Hospital

Hospital Service District No 1 Parish of Avoyelles State of Louisiana

Hospital Service District No 1 Parish of Avoyelles State of Louisiana in Bunkie, LA publishes cash prices for 196 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 156 of 195 procedures and below it for 37. By typical cash price it ranks #24 of 28 Louisiana hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

PO Box 380, 427 Evergreen St, Bunkie, LA, 71322 Collected Sep 27, 2026 Source price file

The price file shows no self-pay discount

For 666 of the 666 prices listed here, the cash price in Hospital Service District No 1 Parish of Avoyelles State of Louisiana's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US CAROTID	$600.00	$600.00	—	28% above	—
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US CAROTID	$600.00	$600.00	—	—	—
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US ART LO EX-BI	$1,200.00	$1,200.00	—	—	—
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US ART LO EX-BI	$1,200.00	$1,200.00	—	—	—
Duplex ultrasound of the leg veins, both legs CPT 93970 US VENOUS UPPER BIL	$1,200.00	$1,200.00	—	187% above	—
Duplex ultrasound of the leg veins, both legs CPT 93970 US VENOUS LOWER BIL	$1,200.00	$1,200.00	—	187% above	—
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US VENOUS LOWER BIL	$1,200.00	$1,200.00	—	—	—
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US VENOUS UPPER BIL	$1,200.00	$1,200.00	—	—	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHO CARDIOGRAM 2/D	$850.00	$850.00	—	18% above	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US ECHO CARDIOGRAM 2/D	$850.00	$850.00	—	—	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 TITRATION SLEEP STUDY	$1,819.83	$1,819.83	—	57% above	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 TITRATION SLEEP STUDY	$1,819.83	$1,819.83	—	—	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI HIP RT W/O	$1,200.00	$1,200.00	—	11% above	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI FOOT RT W/O	$1,200.00	$1,200.00	—	11% above	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANKLE LT W/O	$1,200.00	$1,200.00	—	11% above	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANKLE RT W/O	$1,200.00	$1,200.00	—	11% above	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI HIP LT W/O	$1,200.00	$1,200.00	—	11% above	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI KNEE RT W/O	$1,200.00	$1,200.00	—	11% above	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI KNEE LT W/O	$1,200.00	$1,200.00	—	11% above	—
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI KNEE LT W/O	$1,200.00	$1,200.00	—	—	—
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI ANKLE LT W/O	$1,200.00	$1,200.00	—	—	—
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI KNEE RT W/O	$1,200.00	$1,200.00	—	—	—
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI HIP RT W/O	$1,200.00	$1,200.00	—	—	—
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI HIP LT W/O	$1,200.00	$1,200.00	—	—	—
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI ANKLE RT W/O	$1,200.00	$1,200.00	—	—	—
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI FOOT RT W/O	$1,200.00	$1,200.00	—	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI ANKLE RT W/WO	$1,600.00	$1,600.00	—	18% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI KNEE LT W/WO	$1,600.00	$1,600.00	—	18% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI ANKLE LT W/WO	$1,600.00	$1,600.00	—	18% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI HIP RT W/WO	$1,600.00	$1,600.00	—	18% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI HIP LT W/WO	$1,600.00	$1,600.00	—	18% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI KNEE RT W/WO	$1,600.00	$1,600.00	—	18% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI HIP RT W/WO	$1,600.00	$1,600.00	—	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI KNEE LT W/WO	$1,600.00	$1,600.00	—	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI HIP LT W/WO	$1,600.00	$1,600.00	—	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI KNEE RT W/WO	$1,600.00	$1,600.00	—	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI ANKLE LT W/WO	$1,600.00	$1,600.00	—	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI ANKLE RT W/WO	$1,600.00	$1,600.00	—	—	—
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN WO	$1,200.00	$1,200.00	—	11% above	—
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN WO	$1,200.00	$1,200.00	—	—	—
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN WO/W	$1,600.00	$1,600.00	—	18% above	—
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN WO/W	$1,600.00	$1,600.00	—	—	—
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO	$1,200.00	$1,200.00	—	6% above	—
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO	$1,200.00	$1,200.00	—	—	—
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WO/W	$1,600.00	$1,600.00	—	11% above	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WO/W	$1,600.00	$1,600.00	—	—	—
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR WO	$1,200.00	$1,200.00	—	5% below	—
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR WO	$1,200.00	$1,200.00	—	—	—
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR W/WO	$1,600.00	$1,600.00	—	15% above	—
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR W/WO	$1,600.00	$1,600.00	—	—	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC SPINE W/OUT	$1,200.00	$1,200.00	—	at median	—
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI THORACIC SPINE W/OUT	$1,200.00	$1,200.00	—	—	—
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL SPINE W/WO	$1,600.00	$1,600.00	—	3% below	—
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI CERVICAL SPINE W/WO	$1,600.00	$1,600.00	—	—	—
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL SPINE W/O	$1,200.00	$1,200.00	—	2% below	—
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI CERVICAL SPINE W/O	$1,200.00	$1,200.00	—	—	—
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/WO	$1,600.00	$1,600.00	—	25% above	—
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W/WO	$1,600.00	$1,600.00	—	—	—
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WO	$1,200.00	$1,200.00	—	6% above	—
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS WO	$1,200.00	$1,200.00	—	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SHOULDER LT W/O	$1,200.00	$1,200.00	—	11% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ELBOW LT W/O	$1,200.00	$1,200.00	—	11% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ELBOW RT W/O	$1,200.00	$1,200.00	—	11% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI WRIST LT W/O	$1,200.00	$1,200.00	—	11% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI WRIST RT W/O	$1,200.00	$1,200.00	—	11% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SHOULDER RT W/O	$1,200.00	$1,200.00	—	11% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI SHOULDER RT W/O	$1,200.00	$1,200.00	—	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI ELBOW RT W/O	$1,200.00	$1,200.00	—	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI SHOULDER LT W/O	$1,200.00	$1,200.00	—	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI WRIST RT W/O	$1,200.00	$1,200.00	—	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI ELBOW LT W/O	$1,200.00	$1,200.00	—	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI WRIST LT W/O	$1,200.00	$1,200.00	—	—	—
Sleep study in a lab (polysomnography) CPT 95810 DIAGNOSTIC SLEEP STUDY	$1,637.94	$1,637.94	—	22% above	—
Sleep study in a lab (polysomnography) inpatient CPT 95810 DIAGNOSTIC SLEEP STUDY	$1,637.94	$1,637.94	—	—	—

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT	$93.00	$93.00	—	200% above	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT	$93.00	$93.00	—	—	—
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT	$86.00	$86.00	—	161% above	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT	$86.00	$86.00	—	—	—
Allergy blood test, specific IgE, per allergen CPT 86003 GLUTEN IgE	$21.36	$21.36	—	112% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IgE	$30.00	$30.00	—	198% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 A. FUMIGATUS IgE	$30.00	$30.00	—	198% above	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GLUTEN IgE	$21.36	$21.36	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IgE	$30.00	$30.00	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 A. FUMIGATUS IgE	$30.00	$30.00	—	—	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP IgG	$55.00	$55.00	—	16% above	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP IgG	$55.00	$55.00	—	—	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA	$100.00	$100.00	—	91% above	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA	$100.00	$100.00	—	—	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP - NT PRO	$150.00	$150.00	—	91% above	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP - SENDOUT	$180.00	$180.00	—	129% above	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP - NT PRO	$150.00	$150.00	—	—	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP - SENDOUT	$180.00	$180.00	—	—	—
Basic metabolic panel (blood test) CPT 80048 BASIC METOBLIC PROFILE	$125.00	$125.00	—	104% above	—
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METOBLIC PROFILE	$125.00	$125.00	—	—	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 LEVEL IV- GROSS AND MICROSCOPIC EXAMINAT	$183.45	$183.45	—	152% above	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LEVEL IV- GROSS AND MICROSCOPIC EXAMINAT	$183.45	$183.45	—	—	—
Blood culture for bacteria CPT 87040 BLOOD CULTURE	$150.00	$150.00	—	106% above	—
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE	$150.00	$150.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION FEE	$15.00	$15.00	—	75% above	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION FEE	$15.00	$15.00	—	—	—
Blood glucose (sugar) test CPT 82947 GLUCOSE BLOOD	$57.00	$57.00	—	229% above	—
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE BLOOD	$57.00	$57.00	—	—	—
Blood lead test CPT 83655 LEAD LEVEL (PEDIATRIC)	$55.00	$55.00	—	77% above	—
Blood lead test CPT 83655 LEAD LEVEL (ADULT)	$80.00	$80.00	—	157% above	—
Blood lead test inpatient CPT 83655 LEAD LEVEL (PEDIATRIC)	$55.00	$55.00	—	—	—
Blood lead test inpatient CPT 83655 LEAD LEVEL (ADULT)	$80.00	$80.00	—	—	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG URINE	$59.00	$59.00	—	7% above	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG SERUM	$79.00	$79.00	—	43% above	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG URINE	$59.00	$59.00	—	—	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG SERUM	$79.00	$79.00	—	—	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB ABO TYPE	$60.00	$60.00	—	27% above	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB ABO TYPE	$60.00	$60.00	—	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP TEST(INHOUSE)	$15.50	$15.50	—	54% below	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP TEST	$86.00	$86.00	—	154% above	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP TEST(INHOUSE)	$15.50	$15.50	—	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP TEST	$86.00	$86.00	—	—	—
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOXIN (PCR)	$240.00	$240.00	—	249% above	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF TOXIN (PCR)	$240.00	$240.00	—	—	—
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9	$60.76	$60.76	—	25% above	—
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9	$60.76	$60.76	—	—	—
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125	$115.00	$115.00	—	72% above	—
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125	$115.00	$115.00	—	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID 19 PCR PLUS	$150.00	$150.00	—	165% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID 19 PCR	$150.00	$150.00	—	165% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID 19 PCR PLUS	$150.00	$150.00	—	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID 19 PCR	$150.00	$150.00	—	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA SWAB	$150.00	$150.00	—	168% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA (URINE)	$150.00	$150.00	—	168% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA SWAB	$150.00	$150.00	—	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA (URINE)	$150.00	$150.00	—	—	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 NMR LIPO PROFILE W/LIPIDS	$98.34	$98.34	—	39% above	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID SURVEY W/ CALC LDL	$100.00	$100.00	—	41% above	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID SURVEY W DIRECT LDL	$100.00	$100.00	—	41% above	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 NMR LIPO PROFILE W/LIPIDS	$98.34	$98.34	—	—	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID SURVEY W/ CALC LDL	$100.00	$100.00	—	—	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID SURVEY W DIRECT LDL	$100.00	$100.00	—	—	—
Complete blood count (CBC) with differential CPT 85025 CBC AUTO W AUTO DIFF CHG ONLY	$80.00	$80.00	—	110% above	—
Complete blood count (CBC) with differential inpatient CPT 85025 CBC AUTO W AUTO DIFF CHG ONLY	$80.00	$80.00	—	—	—
Complete blood count (CBC), no differential CPT 85027 AUTO CBC W/O DIFF CHG ONLY	$46.00	$46.00	—	5% above	—
Complete blood count (CBC), no differential inpatient CPT 85027 AUTO CBC W/O DIFF CHG ONLY	$46.00	$46.00	—	—	—
Comprehensive metabolic panel (blood test) CPT 80053 CMP W/ eGFR	$150.00	$150.00	—	32% above	—
Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PROFILE	$150.00	$150.00	—	32% above	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP W/ eGFR	$150.00	$150.00	—	—	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PROFILE	$150.00	$150.00	—	—	—
D-dimer blood test (blood clot marker) CPT 85379 D DIMER	$150.00	$150.00	—	108% above	—
D-dimer blood test (blood clot marker) inpatient CPT 85379 D DIMER	$150.00	$150.00	—	—	—
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEAS	$130.00	$130.00	—	110% above	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEAS	$130.00	$130.00	—	—	—
Estradiol blood test CPT 82670 ESTRADIOL	$136.00	$136.00	—	73% above	—
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$136.00	$136.00	—	—	—
FSH (follicle-stimulating hormone) test CPT 83001 FSH	$106.00	$106.00	—	68% above	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH	$106.00	$106.00	—	—	—
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN, FECAL	$300.00	$300.00	—	127% above	—
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN, FECAL	$300.00	$300.00	—	—	—
Ferritin blood test (iron stores) CPT 82728 FERRITIN LEV	$100.00	$100.00	—	81% above	—
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN LEV	$100.00	$100.00	—	—	—
Folate (folic acid) blood test CPT 82746 FOLATE LEVEL	$172.00	$172.00	—	267% above	—
Folate (folic acid) blood test inpatient CPT 82746 FOLATE LEVEL	$172.00	$172.00	—	—	—
Free T3 thyroid hormone test CPT 84481 FREE T3	$120.00	$120.00	—	118% above	—
Free T3 thyroid hormone test inpatient CPT 84481 FREE T3	$120.00	$120.00	—	—	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4	$100.00	$100.00	—	73% above	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4	$100.00	$100.00	—	—	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE POST DOSE	$69.00	$69.00	—	329% above	—
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE POST DOSE	$69.00	$69.00	—	—	—
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOL 3 SPEC	$84.00	$84.00	—	82% above	—
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOL 3 SPEC	$84.00	$84.00	—	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC (URINE)	$102.50	$102.50	—	94% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC SWAB	$150.00	$150.00	—	184% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC (URINE)	$102.50	$102.50	—	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC SWAB	$150.00	$150.00	—	—	—
H. pylori stool antigen test CPT 87338 H PYLORI STOOL	$120.00	$120.00	—	82% above	—
H. pylori stool antigen test inpatient CPT 87338 H PYLORI STOOL	$120.00	$120.00	—	—	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV VIRAL LOAD BY PCR	$378.00	$378.00	—	97% above	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV VIRAL LOAD BY PCR	$378.00	$378.00	—	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1 AND 2 ABS	$90.00	$90.00	—	82% above	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1 AND 2 ABS	$90.00	$90.00	—	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCO HGB	$91.00	$91.00	—	84% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCO HGB	$91.00	$91.00	—	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B S AB QUALITATIVE	$73.00	$73.00	—	81% above	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B S AB QUALITATIVE	$73.00	$73.00	—	—	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B S AG	$70.00	$70.00	—	61% above	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B S AG	$70.00	$70.00	—	—	—
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB	$80.00	$80.00	—	56% above	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB	$80.00	$80.00	—	—	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA QUANT	$225.00	$225.00	—	35% above	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C W/REFLEX TO RNA QN	$350.00	$350.00	—	111% above	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C RNA QUANT	$225.00	$225.00	—	—	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C W/REFLEX TO RNA QN	$350.00	$350.00	—	—	—
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1	$102.00	$102.00	—	181% above	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX 1	$102.00	$102.00	—	—	—
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 2 IG G	$56.52	$56.52	—	26% above	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX 2 IG G	$56.52	$56.52	—	—	—
High-sensitivity CRP (hs-CRP) test CPT 86141 C REACTIVE PROT HS	$182.00	$182.00	—	309% above	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C REACTIVE PROT HS	$182.00	$182.00	—	—	—
Homocysteine blood test CPT 83090 HOMOCYSTINE SERUM	$90.00	$90.00	—	58% above	—
Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE SERUM	$90.00	$90.00	—	—	—
Insulin blood test CPT 83525 INSULIN	$73.00	$73.00	—	74% above	—
Insulin blood test inpatient CPT 83525 INSULIN	$73.00	$73.00	—	—	—
Iron blood test (serum iron) CPT 83540 IRON SERUM	$74.00	$74.00	—	114% above	—
Iron blood test (serum iron) inpatient CPT 83540 IRON SERUM	$74.00	$74.00	—	—	—
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING	$62.00	$62.00	—	40% above	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING	$62.00	$62.00	—	—	—
Kidney function blood test panel CPT 80069 RENAL PANEL	$152.00	$152.00	—	86% above	—
Kidney function blood test panel inpatient CPT 80069 RENAL PANEL	$152.00	$152.00	—	—	—
LH (luteinizing hormone) test CPT 83002 LH	$106.00	$106.00	—	74% above	—
LH (luteinizing hormone) test inpatient CPT 83002 LH	$106.00	$106.00	—	—	—
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$124.00	$124.00	—	195% above	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$124.00	$124.00	—	—	—
Liver function blood test panel CPT 80076 LIVER / HEPATIC PANEL	$135.00	$135.00	—	60% above	—
Liver function blood test panel inpatient CPT 80076 LIVER / HEPATIC PANEL	$135.00	$135.00	—	—	—
Lyme disease antibody test CPT 86618 LYME TOTAL ANTIBODY W/REFLEX	$49.74	$49.74	—	2% below	—
Lyme disease antibody test inpatient CPT 86618 LYME TOTAL ANTIBODY W/REFLEX	$49.74	$49.74	—	—	—
Magnesium blood test CPT 83735 MAG RANDOM URINE	$29.43	$29.43	—	8% above	—
Magnesium blood test CPT 83735 MAG 24 HR URINE	$50.00	$50.00	—	83% above	—
Magnesium blood test CPT 83735 MAGNESIUM	$93.00	$93.00	—	240% above	—
Magnesium blood test CPT 83735 MAGNESIUM, RBC	$175.00	$175.00	—	540% above	—
Magnesium blood test inpatient CPT 83735 MAG RANDOM URINE	$29.43	$29.43	—	—	—
Magnesium blood test inpatient CPT 83735 MAG 24 HR URINE	$50.00	$50.00	—	—	—
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$93.00	$93.00	—	—	—
Magnesium blood test inpatient CPT 83735 MAGNESIUM, RBC	$175.00	$175.00	—	—	—
Measles (rubeola) antibody test CPT 86765 MEASLES ANTIBODY	$38.16	$38.16	—	2% above	—
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES ANTIBODY	$38.16	$38.16	—	—	—
Mono test (heterophile antibody, Monospot) CPT 86308 MONO SCREEN	$41.00	$41.00	—	12% above	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO SCREEN	$41.00	$41.00	—	—	—
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE AND TOTAL	$75.00	$75.00	—	30% above	—
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE AND TOTAL	$75.00	$75.00	—	—	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL	$75.00	$75.00	—	32% above	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL	$75.00	$75.00	—	—	—
Parathyroid hormone (PTH) blood test CPT 83970 PTH, INTACT	$145.00	$145.00	—	33% above	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH, INTACT	$145.00	$145.00	—	—	—
Partial thromboplastin time (PTT) clotting test CPT 85730 APTT	$54.00	$54.00	—	64% above	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT	$54.00	$54.00	—	—	—
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 MATERNIT GENOME	$3,775.29	$3,775.29	—	2140% above	—
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 MATERNIT GENOME	$3,775.29	$3,775.29	—	—	—
Progesterone blood test CPT 84144 PROGESTERONE	$113.00	$113.00	—	57% above	—
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$113.00	$113.00	—	—	—
Prolactin blood test CPT 84146 PROLACTIN	$108.00	$108.00	—	41% above	—
Prolactin blood test inpatient CPT 84146 PROLACTIN	$108.00	$108.00	—	—	—
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME WITH INR	$54.00	$54.00	—	161% above	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME WITH INR	$54.00	$54.00	—	—	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN - NON DOT	$45.00	$45.00	—	98% above	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN DOT	$60.00	$60.00	—	163% above	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 RAPID UDS	$70.00	$70.00	—	207% above	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 METHAMPHETAMINE CONF	$73.00	$73.00	—	220% above	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 FENTANYL SCREEN	$73.00	$73.00	—	220% above	—
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCREEN - NON DOT	$45.00	$45.00	—	—	—
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCREEN DOT	$60.00	$60.00	—	—	—
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 RAPID UDS	$70.00	$70.00	—	—	—
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 FENTANYL SCREEN	$73.00	$73.00	—	—	—
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 METHAMPHETAMINE CONF	$73.00	$73.00	—	—	—
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A	$35.04	$35.04	—	2% below	—
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA B	$35.04	$35.04	—	2% below	—
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A	$35.04	$35.04	—	—	—
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA B	$35.04	$35.04	—	—	—
Rheumatoid factor (RF) test CPT 86431 RA/RF	$45.00	$45.00	—	65% above	—
Rheumatoid factor (RF) test inpatient CPT 86431 RA/RF	$45.00	$45.00	—	—	—
Rubella antibody test (immunity check) CPT 86762 RUBELLA TITERS IgG/IgM	$42.64	$42.64	—	12% above	—
Rubella antibody test (immunity check) CPT 86762 RUBELLA Ab, aa	$61.17	$61.17	—	61% above	—
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA TITERS IgG/IgM	$42.64	$42.64	—	—	—
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA Ab, aa	$61.17	$61.17	—	—	—
Stool ova and parasites exam CPT 87177 O & P W/TRICHROME	$52.00	$52.00	—	41% above	—
Stool ova and parasites exam inpatient CPT 87177 O & P W/TRICHROME	$52.00	$52.00	—	—	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD SCREEN (GUIAC)	$30.00	$30.00	—	50% above	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD SCREEN (GUIAC)	$30.00	$30.00	—	—	—
Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD (IFOB)	$67.59	$67.59	—	215% above	—
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLOOD (IFOB)	$67.59	$67.59	—	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS SEROLOGY (RPR	$40.00	$40.00	—	101% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 CSF- VDRL	$40.00	$40.00	—	101% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS SEROLOGY (RPR	$40.00	$40.00	—	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 CSF- VDRL	$40.00	$40.00	—	—	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB GOLD	$255.60	$255.60	—	122% above	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB GOLD	$255.60	$255.60	—	—	—
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$132.00	$132.00	—	91% above	—
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE FREE/TOTAL WITH SHGB	$132.00	$132.00	—	91% above	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE FREE/TOTAL WITH SHGB	$132.00	$132.00	—	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL	$132.00	$132.00	—	—	—
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROIDASE ANTI	$55.00	$55.00	—	24% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID ANTIBODIES	$120.00	$120.00	—	170% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-LIVER/KIDNEY Ab(RDL)	$120.00	$120.00	—	170% above	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROIDASE ANTI	$55.00	$55.00	—	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI-LIVER/KIDNEY Ab(RDL)	$120.00	$120.00	—	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID ANTIBODIES	$120.00	$120.00	—	—	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 ULTRASENSITIVE TSH	$49.72	$49.72	—	4% above	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$75.00	$75.00	—	56% above	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 ULTRASENSITIVE TSH	$49.72	$49.72	—	—	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$75.00	$75.00	—	—	—
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS, URINE (>18)	$105.00	$105.00	—	79% above	—
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS SWAB (18-78)	$105.00	$105.00	—	79% above	—
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS, SWAB	$143.00	$143.00	—	143% above	—
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS, URINE	$143.00	$143.00	—	143% above	—
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS SWAB (18-78)	$105.00	$105.00	—	—	—
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS, URINE (>18)	$105.00	$105.00	—	—	—
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS, URINE	$143.00	$143.00	—	—	—
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS, SWAB	$143.00	$143.00	—	—	—
Uric acid blood test CPT 84550 URIC ACID	$81.00	$81.00	—	206% above	—
Uric acid blood test inpatient CPT 84550 URIC ACID	$81.00	$81.00	—	—	—
Urinalysis with microscope exam, automated CPT 81001 AUTO UA W/MICRO CHG ONLY	$70.00	$70.00	—	45% above	—
Urinalysis with microscope exam, automated inpatient CPT 81001 AUTO UA W/MICRO CHG ONLY	$70.00	$70.00	—	—	—
Urinalysis without microscope exam, automated CPT 81003 AUTO UA W/O MICRO CHG ONLY	$40.00	$40.00	—	304% above	—
Urinalysis without microscope exam, automated inpatient CPT 81003 AUTO UA W/O MICRO CHG ONLY	$40.00	$40.00	—	—	—
Urinalysis without microscope exam, manual CPT 81002 MANUAL UA WO MICRO	$24.00	$24.00	—	223% above	—
Urinalysis without microscope exam, manual inpatient CPT 81002 MANUAL UA WO MICRO	$24.00	$24.00	—	—	—
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE	$100.00	$100.00	—	87% above	—
Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE	$100.00	$100.00	—	—	—
Vitamin B12 (cobalamin) blood test CPT 82607 B12 LEVEL	$110.00	$110.00	—	101% above	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 B12 LEVEL	$110.00	$110.00	—	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D (25 OH)	$149.00	$149.00	—	45% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D2 & D3	$220.00	$220.00	—	114% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D (25 OH)	$149.00	$149.00	—	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D2 & D3	$220.00	$220.00	—	—	—
Zinc blood test CPT 84630 ZINC LEVEL	$141.00	$141.00	—	242% above	—
Zinc blood test inpatient CPT 84630 ZINC LEVEL	$141.00	$141.00	—	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG QUANT	$91.00	$91.00	—	33% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG QUANT	$91.00	$91.00	—	—	—

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLOSED TREATMENT OF DISTAL FIBULA W/O MA	$501.70	$501.70	—	213% above	—
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 CLOSED TREATMENT OF DISTAL FIBULA W/O MA	$501.70	$501.70	—	—	—
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CLOSED TREAT OF METATARSEL FRACTURE	$337.86	$337.86	—	88% above	—
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 CLOSED TREAT OF METATARSEL FRACTURE	$337.86	$337.86	—	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLOSED TREATMENT OF DISTAL RADIAL FRACTU	$460.46	$460.46	—	171% above	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CLOSED TREATMENT OF DISTAL RADIAL FRACTU	$460.46	$460.46	—	—	—
Colonoscopy with polyp removal CPT 45385 45385 COLONSCOPY W/RML OF POLYP BY SNARE	$1,800.00	$1,800.00	—	87% above	—
Colonoscopy with polyp removal inpatient CPT 45385 45385 COLONSCOPY W/RML OF POLYP BY SNARE	$1,800.00	$1,800.00	—	—	—
Colonoscopy with tissue sample CPT 45380 45380 COLONOSCOPE W/BIOPSY	$1,800.00	$1,800.00	—	98% above	—
Colonoscopy with tissue sample inpatient CPT 45380 45380 COLONOSCOPE W/BIOPSY	$1,800.00	$1,800.00	—	—	—
Colonoscopy, diagnostic CPT 45378 45378 COLONOSCOPY W/O BIOPSY	$1,800.00	$1,800.00	—	97% above	—
Colonoscopy, diagnostic inpatient CPT 45378 45378 COLONOSCOPY W/O BIOPSY	$1,800.00	$1,800.00	—	—	—
Earwax removal by irrigation (rinsing), one ear CPT 69209 CERUMEN REMOVAL WITH IRRIGATION ONLY	$40.00	$40.00	—	28% below	—
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 CERUMEN REMOVAL WITH IRRIGATION ONLY	$40.00	$40.00	—	—	—
Earwax removal with instruments, one ear CPT 69210 CERUMEN IMPACT REMOVAL WITH INSTRUMENTAT	$65.00	$65.00	—	8% above	—
Earwax removal with instruments, one ear CPT 69210 PF REMOVAL IMPACTED CERUMEN,1 OR 2 EARS	$100.00	$100.00	—	66% above	—
Earwax removal with instruments, one ear inpatient CPT 69210 CERUMEN IMPACT REMOVAL WITH INSTRUMENTAT	$65.00	$65.00	—	—	—
Earwax removal with instruments, one ear inpatient CPT 69210 PF REMOVAL IMPACTED CERUMEN,1 OR 2 EARS	$100.00	$100.00	—	—	—
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 FLEXIBLE SIGMOIDOSCOPY, DIAGNOSTIC	$850.00	$850.00	—	97% above	—
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 FLEXIBLE SIGMOIDOSCOPY, DIAGNOSTIC	$850.00	$850.00	—	—	—
Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOIDECTOMY, INTERNAL, BAND LIGATIO	$985.00	$985.00	—	101% above	—
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HEMORRHOIDECTOMY, INTERNAL, BAND LIGATIO	$985.00	$985.00	—	—	—
Incision and drainage of a simple or single skin abscess CPT 10060 PF I & D ABSCESS	$110.00	$110.00	—	40% below	—
Incision and drainage of a simple or single skin abscess CPT 10060 PF WOUND CARE INCISION AND DRAINAGE ABCE	$200.00	$200.00	—	9% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 INCISION AND DRAINAGE ABCESS	$583.00	$583.00	—	217% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 WOUND CARE INCISION AND DRAINAGE ABCE	$602.82	$602.82	—	228% above	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 PF I & D ABSCESS	$110.00	$110.00	—	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 PF WOUND CARE INCISION AND DRAINAGE ABCE	$200.00	$200.00	—	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION AND DRAINAGE ABCESS	$583.00	$583.00	—	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 WOUND CARE INCISION AND DRAINAGE ABCE	$602.82	$602.82	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 PF ASPIRA OF KNEE ED FACI	$100.00	$100.00	—	61% below	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIRA OF KNEE ED FACI	$250.00	$250.00	—	3% below	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 PF ASPIRA OF KNEE ED FACI	$100.00	$100.00	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ASPIRA OF KNEE ED FACI	$250.00	$250.00	—	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 PF ASPIRATION OF INTERMEDIATE JOINT	$100.00	$100.00	—	61% below	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS ASPIRATION; INTERMEDIATE	$110.44	$110.44	—	57% below	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 PF ASPIRATION OF INTERMEDIATE JOINT	$100.00	$100.00	—	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS ASPIRATION; INTERMEDIATE	$110.44	$110.44	—	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLOS 2.5CM	$152.00	$152.00	—	49% below	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 PF LAYER CLOS 2.5CM	$220.00	$220.00	—	27% below	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAYER CLOS 2.5CM	$152.00	$152.00	—	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 PF LAYER CLOS 2.5CM	$220.00	$220.00	—	—	—
Nail removal (partial or complete), one nail CPT 11730 AVULSION OF NAIL PLATE	$100.00	$100.00	—	33% below	—
Nail removal (partial or complete), one nail CPT 11730 PF NAIL AVULSION	$100.00	$100.00	—	33% below	—
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION OF NAIL PLATE	$100.00	$100.00	—	—	—
Nail removal (partial or complete), one nail inpatient CPT 11730 PF NAIL AVULSION	$100.00	$100.00	—	—	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 PF EXCISION OF NAIL,REMOV	$240.00	$240.00	—	7% below	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION OF NAIL,REMOV	$591.00	$591.00	—	129% above	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 PF EXCISION OF NAIL,REMOV	$240.00	$240.00	—	—	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISION OF NAIL,REMOV	$591.00	$591.00	—	—	—
Removal of a foreign object under the skin, simple CPT 10120 PF INCIS&REMOV F/B	$140.00	$140.00	—	43% below	—
Removal of a foreign object under the skin, simple CPT 10120 INCIS&REMOV F/B	$250.00	$250.00	—	2% above	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 PF INCIS&REMOV F/B	$140.00	$140.00	—	—	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 INCIS&REMOV F/B	$250.00	$250.00	—	—	—
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLONOSCOPE W/O BIOPSY (MEDICARE ONLY)	$1,800.00	$1,800.00	—	237% above	—
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 COLONOSCOPE W/O BIOPSY (MEDICARE ONLY)	$1,800.00	$1,800.00	—	—	—
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 G0105 COLONOSCOPY W/O BIOPSY HIGH RISK	$1,800.00	$1,800.00	—	259% above	—
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 G0105 COLONOSCOPY W/O BIOPSY HIGH RISK	$1,800.00	$1,800.00	—	—	—
Short arm splint (forearm and hand) CPT 29125 PF APPLICATION WRIST SPLI	$75.00	$75.00	—	34% below	—
Short arm splint (forearm and hand) CPT 29125 APPLICATION WRIST SPLI	$150.00	$150.00	—	32% above	—
Short arm splint (forearm and hand) inpatient CPT 29125 PF APPLICATION WRIST SPLI	$75.00	$75.00	—	—	—
Short arm splint (forearm and hand) inpatient CPT 29125 APPLICATION WRIST SPLI	$150.00	$150.00	—	—	—
Short leg splint (calf to foot) CPT 29515 PF APPLICATION SHORT LEG SPLINT	$75.00	$75.00	—	44% below	—
Short leg splint (calf to foot) CPT 29515 APPL SPLINT SHORT LEG	$140.00	$140.00	—	4% above	—
Short leg splint (calf to foot) inpatient CPT 29515 PF APPLICATION SHORT LEG SPLINT	$75.00	$75.00	—	—	—
Short leg splint (calf to foot) inpatient CPT 29515 APPL SPLINT SHORT LEG	$140.00	$140.00	—	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 PF SUTURE 2.5 CM/LES SCAL	$100.00	$100.00	—	45% below	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR 2.5 CM/LES SCAL	$158.00	$158.00	—	13% below	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 PF SUTURE 2.5 CM/LES SCAL	$100.00	$100.00	—	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SIMPLE REPAIR 2.5 CM/LES SCAL	$158.00	$158.00	—	—	—
Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY OF SKIN, SINGLE LESION	$420.00	$420.00	—	126% above	—
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BIOPSY OF SKIN, SINGLE LESION	$420.00	$420.00	—	—	—
Skin tag removal, up to 15 tags CPT 11200 I & D ABSCESS OF CYST MULTIPLE	$244.68	$244.68	—	84% above	—
Skin tag removal, up to 15 tags inpatient CPT 11200 I & D ABSCESS OF CYST MULTIPLE	$244.68	$244.68	—	—	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 PF SPINAL PUNCT LUMBAR ED	$175.00	$175.00	—	65% below	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCT LUMBAR ED	$482.00	$482.00	—	3% below	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 PF SPINAL PUNCT LUMBAR ED	$175.00	$175.00	—	—	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCT LUMBAR ED	$482.00	$482.00	—	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 PFSIMPLE REPAIR 2.6-7.5C	$110.00	$110.00	—	40% below	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR 2.6-7.5C	$180.00	$180.00	—	1% below	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 PFSIMPLE REPAIR 2.6-7.5C	$110.00	$110.00	—	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SIMPLE REPAIR 2.6-7.5C	$180.00	$180.00	—	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 PF 2.5CM-LESS ED FA	$110.00	$110.00	—	40% below	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 2.5CM-LESS ED FA	$173.00	$173.00	—	5% below	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 PF 2.5CM-LESS ED FA	$110.00	$110.00	—	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 2.5CM-LESS ED FA	$173.00	$173.00	—	—	—
Trigger point injections, 1 or 2 muscles CPT 20552 INJECTION, SINGLE OR MULTIPLETRIGGER, PO	$90.10	$90.10	—	32% below	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJECTION, SINGLE OR MULTIPLETRIGGER, PO	$90.10	$90.10	—	—	—
Upper endoscopy (EGD) with biopsy CPT 43239 43239 GASTROSCOPY EGD W/BIOPSY	$1,700.00	$1,700.00	—	111% above	—
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 43239 GASTROSCOPY EGD W/BIOPSY	$1,700.00	$1,700.00	—	—	—
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 43251 EGD W/REMOVAL OF POLYP BY SNARE TE	$1,700.00	$1,700.00	—	105% above	—
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 43251 EGD W/REMOVAL OF POLYP BY SNARE TE	$1,700.00	$1,700.00	—	—	—
Upper endoscopy (EGD), diagnostic CPT 43235 43235 UPPER GASTROINTESTINAL ENDOSCOPY	$1,700.00	$1,700.00	—	106% above	—
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 43235 UPPER GASTROINTESTINAL ENDOSCOPY	$1,700.00	$1,700.00	—	—	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 PF WOUND CARE DEBRIDE SKIN, INTO SUBQ	$110.00	$110.00	—	70% below	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 PF DEBRIDEMENT SKIN	$175.00	$175.00	—	53% below	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SKIN, INTO SUBQ	$225.00	$225.00	—	39% below	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRID SKIN PART	$290.00	$290.00	—	22% below	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 WOUND CARE DEBRID SKIN INTO SUBQ	$925.43	$925.43	—	149% above	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 PF WOUND CARE DEBRIDE SKIN, INTO SUBQ	$110.00	$110.00	—	—	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 PF DEBRIDEMENT SKIN	$175.00	$175.00	—	—	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT SKIN, INTO SUBQ	$225.00	$225.00	—	—	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRID SKIN PART	$290.00	$290.00	—	—	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 WOUND CARE DEBRID SKIN INTO SUBQ	$925.43	$925.43	—	—	—

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD AMINISTRATION AND TRANSFUSION	$600.00	$600.00	—	27% above	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD AMINISTRATION AND TRANSFUSION	$600.00	$600.00	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI 3RD FREQ/MED	$46.44	$46.44	—	51% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 METANEB/AEROSOL	$100.00	$100.00	—	6% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI INITIAL	$122.00	$122.00	—	30% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI SUBSEQUENT	$122.00	$122.00	—	30% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL TREATMENT 2ND FREQ/MED	$186.00	$186.00	—	98% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI 2ND FREQ/MED	$186.00	$186.00	—	98% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL TREATMENT SUBSEQUENT	$186.00	$186.00	—	98% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL TREATMENT 3RD FREQ/MED	$186.00	$186.00	—	98% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL TREATMENT	$186.00	$186.00	—	98% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL TREATMENT INITIAL	$186.00	$186.00	—	98% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI 3RD FREQ/MED	$46.44	$46.44	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 METANEB/AEROSOL	$100.00	$100.00	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI INITIAL	$122.00	$122.00	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI SUBSEQUENT	$122.00	$122.00	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL TREATMENT 3RD FREQ/MED	$186.00	$186.00	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL TREATMENT INITIAL	$186.00	$186.00	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL TREATMENT SUBSEQUENT	$186.00	$186.00	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL TREATMENT 2ND FREQ/MED	$186.00	$186.00	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI 2ND FREQ/MED	$186.00	$186.00	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL TREATMENT	$186.00	$186.00	—	—	—
Critical care, first 30 to 74 minutes CPT 99291 PF ER CRITICAL CARE	$350.00	$350.00	—	53% below	—
Critical care, first 30 to 74 minutes CPT 99291 ER LEVEL #6	$1,500.00	$1,500.00	—	100% above	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 PF ER CRITICAL CARE	$350.00	$350.00	—	—	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 ER LEVEL #6	$1,500.00	$1,500.00	—	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG	$200.00	$200.00	—	143% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG	$200.00	$200.00	—	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 PF ER LEVEL #1 BRIEF	$60.00	$60.00	—	3% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER LEVEL #1 LOW	$150.00	$150.00	—	156% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 PF ER LEVEL #1 BRIEF	$60.00	$60.00	—	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER LEVEL #1 LOW	$150.00	$150.00	—	—	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 PF ER LEVEL #2 LIMITED	$70.00	$70.00	—	52% below	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER LEVEL #2 MID	$325.00	$325.00	—	121% above	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 PF ER LEVEL #2 LIMITED	$70.00	$70.00	—	—	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER LEVEL #2 MID	$325.00	$325.00	—	—	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 PF ER LEVEL # 3 INTERMEDIATE	$100.00	$100.00	—	57% below	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER LEVEL # 3 HIG	$450.00	$450.00	—	95% above	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 PF ER LEVEL # 3 INTERMEDIATE	$100.00	$100.00	—	—	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER LEVEL # 3 HIG	$450.00	$450.00	—	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 PF ER LEVEL #4 EXTENDED	$160.00	$160.00	—	58% below	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER LEVEL #4 EXTE	$725.00	$725.00	—	91% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 PF ER LEVEL #4 EXTENDED	$160.00	$160.00	—	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER LEVEL #4 EXTE	$725.00	$725.00	—	—	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 PF ER LEVEL #5 PROLONGED	$225.00	$225.00	—	57% below	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER LEVEL #5 PROL	$1,000.00	$1,000.00	—	93% above	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 PF ER LEVEL #5 PROLONGED	$225.00	$225.00	—	—	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER LEVEL #5 PROL	$1,000.00	$1,000.00	—	—	—
Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYCHOTHERAPY(WITH PT PRESENT)	$185.00	$185.00	—	40% above	—
Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYCHOTHERAPY (WITH PT PRESENT)	$185.00	$185.00	—	40% above	—
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYCHOTHERAPY(WITH PT PRESENT)	$185.00	$185.00	—	—	—
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYCHOTHERAPY (WITH PT PRESENT)	$185.00	$185.00	—	—	—
Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYCHOTHERAPY (W/O PT PRESENT)	$125.00	$125.00	—	3% below	—
Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYCHOTHERAPY (W/O PT PRESENT)	$125.00	$125.00	—	3% below	—
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYCHOTHERAPY (W/O PT PRESENT)	$125.00	$125.00	—	—	—
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYCHOTHERAPY (W/O PT PRESENT)	$125.00	$125.00	—	—	—
Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY 45-50	$250.00	$250.00	—	285% above	—
Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTHERAPY 45-50	$250.00	$250.00	—	—	—
Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 HOLTER 24 HOURS	$1,000.00	$1,000.00	—	1355% above	—
Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 HOLTER 48 HOURS	$1,000.00	$1,000.00	—	1355% above	—
Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 HOLTER 24 HOURS	$1,000.00	$1,000.00	—	—	—
Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 HOLTER 48 HOURS	$1,000.00	$1,000.00	—	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INTRAVENOUS, INF HYDRAT 31MIN-1HR	$169.19	$169.19	—	at median	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 OB INTRAVENOUS, INF HYDRAT 31MIN-1HR	$169.19	$169.19	—	at median	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 TR INTRAVENOUS, INF HYDRAT 31MIN-1HR	$169.19	$169.19	—	at median	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INTRAVENOUS, INF HYDRAT 31MIN-1HR	$169.19	$169.19	—	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 OB INTRAVENOUS, INF HYDRAT 31MIN-1HR	$169.19	$169.19	—	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 TR INTRAVENOUS, INF HYDRAT 31MIN-1HR	$169.19	$169.19	—	—	—
IV infusion of a medicine, first hour CPT 96365 IV INFUSION FOR THERAPY, PROPHYLAXIS UP	$123.00	$123.00	—	34% below	—
IV infusion of a medicine, first hour CPT 96365 TR IV INFUSION FOR THERAPY, PROPHYLAXIS	$123.00	$123.00	—	34% below	—
IV infusion of a medicine, first hour CPT 96365 OB IV INFUSION FOR THERAPY, PROPHYLAXIS	$123.00	$123.00	—	34% below	—
IV infusion of a medicine, first hour inpatient CPT 96365 OB IV INFUSION FOR THERAPY, PROPHYLAXIS	$123.00	$123.00	—	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 TR IV INFUSION FOR THERAPY, PROPHYLAXIS	$123.00	$123.00	—	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION FOR THERAPY, PROPHYLAXIS UP	$123.00	$123.00	—	—	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 TR THERAPEUTIC PROPH DIAG INJECT SUBQ,	$38.00	$38.00	—	27% below	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC PROPH DIAG INJECT SUBQ, IM	$38.00	$38.00	—	27% below	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 OB THERAPEUTIC PROPH DIAG INJECT SUBQ,	$38.00	$38.00	—	27% below	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 TR THERAPEUTIC PROPH DIAG INJECT SUBQ,	$38.00	$38.00	—	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 OB THERAPEUTIC PROPH DIAG INJECT SUBQ,	$38.00	$38.00	—	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC PROPH DIAG INJECT SUBQ, IM	$38.00	$38.00	—	—	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCHIATRIC DIAGNOSTIC INTERVIEW	$300.00	$300.00	—	189% above	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 INDIVIDUAL PSYCHOTHERAPY(20-30 MIN)	$300.00	$300.00	—	189% above	—
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 INDIVIDUAL PSYCHOTHERAPY(20-30 MIN)	$300.00	$300.00	—	—	—
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCHIATRIC DIAGNOSTIC INTERVIEW	$300.00	$300.00	—	—	—
Neuromuscular re-education, 15 minutes CPT 97112 PT NEUROMUSCULAR RE-ED 15 MIN	$140.00	$140.00	—	277% above	—
Neuromuscular re-education, 15 minutes CPT 97112 OT NEUROMUSC RE- EDUC EA 15 MIN	$140.00	$140.00	—	277% above	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT NEUROMUSCULAR RE-ED 15 MIN	$140.00	$140.00	—	—	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT NEUROMUSC RE- EDUC EA 15 MIN	$140.00	$140.00	—	—	—
New patient office visit, about 30 minutes CPT 99203 PF WOUND CARE NEW PATIENT VISIT	$120.00	$120.00	—	117% above	—
New patient office visit, about 30 minutes CPT 99203 PF NEW PT EVALUATION FOR OUTPATIENT VISI	$200.00	$200.00	—	262% above	—
New patient office visit, about 30 minutes CPT 99203 OUTPATIENT TREATMENT ROOM	$360.00	$360.00	—	552% above	—
New patient office visit, about 30 minutes CPT 99203 WOUND CARE NEW PATIENT VISIT	$373.27	$373.27	—	576% above	—
New patient office visit, about 30 minutes inpatient CPT 99203 PF WOUND CARE NEW PATIENT VISIT	$120.00	$120.00	—	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 PF NEW PT EVALUATION FOR OUTPATIENT VISI	$200.00	$200.00	—	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 OUTPATIENT TREATMENT ROOM	$360.00	$360.00	—	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 WOUND CARE NEW PATIENT VISIT	$373.27	$373.27	—	—	—
New patient office visit, about 45 minutes CPT 99204 PF WOUND CARE NEW PATIENT VISIT	$160.00	$160.00	—	78% above	—
New patient office visit, about 45 minutes CPT 99204 PF NEW PT EVALUATION FOR OUTPATIENT VISI	$364.86	$364.86	—	305% above	—
New patient office visit, about 45 minutes CPT 99204 OUTPATIENT TREATMENT ROOM	$525.00	$525.00	—	483% above	—
New patient office visit, about 45 minutes CPT 99204 WOUND CARE NEW PATIENT VISIT	$542.85	$542.85	—	503% above	—
New patient office visit, about 45 minutes inpatient CPT 99204 PF WOUND CARE NEW PATIENT VISIT	$160.00	$160.00	—	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 PF NEW PT EVALUATION FOR OUTPATIENT VISI	$364.86	$364.86	—	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 OUTPATIENT TREATMENT ROOM	$525.00	$525.00	—	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 WOUND CARE NEW PATIENT VISIT	$542.85	$542.85	—	—	—
New patient office visit, about 60 minutes CPT 99205 PF WOUND CARE NEW PATIENT VISIT	$200.00	$200.00	—	44% above	—
New patient office visit, about 60 minutes CPT 99205 PF NEW PT EVALUATION FOR OUTPATIENT VISI	$250.00	$250.00	—	80% above	—
New patient office visit, about 60 minutes CPT 99205 WOUND CARE NEW PATIENT VISIT	$542.85	$542.85	—	292% above	—
New patient office visit, about 60 minutes CPT 99205 OUTPATIENT TREATMENT ROOM	$650.00	$650.00	—	369% above	—
New patient office visit, about 60 minutes inpatient CPT 99205 PF WOUND CARE NEW PATIENT VISIT	$200.00	$200.00	—	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 PF NEW PT EVALUATION FOR OUTPATIENT VISI	$250.00	$250.00	—	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 WOUND CARE NEW PATIENT VISIT	$542.85	$542.85	—	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 OUTPATIENT TREATMENT ROOM	$650.00	$650.00	—	—	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 PF WOUND CARE NEW PATIENT VISIT	$81.00	$81.00	—	102% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 PF NEW PT EVALUATION FOR OUTPATIENT VISI	$100.00	$100.00	—	150% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OUTPATIENT TREATMENT ROOM	$315.00	$315.00	—	688% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 WOUND CARE NEW PATIENT VISIT	$324.68	$324.68	—	712% above	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 PF WOUND CARE NEW PATIENT VISIT	$81.00	$81.00	—	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 PF NEW PT EVALUATION FOR OUTPATIENT VISI	$100.00	$100.00	—	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OUTPATIENT TREATMENT ROOM	$315.00	$315.00	—	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 WOUND CARE NEW PATIENT VISIT	$324.68	$324.68	—	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTRITION THERAPY INITIAL ASSESS	$100.00	$100.00	—	247% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MEDICAL NUTRITION THERAPY INITIAL ASSESS	$100.00	$100.00	—	—	—
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEXITY 30 MIN	$385.00	$385.00	—	254% above	—
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEXITY 30 MIN	$385.00	$385.00	—	—	—
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH 45 MIN	$525.00	$525.00	—	386% above	—
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH 45 MIN	$525.00	$525.00	—	—	—
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW 20 MIN	$385.00	$385.00	—	307% above	—
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW 20 MIN	$385.00	$385.00	—	—	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD 30 MIN	$450.00	$450.00	—	369% above	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD 30 MIN	$450.00	$450.00	—	—	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY	$100.00	$100.00	—	127% above	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY	$100.00	$100.00	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC EA 15 MINS	$130.00	$130.00	—	243% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPEUTIC EXERCISE 15 MIN	$130.00	$130.00	—	243% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPEUTIC EXERCISE 30 MIN	$260.00	$260.00	—	585% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPEUTIC EXERCISE 45 MIN	$390.00	$390.00	—	928% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPEUTIC EXERCISE 60 MIN	$520.00	$520.00	—	1271% above	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THERAPEUTIC EA 15 MINS	$130.00	$130.00	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT THERAPEUTIC EXERCISE 15 MIN	$130.00	$130.00	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT THERAPEUTIC EXERCISE 30 MIN	$260.00	$260.00	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT THERAPEUTIC EXERCISE 45 MIN	$390.00	$390.00	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT THERAPEUTIC EXERCISE 60 MIN	$520.00	$520.00	—	—	—
Psychotherapy session, 30 minutes CPT 90832 INDIVIDUAL PSYCHOTHERAPY(20-30 MIN)	$150.00	$150.00	—	50% above	—
Psychotherapy session, 30 minutes CPT 90832 INDIVIDUAL PSYCHOTHERAPY 20-30 MINUTES	$150.00	$150.00	—	50% above	—
Psychotherapy session, 30 minutes CPT 90832 INDIVIDUAL PSYCHOTHERAPY 75-80 MINUTES	$225.00	$225.00	—	125% above	—
Psychotherapy session, 30 minutes inpatient CPT 90832 INDIVIDUAL PSYCHOTHERAPY 20-30 MINUTES	$150.00	$150.00	—	—	—
Psychotherapy session, 30 minutes inpatient CPT 90832 INDIVIDUAL PSYCHOTHERAPY(20-30 MIN)	$150.00	$150.00	—	—	—
Psychotherapy session, 30 minutes inpatient CPT 90832 INDIVIDUAL PSYCHOTHERAPY 75-80 MINUTES	$225.00	$225.00	—	—	—
Psychotherapy session, 45 minutes CPT 90834 INDIVIDUAL PSYCHOTHERAPY(45-50 MIN)	$150.00	$150.00	—	16% above	—
Psychotherapy session, 45 minutes CPT 90834 INDIVIDUAL PSYCHOTHERAPY (45-50 MIN)	$175.00	$175.00	—	35% above	—
Psychotherapy session, 45 minutes inpatient CPT 90834 INDIVIDUAL PSYCHOTHERAPY(45-50 MIN)	$150.00	$150.00	—	—	—
Psychotherapy session, 45 minutes inpatient CPT 90834 INDIVIDUAL PSYCHOTHERAPY (45-50 MIN)	$175.00	$175.00	—	—	—
Psychotherapy session, 60 minutes CPT 90837 INVIDUAL PSYCHOTHERAPY 60MIN	$225.00	$225.00	—	43% above	—
Psychotherapy session, 60 minutes inpatient CPT 90837 INVIDUAL PSYCHOTHERAPY 60MIN	$225.00	$225.00	—	—	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 PF WOUND CARE ESTABLISHED PATIENT VISIT	$156.00	$156.00	—	79% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OUTPATIENT TREATMENT ROOM	$175.00	$175.00	—	101% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 PF EST PT EVALUATION FOR OUTPATIENT VISI	$200.00	$200.00	—	130% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OUTPATIENT TREATMENT ROOM(ESTABLISHED)	$500.00	$500.00	—	474% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 WOUND CARE ESTABLISHED PATIENT VISIT	$542.85	$542.85	—	523% above	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 PF WOUND CARE ESTABLISHED PATIENT VISIT	$156.00	$156.00	—	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OUTPATIENT TREATMENT ROOM	$175.00	$175.00	—	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 PF EST PT EVALUATION FOR OUTPATIENT VISI	$200.00	$200.00	—	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OUTPATIENT TREATMENT ROOM(ESTABLISHED)	$500.00	$500.00	—	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 WOUND CARE ESTABLISHED PATIENT VISIT	$542.85	$542.85	—	—	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 PF WOUND CARE ESTABLISHED PATIENT VISIT	$70.00	$70.00	—	100% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 PF TREATMENT ROOM LEVEL 2	$100.00	$100.00	—	186% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 PF EST PT EVALUATION FOR OUTPATIENT VISI	$150.00	$150.00	—	329% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 WOUND CARE ESTABLISHED PATIENT VISIT	$373.27	$373.27	—	966% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OUTPATIENT TREATMENT ROOM(ESTABLISHED)	$425.00	$425.00	—	1114% above	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 PF WOUND CARE ESTABLISHED PATIENT VISIT	$70.00	$70.00	—	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 PF TREATMENT ROOM LEVEL 2	$100.00	$100.00	—	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 PF EST PT EVALUATION FOR OUTPATIENT VISI	$150.00	$150.00	—	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 WOUND CARE ESTABLISHED PATIENT VISIT	$373.27	$373.27	—	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OUTPATIENT TREATMENT ROOM(ESTABLISHED)	$425.00	$425.00	—	—	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PF WOUND CARE ESTABLISHED PATIENT VISIT	$100.00	$100.00	—	57% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OUTPATIENT TREATMENT ROOM	$130.00	$130.00	—	104% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PF TREATMENT ROOM LEVEL 3	$175.00	$175.00	—	175% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PF EST PT EVALUATION FOR OUTPATIENT VISI	$200.00	$200.00	—	214% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OUTPATIENT TREATMENT ROOM(ESTABLISHED)	$450.00	$450.00	—	606% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 WOUND CARE ESTABLISHED PATIENT VISIT	$542.85	$542.85	—	752% above	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 PF WOUND CARE ESTABLISHED PATIENT VISIT	$100.00	$100.00	—	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OUTPATIENT TREATMENT ROOM	$130.00	$130.00	—	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 PF TREATMENT ROOM LEVEL 3	$175.00	$175.00	—	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 PF EST PT EVALUATION FOR OUTPATIENT VISI	$200.00	$200.00	—	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OUTPATIENT TREATMENT ROOM(ESTABLISHED)	$450.00	$450.00	—	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 WOUND CARE ESTABLISHED PATIENT VISIT	$542.85	$542.85	—	—	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PF WOUND CARE ESTABLISHED PATIENT VISIT	$45.00	$45.00	—	55% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PF TREATMENT ROOM LEVEL 1	$62.00	$62.00	—	114% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PF EST PT EVALUATION FOR OUTPATIENT VISI	$70.00	$70.00	—	142% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 WOUND CARE ESTABLISHED PATEINT VISIT	$324.68	$324.68	—	1021% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OUTPATIENT TREATMENT ROOM(ESTABLISHED)	$375.00	$375.00	—	1195% above	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PF WOUND CARE ESTABLISHED PATIENT VISIT	$45.00	$45.00	—	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PF TREATMENT ROOM LEVEL 1	$62.00	$62.00	—	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PF EST PT EVALUATION FOR OUTPATIENT VISI	$70.00	$70.00	—	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 WOUND CARE ESTABLISHED PATEINT VISIT	$324.68	$324.68	—	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OUTPATIENT TREATMENT ROOM(ESTABLISHED)	$375.00	$375.00	—	—	—
Specialist consultation, low complexity or 30+ minutes CPT 99243 PATIENT OFFICE CONSULTATION, 40 MIN	$280.00	$280.00	—	131% above	—
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 PATIENT OFFICE CONSULTATION, 40 MIN	$280.00	$280.00	—	—	—
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 ER CONSULTATION LEVEL 2	$250.00	$250.00	—	80% above	—
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 ER CONSULTATION LEVEL 2	$250.00	$250.00	—	—	—
Speech and language evaluation CPT 92523 ST EVAL SOUND PRODUCTION W LANG COMP & E	$665.00	$665.00	—	337% above	—
Speech and language evaluation CPT 92523 BEHAVIORAL /QUALITATIVE ANALYSIS OF VOIC	$665.00	$665.00	—	337% above	—
Speech and language evaluation inpatient CPT 92523 BEHAVIORAL /QUALITATIVE ANALYSIS OF VOIC	$665.00	$665.00	—	—	—
Speech and language evaluation inpatient CPT 92523 ST EVAL SOUND PRODUCTION W LANG COMP & E	$665.00	$665.00	—	—	—
Speech therapy session, individual CPT 92507 ST TREAT SPEECH, LANG, VOICE, OR AUDITOR	$220.00	$220.00	—	171% above	—
Speech therapy session, individual inpatient CPT 92507 ST TREAT SPEECH, LANG, VOICE, OR AUDITOR	$220.00	$220.00	—	—	—
Spirometry (breathing test) CPT 94010 PFT(ONLY)	$335.00	$335.00	—	136% above	—
Spirometry (breathing test) inpatient CPT 94010 PFT(ONLY)	$335.00	$335.00	—	—	—
Spirometry before and after a bronchodilator CPT 94060 PRE & POST SPIROMETRY	$325.00	$325.00	—	3% above	—
Spirometry before and after a bronchodilator inpatient CPT 94060 PRE & POST SPIROMETRY	$325.00	$325.00	—	—	—
Therapeutic activities (functional training), 15 minutes CPT 97530 OT THERAPEUTIC ACTIVITY	$140.00	$140.00	—	272% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 PT THERAPEUTIC ACTIVITY 15 MIN	$140.00	$140.00	—	272% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 PT THERAPEUTIC ACTIVITY 30 MIN	$280.00	$280.00	—	643% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 PT THERAPEUTIC ACTIVITY 45 MIN	$420.00	$420.00	—	1015% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 PT THERAPEUTIC ACTIVITY 60 MIN	$560.00	$560.00	—	1387% above	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT THERAPEUTIC ACTIVITY 15 MIN	$140.00	$140.00	—	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT THERAPEUTIC ACTIVITY	$140.00	$140.00	—	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT THERAPEUTIC ACTIVITY 30 MIN	$280.00	$280.00	—	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT THERAPEUTIC ACTIVITY 45 MIN	$420.00	$420.00	—	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT THERAPEUTIC ACTIVITY 60 MIN	$560.00	$560.00	—	—	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAP PHLEBOTOM	$65.00	$65.00	—	37% below	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAP PHLEBOTOM	$65.00	$65.00	—	—	—

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Louisiana	Off list
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA TriV IM 0.5mL	$55.00	$55.00	—	138% above	—
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIR VAC (FLU VACC)SYR 0.5ML	$55.00	$55.00	—	138% above	—
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA TriV IM 0.5mL	$55.00	$55.00	—	—	—
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VIR VAC (FLU VACC)SYR 0.5ML	$55.00	$55.00	—	—	—
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMA VACC (GARDASIL)VIAL	$239.00	$239.00	—	94% above	—
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HUMAN PAPILLOMA VACC (GARDASIL)VIAL	$239.00	$239.00	—	—	—
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 INTRAMUSCULAR VACCINE	$30.00	$30.00	—	31% below	—
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 INTRAMUSCULAR VACCINE	$30.00	$30.00	—	—	—
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VIR VAC (FLU HD) SOL 0.5ML	$55.00	$55.00	—	39% above	—
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLUENZA VIR VAC (FLU HD) SOL 0.5ML	$55.00	$55.00	—	—	—
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOC VAC (MENACTRA) 4MCG/0.5ML	$189.50	$189.50	—	118% above	—
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOC VAC (MENACTRA) 4MCG/0.5ML	$189.50	$189.50	—	—	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VACCINE- ADULT	$49.14	$49.14	—	19% below	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOC Adult PPSV23 0.5ML	$80.00	$80.00	—	32% above	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VACCINE- ADULT	$49.14	$49.14	—	—	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOC Adult PPSV23 0.5ML	$80.00	$80.00	—	—	—
Rabies vaccine, one dose CPT 90675 RABIES VACCINE 2.5 UNITS	$825.76	$825.76	—	5% below	—
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE 2.5 UNITS	$825.76	$825.76	—	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTH TOXOID (DECAVAC) SYRIN	$67.25	$67.25	—	116% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTH TOXOID (DECAVAC) SYRIN	$67.25	$67.25	—	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TET DIPTH ACELL PERT (BOOSTRI) INJ 0.5ML	$69.50	$69.50	—	49% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TET DIPTH ACELL PERT (BOOSTRI) INJ 0.5ML	$69.50	$69.50	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMINISTRATION; ONE VACCINE	$40.00	$40.00	—	1% below	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMINISTRATION; ONE VACCINE	$40.00	$40.00	—	—	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADM.;EA ADDITIONAL VACCINE	$20.00	$20.00	—	25% below	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADM.;EA ADDITIONAL VACCINE	$20.00	$20.00	—	—	—

Source file: https://www.bunkiegeneral.com/images/bunkie/documents/720697593_Hospital-Service-District-No-1-Parish-of-Avoyelles-State-of-Louisiana_standardcharges--6826a0e0.csv