — | 30% |
| Lyme disease antibody test CPT 86618 B BURDORFERI IGG AB | $78.72 | $112.45 | $8.52–$86.59 | 55% above | 30% |
| Lyme disease antibody test inpatient CPT 86618 B BURDORFERI IGG AB | $78.72 | $112.45 | $8.52–$86.59 | — | 30% |
| Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM | $55.27 | $78.95 | $3.35–$60.79 | 102% above | 30% |
| Magnesium blood test inpatient CPT 83735 ASSAY OF MAGNESIUM | $55.27 | $78.95 | $3.35–$60.79 | — | 30% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY | $62.20 | $88.85 | $6.44–$68.41 | 67% above | 30% |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODY | $62.20 | $88.85 | $6.44–$68.41 | — | 30% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO HETEROPHILE SCREEN | $54.01 | $77.15 | $2.59–$59.41 | 47% above | 30% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO HETEROPHILE SCREEN | $54.01 | $77.15 | $2.59–$59.41 | — | 30% |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL | $154.07 | $220.10 | $23.91–$169.48 | 132% above | 30% |
| Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL | $154.07 | $220.10 | $23.91–$169.48 | — | 30% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE | $86.00 | $122.85 | $9.20–$94.59 | 49% above | 30% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE | $86.00 | $122.85 | $9.20–$94.59 | — | 30% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL | $90.20 | $128.85 | $9.20–$99.21 | 59% above | 30% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 ASSAY OF PSA TOTAL | $90.20 | $128.85 | $9.20–$99.21 | — | 30% |
| Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATHOLOGY VAG W AUTO SYSTEM | $74.24 | $106.05 | $13.31–$81.66 | 61% above | 30% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 CYTOPATHOLOGY VAG W AUTO SYSTEM | $74.24 | $106.05 | $13.31–$81.66 | — | 30% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTO, INTERPERATION MANUAL BY PHYSICIAN | $60.45 | $86.35 | $10.13–$66.49 | 144% above | 30% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTO, INTERPERATION MANUAL BY PHYSICIAN | $60.45 | $86.35 | $10.13–$66.49 | — | 30% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE | $197.40 | $282.00 | $20.64–$217.14 | 81% above | 30% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE | $197.40 | $282.00 | $20.64–$217.14 | — | 30% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT PARTIAL THROMB TIME | $55.65 | $79.50 | $3.01–$61.22 | 69% above | 30% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT PARTIAL THROMB TIME | $55.65 | $79.50 | $3.01–$61.22 | — | 30% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FETAL CHRMOML ANEUPLOIDY | $1,823.22 | $2,604.60 | $379.53–$2,005.54 | 982% above | 30% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 FETAL CHRMOML ANEUPLOIDY | $1,823.22 | $2,604.60 | $379.53–$2,005.54 | — | 30% |
| Progesterone blood test CPT 84144 PROGESTERONE SERUM | $103.60 | $148.00 | $10.43–$113.96 | 44% above | 30% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE SERUM | $103.60 | $148.00 | $10.43–$113.96 | — | 30% |
| Prolactin blood test CPT 84146 PROLACTIN | $140.95 | $201.35 | $9.69–$155.04 | 84% above | 30% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $140.95 | $201.35 | $9.69–$155.04 | — | 30% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT PROTHROMBIN TIME | $42.14 | $60.20 | $2.15–$46.35 | 104% above | 30% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT PROTHROMBIN TIME | $42.14 | $60.20 | $2.15–$46.35 | — | 30% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV ANY NUMBER DIREC OPTIAL | $29.61 | $42.30 | $6.30–$32.57 | 30% above | 30% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG TEST PRSMV ANY NUMBER DIREC OPTIAL | $29.61 | $42.30 | $6.30–$32.57 | — | 30% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W/OPTIC | $41.58 | $59.40 | $8.28–$45.74 | 16% above | 30% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA ASSAY W/OPTIC | $41.58 | $59.40 | $8.28–$45.74 | — | 30% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP GROUP A RAPID SCREEN | $45.54 | $65.05 | $8.27–$50.09 | 65% above | 30% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP GROUP A RAPID SCREEN | $45.54 | $65.05 | $8.27–$50.09 | — | 30% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUAN | $37.56 | $53.65 | $2.84–$41.31 | 38% above | 30% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUAN | $37.56 | $53.65 | $2.84–$41.31 | — | 30% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY | $91.74 | $131.05 | $7.20–$100.91 | 141% above | 30% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY | $91.74 | $131.05 | $7.20–$100.91 | — | 30% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RBC SED RATE AUTOMATED | $34.02 | $48.60 | $1.35–$37.42 | 9% above | 30% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 RBC SED RATE AUTOMATED | $34.02 | $48.60 | $1.35–$37.42 | — | 30% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITE SMEAR | $61.39 | $87.70 | $4.45–$67.53 | 67% above | 30% |
| Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITE SMEAR | $61.39 | $87.70 | $4.45–$67.53 | — | 30% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD STOOL SCRN ONLY | $21.04 | $30.05 | $2.19–$23.14 | 5% above | 30% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD STOOL SCRN ONLY | $21.04 | $30.05 | $2.19–$23.14 | — | 30% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLD; IMMUNOASSAY | $59.64 | $85.20 | $7.96–$65.60 | 178% above | 30% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLD; IMMUNOASSAY | $59.64 | $85.20 | $7.96–$65.60 | — | 30% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL | $47.43 | $67.75 | $2.14–$52.17 | 138% above | 30% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST NON-TREP QUAL | $47.43 | $67.75 | $2.14–$52.17 | — | 30% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUNATIFERON TB GOLD | $231.98 | $331.40 | $30.99–$255.18 | 101% above | 30% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUNATIFERON TB GOLD | $231.98 | $331.40 | $30.99–$255.18 | — | 30% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $135.42 | $193.45 | $12.91–$148.96 | 96% above | 30% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL | $135.42 | $193.45 | $12.91–$148.96 | — | 30% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES EA | $100.00 | $142.85 | $7.28–$109.99 | 125% above | 30% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODIES EA | $100.00 | $142.85 | $7.28–$109.99 | — | 30% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY THYROID STIM HORMONE | $113.79 | $162.55 | $8.40–$125.16 | 137% above | 30% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 ASSAY THYROID STIM HORMONE | $113.79 | $162.55 | $8.40–$125.16 | — | 30% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMP PROBE | $127.05 | $181.50 | $17.55–$139.76 | 116% above | 30% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS AMP PROBE | $127.05 | $181.50 | $17.55–$139.76 | — | 30% |
| Uric acid blood test CPT 84550 URIC ACID BLOOD | $46.03 | $65.75 | $2.26–$50.63 | 74% above | 30% |
| Uric acid blood test inpatient CPT 84550 URIC ACID BLOOD | $46.03 | $65.75 | $2.26–$50.63 | — | 30% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS WITH MICRO | $58.42 | $83.45 | $1.59–$64.26 | 21% above | 30% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS WITH MICRO | $58.42 | $83.45 | $1.59–$64.26 | — | 30% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE | $32.41 | $46.30 | $1.13–$35.65 | 227% above | 30% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO W/O SCOPE | $32.41 | $46.30 | $1.13–$35.65 | — | 30% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE | $23.59 | $33.70 | $1.74–$25.95 | 218% above | 30% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS NONAUTO W/O SCOPE | $23.59 | $33.70 | $1.74–$25.95 | — | 30% |
| Urine culture for bacteria, with colony count CPT 87086 CULT URINE MIDSTREAM | $71.30 | $101.85 | $4.04–$78.42 | 33% above | 30% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULT URINE MIDSTREAM | $71.30 | $101.85 | $4.04–$78.42 | — | 30% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST | $91.56 | $130.80 | $4.31–$100.72 | 324% above | 30% |
| Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY TEST | $91.56 | $130.80 | $4.31–$100.72 | — | 30% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $78.12 | $111.60 | $7.54–$85.93 | 43% above | 30% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 | $78.12 | $111.60 | $7.54–$85.93 | — | 30% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-HYDROXY | $144.83 | $206.90 | $14.80–$159.31 | 41% above | 30% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25-HYDROXY | $144.83 | $206.90 | $14.80–$159.31 | — | 30% |
| Zinc blood test CPT 84630 ZINC SERUM | $75.53 | $107.90 | $5.70–$83.08 | 83% above | 30% |
| Zinc blood test inpatient CPT 84630 ZINC SERUM | $75.53 | $107.90 | $5.70–$83.08 | — | 30% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG SERUM QUANTITATIVE | $131.78 | $188.25 | $7.53–$144.95 | 93% above | 30% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG SERUM QUANTITATIVE | $131.78 | $188.25 | $7.53–$144.95 | — | 30% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Louisiana | Off list |
|---|---|---|---|---|---|
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 MAMMO STEROTACT BX 1ST LESION | $1,755.57 | $2,507.95 | $1,076.43–$7,581.00 | 107% above | 30% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 MAMMO STEROTACT BX 1ST LESION | $1,755.57 | $2,507.95 | $1,076.43–$7,581.00 | — | 30% |
| Cardiac catheterization with coronary angiogram one side CPT 93458 LEFT HEART CATH | $10,161.52 | $14,516.45 | $3,019.82–$32,659.00 | 116% above | 30% |
| Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 LEFT HEART CATH | $10,161.52 | $14,516.45 | $3,019.82–$32,659.00 | — | 30% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT | $1,108.00 | $1,582.85 | $118.58–$1,289.22 | 105% above | 30% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT | $1,108.00 | $1,582.85 | $118.58–$1,289.22 | — | 30% |
| Catheter ablation for atrial fibrillation CPT 93656 TX ATRIAL FIB PULM VEIN ISOL | $42,712.01 | $61,017.15 | $6,386.00–$49,110.04 | 203% above | 30% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 TX ATRIAL FIB PULM VEIN ISOL | $42,712.01 | $61,017.15 | $6,386.00–$49,110.04 | — | 30% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION-IP | $819.53 | $1,170.75 | $608.79–$5,475.00 | 18% below | 30% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION-IP | $819.53 | $1,170.75 | $608.79–$5,475.00 | — | 30% |
| Coronary stent placement, one artery CPT 92928 STENT W/WO PTCA | $11,096.75 | $15,852.50 | $672.29–$23,812.06 | 102% above | 30% |
| Coronary stent placement, one artery inpatient CPT 92928 STENT W/WO PTCA | $11,096.75 | $15,852.50 | $672.29–$23,812.06 | — | 30% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY | $1,741.88 | $2,488.40 | $273.40–$2,916.00 | 231% above | 30% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOURETHROSCOPY | $1,741.88 | $2,488.40 | $273.40–$2,916.00 | — | 30% |
| Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX | $66.68 | $95.25 | $49.53–$1,172.00 | 10% above | 30% |
| Earwax removal with instruments, one ear inpatient CPT 69210 REMOVE IMPACTED EAR WAX | $66.68 | $95.25 | $49.53–$1,172.00 | — | 30% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 CERVICAL/THORACIC INJECTION | $1,179.92 | $1,685.60 | $120.62–$2,916.00 | 74% above | 30% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 CERVICAL/THORACIC INJECTION | $1,179.92 | $1,685.60 | $120.62–$2,916.00 | — | 30% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 FACET JT LUM/SAC UNI 1ST | $1,340.68 | $1,915.25 | $800.89–$2,916.00 | 79% above | 30% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 FACET JT LUM/SAC UNI 1ST | $1,340.68 | $1,915.25 | $800.89–$2,916.00 | — | 30% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATHETER FOR HYSTEROGRAPHY | $713.86 | $1,019.80 | $410.50–$1,172.00 | 408% above | 30% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 CATHETER FOR HYSTEROGRAPHY | $713.86 | $1,019.80 | $410.50–$1,172.00 | — | 30% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE | $253.47 | $362.10 | $186.89–$1,399.00 | 38% above | 30% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE OR SINGLE | $253.47 | $362.10 | $153.93–$1,172.00 | 38% above | 30% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I & D SC ABSCESS SIMPLE | $438.97 | $627.10 | $186.89–$1,172.00 | 139% above | 30% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE OR SINGLE | $253.47 | $362.10 | $153.93–$1,172.00 | — | 30% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE/SINGLE | $253.47 | $362.10 | $186.89–$1,399.00 | — | 30% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I & D SC ABSCESS SIMPLE | $438.97 | $627.10 | $186.89–$1,172.00 | — | 30% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ZZ X INJ JT/BURSA SHO HIP KNEE | $638.61 | $912.30 | $129.75–$2,916.00 | 147% above | 30% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASP/INJ MAJOR JOINT | $638.61 | $912.30 | $285.92–$1,172.00 | 147% above | 30% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ASP/INJ MAJOR JOINT | $638.61 | $912.30 | $285.92–$1,172.00 | — | 30% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ZZ X INJ JT/BURSA SHO HIP KNEE | $638.61 | $912.30 | $129.75–$2,916.00 | — | 30% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASP/INJ INTERMED JOINT | $475.97 | $679.95 | $285.92–$1,172.00 | 87% above | 30% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US | $475.97 | $679.95 | $108.39–$2,916.00 | 87% above | 30% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ASP/INJ INTERMED JOINT | $475.97 | $679.95 | $285.92–$1,172.00 | — | 30% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ JOINT/BURSA W/O US | $475.97 | $679.95 | $108.39–$2,916.00 | — | 30% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ZZ X ARTH-TESIS SM(FINGER TOE | $139.65 | $199.50 | $103.74–$2,916.00 | 39% below | 30% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ZZ X ARTH-TESIS SM(FINGER TOE | $139.65 | $199.50 | $103.74–$2,916.00 | — | 30% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAC INT 2.5 CM OR LESS | $438.10 | $625.85 | $290.00–$1,172.00 | 46% above | 30% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAC INT 2.5 CM OR LESS | $438.10 | $625.85 | $290.00–$1,172.00 | — | 30% |
| Lower-back epidural injection, with imaging guidance CPT 62323 LUMBAR/SACRAL INJECTION | $2,545.80 | $3,636.85 | $109.84–$2,916.00 | 275% above | 30% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 LUMBAR/SACRAL INJECTION | $2,545.80 | $3,636.85 | $109.84–$2,916.00 | — | 30% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 TRANSFORA EPIDURAL L/S | $1,365.67 | $1,950.95 | $823.88–$2,916.00 | 69% above | 30% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 TRANSFORA EPIDURAL L/S | $1,365.67 | $1,950.95 | $823.88–$2,916.00 | — | 30% |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE SIMPLE 1 | $272.93 | $389.90 | $186.89–$1,399.00 | 82% above | 30% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE SIMPLE 1 | $272.93 | $389.90 | $186.89–$1,399.00 | — | 30% |
| Pacemaker implant (dual chamber) CPT 33208 INSERT PM DUAL W/O VENOGRAM | $5,421.92 | $7,745.60 | $4,027.71–$33,789.00 | 51% below | 30% |
| Pacemaker implant (dual chamber) CPT 33208 INSERT PM DUAL W/VENOGRAM | $6,857.31 | $9,796.15 | $5,094.00–$33,789.00 | 38% below | 30% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 INSERT PM DUAL W/O VENOGRAM | $5,421.92 | $7,745.60 | $4,027.71–$33,789.00 | — | 30% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 INSERT PM DUAL W/VENOGRAM | $6,857.31 | $9,796.15 | $5,094.00–$33,789.00 | — | 30% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING | $1,590.33 | $2,271.90 | $844.85–$4,206.00 | 170% above | 30% |
| Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGING | $1,590.33 | $2,271.90 | $844.85–$4,206.00 | — | 30% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED | $573.37 | $819.10 | $290.00–$1,172.00 | 122% above | 30% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 REMOVAL OF NAIL BED | $573.37 | $819.10 | $290.00–$1,172.00 | — | 30% |
| Prostate biopsy CPT 55700 MRI PROSTATE BIOPSY | $2,760.42 | $3,943.45 | $1,136.38–$5,248.00 | 262% above | 30% |
| Prostate biopsy inpatient CPT 55700 MRI PROSTATE BIOPSY | $2,760.42 | $3,943.45 | $1,136.38–$5,248.00 | — | 30% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTRUCT NERVE LUM/SAC SINGLE | $2,381.72 | $3,402.45 | $1,172.00–$9,681.00 | 135% above | 30% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 DESTRUCT NERVE LUM/SAC SINGLE | $2,381.72 | $3,402.45 | $1,172.00–$9,681.00 | — | 30% |
| Removal of a foreign object under the skin, simple CPT 10120 INC&RMVL FB SUBQ TISS SMPL | $397.08 | $567.25 | $294.97–$1,399.00 | 61% above | 30% |
| Removal of a foreign object under the skin, simple CPT 10120 REM OF FB SC SIMPLE | $397.08 | $567.25 | $290.00–$1,172.00 | 61% above | 30% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 REM OF FB SC SIMPLE | $397.08 | $567.25 | $290.00–$1,172.00 | — | 30% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 INC&RMVL FB SUBQ TISS SMPL | $397.08 | $567.25 | $294.97–$1,399.00 | — | 30% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 LITHOTRIPSY | $11,726.16 | $16,751.65 | $3,191.86–$13,610.00 | 278% above | 30% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 LITHOTRIPSY | $11,726.16 | $16,751.65 | $3,191.86–$13,610.00 | — | 30% |
| Short leg splint (calf to foot) CPT 29515 APPLY LOWER LEG SPLINT | $230.13 | $328.75 | $151.37–$321.40 | 71% above | 30% |
| Short leg splint (calf to foot) inpatient CPT 29515 APPLY LOWER LEG SPLINT | $230.13 | $328.75 | $151.37–$321.40 | — | 30% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 LAC SIMPLE < 2.5 CM | $471.42 | $673.45 | $186.89–$1,172.00 | 158% above | 30% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 LAC SIMPLE < 2.5 CM | $471.42 | $673.45 | $186.89–$1,172.00 | — | 30% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION | $260.40 | $372.00 | $175.55–$1,399.00 | 40% above | 30% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESION | $260.40 | $372.00 | $175.55–$1,399.00 | — | 30% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL TAP DIAGNOSTIC | $542.43 | $774.90 | $402.95–$2,916.00 | 10% above | 30% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE | $1,053.68 | $1,505.25 | $290.00–$1,502.12 | 113% above | 30% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL TAP DIAGNOSTIC | $542.43 | $774.90 | $402.95–$2,916.00 | — | 30% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE | $1,053.68 | $1,505.25 | $290.00–$1,502.12 | — | 30% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 LAC SIMPLE 2.6 - 7.5 CM | $518.32 | $740.45 | $186.89–$570.15 | 184% above | 30% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 LAC SIMPLE 2.6 - 7.5 CM | $518.32 | $740.45 | $186.89–$570.15 | — | 30% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 LAC SIMPLE 2.5 CM OR LESS | $373.35 | $533.35 | $186.89–$419.91 | 105% above | 30% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 LAC SIMPLE 2.5 CM OR LESS | $373.35 | $533.35 | $186.89–$419.91 | — | 30% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES | $260.40 | $372.00 | $142.67–$1,399.00 | 103% above | 30% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGNTL BX SKIN SINGLE LES | $260.40 | $372.00 | $142.67–$1,399.00 | — | 30% |
| Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING | $2,000.85 | $2,858.35 | $584.33–$2,916.00 | 219% above | 30% |
| Thoracentesis with imaging guidance inpatient CPT 32555 ASPIRATE PLEURA W/ IMAGING | $2,000.85 | $2,858.35 | $584.33–$2,916.00 | — | 30% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US BRST BX W PLCMT 1ST LESION | $1,755.57 | $2,507.95 | $635.60–$7,581.00 | 87% above | 30% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 US BRST BX W PLCMT 1ST LESION | $1,755.57 | $2,507.95 | $635.60–$7,581.00 | — | 30% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRDMT SUBQ TIS 1ST 20SQCM/< | $565.81 | $808.30 | $378.66–$5,248.00 | 52% above | 30% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SUBQ TISS 20CM2 OR < | $565.81 | $808.30 | $290.00–$3,685.00 | 52% above | 30% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SUBQ TISS 20CM2 OR < | $565.81 | $808.30 | $290.00–$3,685.00 | — | 30% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DBRDMT SUBQ TIS 1ST 20SQCM/< | $565.81 | $808.30 | $378.66–$5,248.00 | — | 30% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Louisiana | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 PTB4 TRANSFUSION 3 UNITS | $636.48 | $909.25 | $254.00–$1,172.00 | 35% above | 30% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/BLD COMPNT | $650.09 | $928.70 | $254.00–$1,172.00 | 38% above | 30% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 PTB4 TRANSFUSION 3 UNITS | $636.48 | $909.25 | $254.00–$1,172.00 | — | 30% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLD/BLD COMPNT | $650.09 | $928.70 | $254.00–$1,172.00 | — | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SPUTUM INDUCTION | $82.78 | $118.25 | $61.49–$1,048.00 | 12% below | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT | $82.78 | $118.25 | $61.49–$442.09 | 12% below | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT | $82.78 | $118.25 | $61.49–$442.09 | — | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SPUTUM INDUCTION | $82.78 | $118.25 | $61.49–$1,048.00 | — | 30% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HR | $623.14 | $890.20 | $307.68–$685.45 | 107% above | 30% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INFUSION 1 HR | $623.14 | $890.20 | $307.68–$685.45 | — | 30% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST HOUR | $2,124.75 | $3,035.35 | $769.44–$4,083.00 | 183% above | 30% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE FIRST HOUR | $2,124.75 | $3,035.35 | $769.44–$4,083.00 | — | 30% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG MCR | $117.71 | $168.15 | $12.39–$349.00 | 43% above | 30% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING | $257.88 | $368.40 | $12.39–$349.00 | 213% above | 30% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG IN ICU | $257.95 | $368.50 | $12.39–$349.00 | 213% above | 30% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG IN EMERGENCY DEPT | $309.46 | $442.08 | $12.39–$349.00 | 276% above | 30% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG MCR | $117.71 | $168.15 | $12.39–$349.00 | — | 30% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELECTROCARDIOGRAM TRACING | $257.88 | $368.40 | $12.39–$349.00 | — | 30% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG IN ICU | $257.95 | $368.50 | $12.39–$349.00 | — | 30% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG IN EMERGENCY DEPT | $309.46 | $442.08 | $12.39–$349.00 | — | 30% |
| Electroconvulsive therapy (ECT), one session CPT 90870 ELECTROCONVULSIVE THERAPY | $857.12 | $1,224.45 | $500.00–$942.83 | 25% above | 30% |
| Electroconvulsive therapy (ECT), one session inpatient CPT 90870 ELECTROCONVULSIVE THERAPY | $857.12 | $1,224.45 | $500.00–$942.83 | — | 30% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMR DPT VST MAYX REQ PHY/QHP | $303.00 | $432.85 | $54.72–$413.00 | 418% above | 30% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EMR DPT VST MAYX REQ PHY/QHP | $303.00 | $432.85 | $54.72–$413.00 | — | 30% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPT VISIT SF MDM | $390.08 | $557.25 | $143.02–$681.48 | 165% above | 30% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EMERGENCY DEPT VISIT SF MDM | $390.08 | $557.25 | $143.02–$681.48 | — | 30% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPT VISIT LOW MDM | $592.45 | $846.35 | $254.28–$1,189.44 | 156% above | 30% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EMERGENCY DEPT VISIT LOW MDM | $592.45 | $846.35 | $254.28–$1,189.44 | — | 30% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPT VISIT MOD MDM | $1,042.16 | $1,488.80 | $388.67–$2,200.00 | 175% above | 30% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EMERGENCY DEPT VISIT MOD MDM | $1,042.16 | $1,488.80 | $388.67–$2,200.00 | — | 30% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPT VISIT HI MDM | $1,525.44 | $2,179.20 | $554.73–$3,172.00 | 194% above | 30% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EMERGENCY DEPT VISIT HI MDM | $1,525.44 | $2,179.20 | $554.73–$3,172.00 | — | 30% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CV STRESS TEST TRACING ONLY | $657.65 | $939.50 | $48.41–$723.42 | 87% above | 30% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CV STRESS TEST TRACING ONLY | $657.65 | $939.50 | $48.41–$723.42 | — | 30% |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYTX W/PT 50 MIN | $277.83 | $396.90 | $120.18–$305.61 | 110% above | 30% |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY THERAPY WITH PT IOP | $277.83 | $396.90 | $165.33–$305.61 | 110% above | 30% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY THERAPY WITH PT IOP | $277.83 | $396.90 | $165.33–$305.61 | — | 30% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYTX W/PT 50 MIN | $277.83 | $396.90 | $120.18–$305.61 | — | 30% |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY THERAPY WITHOUT PT OP | $262.40 | $374.85 | $116.10–$288.63 | 104% above | 30% |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY THERAPY WITHOUT PT IOP | $262.40 | $374.85 | $165.33–$288.63 | 104% above | 30% |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY THERAPY W/O PT PHP | $262.40 | $374.85 | $165.33–$300.00 | 104% above | 30% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY THERAPY W/O PT PHP | $262.40 | $374.85 | $165.33–$300.00 | — | 30% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY THERAPY WITHOUT PT OP | $262.40 | $374.85 | $116.10–$288.63 | — | 30% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY THERAPY WITHOUT PT IOP | $262.40 | $374.85 | $165.33–$288.63 | — | 30% |
| Group psychotherapy session CPT 90853 GROUP THERAPY OP | $183.12 | $261.60 | $52.38–$201.43 | 182% above | 30% |
| Group psychotherapy session CPT 90853 GROUP THERAPY IOP | $183.12 | $261.60 | $94.63–$201.43 | 182% above | 30% |
| Group psychotherapy session inpatient CPT 90853 GROUP THERAPY IOP | $183.12 | $261.60 | $94.63–$201.43 | — | 30% |
| Group psychotherapy session inpatient CPT 90853 GROUP THERAPY OP | $183.12 | $261.60 | $52.38–$201.43 | — | 30% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT | $339.01 | $484.30 | $192.60–$875.00 | 100% above | 30% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION INIT | $339.01 | $484.30 | $192.60–$875.00 | — | 30% |
| IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT | $351.68 | $502.40 | $192.60–$875.00 | 89% above | 30% |
| IV infusion of a medicine, first hour inpatient CPT 96365 THER/PROPH/DIAG IV INF INIT | $351.68 | $502.40 | $192.60–$875.00 | — | 30% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SC/IM | $103.64 | $148.05 | $62.94–$175.00 | 98% above | 30% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM | $103.64 | $148.05 | $65.20–$875.00 | 98% above | 30% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 TX INJ SQ/IM | $103.64 | $148.05 | $21.46–$2,367.00 | 98% above | 30% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/DIAG INJ SC/IM | $103.64 | $148.05 | $65.20–$875.00 | — | 30% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 TX INJ SQ/IM | $103.64 | $148.05 | $21.46–$2,367.00 | — | 30% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION SC/IM | $103.64 | $148.05 | $62.94–$175.00 | — | 30% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVALUATION | $240.73 | $343.90 | $165.33–$287.00 | 132% above | 30% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DIAGNOSTIC EVALUATION | $240.73 | $343.90 | $165.33–$287.00 | — | 30% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE O/P NEW LOW 30 MIN | $142.70 | $203.85 | $49.74–$175.00 | 158% above | 30% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE O/P NEW LOW 30 MIN | $142.70 | $203.85 | $49.74–$175.00 | — | 30% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE O/P NEW MOD 45 MIN | $172.38 | $246.25 | $54.20–$189.61 | 92% above | 30% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE O/P NEW MOD 45 MIN | $172.38 | $246.25 | $54.20–$189.61 | — | 30% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE O/P NEW HI 60 MIN | $196.11 | $280.15 | $59.79–$215.72 | 42% above | 30% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE O/P NEW HI 60 MIN | $196.11 | $280.15 | $59.79–$215.72 | — | 30% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE O/P NEW SF 15 MIN | $115.54 | $165.05 | $39.67–$175.00 | 189% above | 30% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE O/P NEW SF 15 MIN | $115.54 | $165.05 | $39.67–$175.00 | — | 30% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTRITION ASSESSMENT PER 15 MINUTES | $49.14 | $70.20 | $29.39–$170.00 | 71% above | 30% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTRITION ASSESSMENT PER 15 MIN HIC | $55.37 | $79.10 | $29.39–$170.00 | 92% above | 30% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT ASSESS INDIV /15 MIN | $64.37 | $91.95 | $29.39–$170.00 | 124% above | 30% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 NUTRITION ASSESSMENT PER 15 MINUTES | $49.14 | $70.20 | $29.39–$170.00 | — | 30% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 NUTRITION ASSESSMENT PER 15 MIN HIC | $55.37 | $79.10 | $29.39–$170.00 | — | 30% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT ASSESS INDIV /15 MIN | $64.37 | $91.95 | $29.39–$170.00 | — | 30% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 PSYCHOTHERAPY FOR CRISIS 60 MIN HIC | $280.32 | $400.45 | $163.74–$308.35 | 469% above | 30% |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 PSYCHOTHERAPY FOR CRISIS 60 MIN HIC | $280.32 | $400.45 | $163.74–$308.35 | — | 30% |
| Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY 30 MIN PHP | $196.04 | $280.05 | $145.63–$300.00 | 96% above | 30% |
| Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY 30 MIN IOP | $196.04 | $280.05 | $145.63–$215.64 | 96% above | 30% |
| Psychotherapy session, 30 minutes CPT 90832 PSYTX W PT 30 MINUTES | $196.04 | $280.05 | $78.93–$215.64 | 96% above | 30% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCHOTHERAPY 30 MIN PHP | $196.04 | $280.05 | $145.63–$300.00 | — | 30% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSYTX W PT 30 MINUTES | $196.04 | $280.05 | $78.93–$215.64 | — | 30% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCHOTHERAPY 30 MIN IOP | $196.04 | $280.05 | $145.63–$215.64 | — | 30% |
| Psychotherapy session, 45 minutes CPT 90834 PSYTX W PT 45 MINUTES | $207.48 | $296.40 | $105.01–$228.23 | 60% above | 30% |
| Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY 45 MIN IOP | $207.48 | $296.40 | $154.13–$228.23 | 60% above | 30% |
| Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY 45 MIN PHP | $207.48 | $296.40 | $154.13–$300.00 | 60% above | 30% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCHOTHERAPY 45 MIN IOP | $207.48 | $296.40 | $154.13–$228.23 | — | 30% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSYTX W PT 45 MINUTES | $207.48 | $296.40 | $105.01–$228.23 | — | 30% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCHOTHERAPY 45 MIN PHP | $207.48 | $296.40 | $154.13–$300.00 | — | 30% |
| Psychotherapy session, 60 minutes CPT 90837 PSYTX W PT 60 MINUTES | $256.76 | $366.80 | $157.00–$282.44 | 63% above | 30% |
| Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY 60 MIN PHP | $256.76 | $366.80 | $165.33–$300.00 | 63% above | 30% |
| Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY 60 MIN IOP | $256.76 | $366.80 | $165.33–$282.44 | 63% above | 30% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PSYCHOTHERAPY 60 MIN PHP | $256.76 | $366.80 | $165.33–$300.00 | — | 30% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PSYCHOTHERAPY 60 MIN IOP | $256.76 | $366.80 | $165.33–$282.44 | — | 30% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PSYTX W PT 60 MINUTES | $256.76 | $366.80 | $157.00–$282.44 | — | 30% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESS 3-10 MIN SYMPT | $50.05 | $71.50 | $34.90–$170.00 | 72% above | 30% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKING CESS 3-10 MIN SYMPT | $50.05 | $71.50 | $34.90–$170.00 | — | 30% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE O/P EST HI 40 MIN | $172.38 | $246.25 | $53.64–$189.61 | 98% above | 30% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE O/P EST HI 40 MIN | $172.38 | $246.25 | $53.64–$189.61 | — | 30% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE O/P EST LOW 20 MIN | $126.00 | $180.00 | $36.89–$175.00 | 260% above | 30% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE O/P EST LOW 20 MIN | $126.00 | $180.00 | $36.89–$175.00 | — | 30% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE O/P EST MOD 30 MIN | $142.80 | $204.00 | $46.38–$175.00 | 124% above | 30% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE O/P EST MOD 30 MIN | $142.80 | $204.00 | $46.38–$175.00 | — | 30% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE O/P EST SF 10 MIN | $107.87 | $154.10 | $30.74–$175.00 | 272% above | 30% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE O/P EST SF 10 MIN | $107.87 | $154.10 | $30.74–$175.00 | — | 30% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 INITIAL CONSULT NO F/U | $125.83 | $179.75 | $41.92–$175.00 | 4% above | 30% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 INITIAL CONSULT NO F/U | $125.83 | $179.75 | $41.92–$175.00 | — | 30% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 INITIAL CONSULT WITH F/U | $152.01 | $217.15 | $45.82–$175.00 | 10% above | 30% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 INITIAL CONSULT WITH F/U | $152.01 | $217.15 | $45.82–$175.00 | — | 30% |
| Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST | $151.41 | $216.30 | $112.48–$1,048.00 | 7% above | 30% |
| Spirometry (breathing test) inpatient CPT 94010 BREATHING CAPACITY TEST | $151.41 | $216.30 | $112.48–$1,048.00 | — | 30% |
| Spirometry before and after a bronchodilator CPT 94060 PFT PRE AND POST | $468.62 | $669.45 | $26.96–$1,048.00 | 49% above | 30% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 PFT PRE AND POST | $468.62 | $669.45 | $26.96–$1,048.00 | — | 30% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY | $198.45 | $283.50 | $123.93–$3,685.00 | 93% above | 30% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY | $198.45 | $283.50 | $123.93–$3,685.00 | — | 30% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Louisiana | Off list |
|---|---|---|---|---|---|
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HEPATITIS B VACCINE ADMIN. | $66.26 | $94.65 | $19.31–$89.00 | 65% above | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN | $83.86 | $119.80 | $19.31–$92.25 | 108% above | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HEPATITIS B VACCINE ADMIN. | $66.26 | $94.65 | $19.31–$89.00 | — | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN | $83.86 | $119.80 | $19.31–$92.25 | — | 30% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADD | $69.58 | $99.40 | $14.92–$89.00 | 161% above | 30% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMIN EACH ADD | $69.58 | $99.40 | $14.92–$89.00 | — | 30% |
Source file: https://www.brgeneral.org/sites/default/files/721025017_baton-rouge-general-medical-center_standardcharges.zip