Rapides Regional Medical Center
Rapides Regional Medical Center in Alexandria, LA publishes cash prices for 224 common procedures listed here, from its own machine-readable price file updated Sep 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Louisiana median for 204 of 222 procedures and below it for 17. By typical cash price it ranks #22 of 22 Louisiana hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
211 4th St, ALEXANDRIA, LA, 71301 Collected Sep 27, 2026 Source price file (318) 769-3000
Acute care hospital Emergency department CMS star rating 2 of 5 CCN 190026 · CMS hospital register
The price file shows no self-pay discount
For 329 of the 329 prices listed here, the cash price in Rapides Regional Medical Center'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.
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 5 actions for a hospital named Rapides Regional Medical Center in Alexandria, LA:
- May 18, 2021 Warning notice
- Oct 27, 2021 Corrective action plan requested
- Jul 20, 2023 Case closed
- Apr 10, 2025 Met requirements
- May 7, 2025 Met requirements
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems. Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Louisiana | Off list |
|---|---|---|---|---|---|
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis a | $779.12 | $779.12 | $235.28 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 DOP ART 1-2 LEVELS BIL | $779.12 | $779.12 | $169.85–$631.09 | 234% above | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS | $2,048.87 | $2,048.87 | $446.65–$1,659.58 | 698% above | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study | $2,048.87 | $2,048.87 | $401.74 | 698% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 Bone and/or joint imaging; whole body | $4,489.24 | $4,489.24 | $794.39–$1,012.40 | 717% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE WHOLE BODY | $4,489.24 | $4,489.24 | $978.65–$3,636.28 | 717% above | — |
| Breast ultrasound, complete, one breast CPT 76641 US BRST UNI W AX COMP | $1,952.86 | $1,952.86 | $425.72–$1,581.82 | 1062% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST | $6,921.68 | $6,921.68 | $1,508.93–$5,606.56 | 691% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT HEART W CN ART/GRAFTS | $9,301.21 | $9,301.21 | $2,027.66–$7,533.98 | 2766% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and mo | $9,301.21 | $9,301.21 | $401.74–$1,672.00 | 2766% above | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART WO CN W QUAN CA | $132.27 | $132.27 | $28.83–$107.14 | 155% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD&PELVIS W/O CONT | $21,164.48 | $21,164.48 | $4,613.86–$17,143.23 | 1413% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD&PELVIS W/CONT | $24,454.03 | $24,454.03 | $5,330.98–$19,807.76 | 1230% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PELVIS W&WO CONT | $29,490.86 | $29,490.86 | $6,429.01–$23,887.60 | 1428% above | — |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONT | $12,145.01 | $12,145.01 | $2,647.61–$9,837.46 | 1246% above | — |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONT | $10,350.10 | $10,350.10 | $2,256.32–$8,383.58 | 1052% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXIFAC W/O CNT | $7,967.94 | $7,967.94 | $1,737.01–$6,454.03 | 1098% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O CONT | $9,002.28 | $9,002.28 | $1,962.50–$7,291.85 | 1273% above | — |
| CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/CONT | $11,016.76 | $11,016.76 | $2,401.65–$8,923.58 | 1282% above | — |
| CT scan of the head without and with contrast CPT 70470 CT HD/BR W&W/O CONT | $13,458.45 | $13,458.45 | $2,933.94–$10,901.34 | 1346% above | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-SPINE W/O CONTRAST | $10,405.66 | $10,405.66 | $2,268.43–$8,428.58 | 1163% above | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C-SPINE W/O CONTRAST | $9,951.98 | $9,951.98 | $2,169.53–$8,061.10 | 1126% above | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST | $12,309.02 | $12,309.02 | $2,683.37–$9,970.31 | 1385% above | — |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 DUP EXTRACRANIAL BIL | $2,180.98 | $2,180.98 | $475.45–$1,766.59 | 367% above | — |
| Chest X-ray, 2 views CPT 71046 CHEST XRAY 2 V | $1,380.90 | $1,380.90 | $301.04–$1,118.53 | 880% above | — |
| Chest X-ray, single view CPT 71045 CHEST XRAY 1 V | $847.84 | $847.84 | $184.83–$686.75 | 592% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COM | $4,141.20 | $4,141.20 | $902.78–$3,354.37 | 1295% above | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) | $1,842.51 | $1,842.51 | $245.18 | 961% above | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY AXIAL | $1,842.51 | $1,842.51 | $401.67–$1,492.43 | 961% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRAST | $10,115.99 | $10,115.99 | $2,205.29–$8,193.95 | 1199% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONTRAST | $11,803.76 | $11,803.76 | $2,573.22–$9,561.05 | 1140% above | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DIAG CAD BI | $1,201.77 | $1,201.77 | $261.99–$973.43 | — | — |
| Diagnostic mammogram, one breast CPT 77065 MAMMO DIAG CAD UNI | $1,461.61 | $1,461.61 | $318.63–$1,183.90 | 1100% above | — |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study | $2,703.60 | $2,703.60 | $502.88 | — | — |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 DUP LE ART BIL | $2,703.60 | $2,703.60 | $589.38–$2,189.92 | 496% above | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 DUP VEIN BIL | $2,418.28 | $2,418.28 | $527.19–$1,958.81 | 420% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO2D COMP W CF DOP | $7,201.94 | $7,201.94 | $1,570.02–$5,833.57 | 915% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echoc | $7,201.94 | $7,201.94 | $1,039.20 | 915% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary system imaging, including gallbladder when present; | $3,949.57 | $3,949.57 | $848.52 | 689% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPA IMAG INCL GB | $3,949.57 | $3,949.57 | $861.01–$3,199.15 | 689% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LTD | $1,983.99 | $1,983.99 | $432.51–$1,607.03 | 525% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s) | $148.14 | $148.14 | $182.03–$1,672.00 | 47% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LUNG CA SCREEN WO CON | $148.14 | $148.14 | $32.29–$119.99 | 47% above | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LW JNT W/O CONT | $9,493.47 | $9,493.47 | $2,069.58–$7,689.71 | 776% above | — |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONT | $9,493.47 | $9,493.47 | $2,069.58–$7,689.71 | 779% above | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W&WO CONT | $12,648.48 | $12,648.48 | $2,757.37–$10,245.27 | 833% above | — |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST | $9,493.47 | $9,493.47 | $2,069.58–$7,689.71 | 741% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W&WO CONT | $18,130.04 | $18,130.04 | $3,952.35–$14,685.33 | 1154% above | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI L-SPINE W/O CONT | $9,493.47 | $9,493.47 | $2,069.58–$7,689.71 | 651% above | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI L-SPINE W&W/O CONT | $18,130.04 | $18,130.04 | $3,952.35–$14,685.33 | 1200% above | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-SPINE W/O CONT | $9,493.47 | $9,493.47 | $2,069.58–$7,689.71 | 679% above | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C-SPINE W&W/O CONT | $18,339.34 | $18,339.34 | $3,997.98–$14,854.87 | 1008% above | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-SPINE W/O CONT | $9,493.47 | $9,493.47 | $2,069.58–$7,689.71 | 672% above | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W&WO CONT | $12,648.48 | $12,648.48 | $2,757.37–$10,245.27 | 890% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONT | $9,493.47 | $9,493.47 | $2,069.58–$7,689.71 | 741% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCRD SPECT R/S MULT | $7,200.77 | $7,200.77 | $1,569.77–$5,832.62 | 503% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantificat | $7,200.77 | $7,200.77 | $2,938.37 | 503% above | — |
| OCT scan of the retina (optical coherence tomography) both sides CPT 92134 Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography ºOCT»), posterior segment, with interpretation and report, unilateral or bilateral; retina | $246.90 | $246.90 | $118.71 | — | — |
| OCT scan of the retina (optical coherence tomography) CPT 92134 CPTR OPHT DX IMG POS SE | $246.90 | $246.90 | $53.82–$199.99 | 304% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh | $9,785.28 | $9,785.28 | $3,330.77 | 402% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT TUMOR SK BS MIDTH | $9,785.28 | $9,785.28 | $2,133.19–$7,926.08 | 402% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LTD OR FU | $875.61 | $875.61 | $190.88–$709.24 | 474% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE | $3,491.60 | $3,491.60 | $761.17–$2,828.20 | 913% above | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG AFTER 1ST TRI | $2,896.14 | $2,896.14 | $631.36–$2,345.87 | 941% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG 1ST TRIMTR | $2,457.65 | $2,457.65 | $535.77–$1,990.70 | 789% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANCY LTD | $2,699.90 | $2,699.90 | $588.58–$2,186.92 | 1894% above | — |
| Screening mammogram, both breasts both sides CPT 77067 MAMMO SCR CAD BI | $971.70 | $971.70 | $211.83–$787.08 | — | — |
| Sleep study in a lab (polysomnography) CPT 95810 Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist | $5,571.78 | $5,571.78 | $2,220.00 | 359% above | — |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY >4 PAR | $5,571.78 | $5,571.78 | $1,214.65–$4,513.14 | 359% above | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SWLW FUNC W/C&V | $1,826.64 | $1,826.64 | $398.21–$1,479.58 | 651% above | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study | $1,826.64 | $1,826.64 | $401.74 | 651% above | — |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $2,863.65 | $2,863.65 | $624.28–$2,319.56 | 1371% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 US PREG UT TRANSVAGINAL | $1,199.05 | $1,199.05 | $261.39–$971.23 | 635% above | — |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $4,257.59 | $4,257.59 | $928.15–$3,448.65 | 1041% above | — |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM AND CNTS | $2,358.86 | $2,358.86 | $514.23–$1,910.68 | 881% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD AND NECK | $2,782.46 | $2,782.46 | $606.58–$2,253.79 | 838% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI SNGL CONTRAST | $2,677.15 | $2,677.15 | $583.62–$2,168.49 | 883% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study | $2,677.15 | $2,677.15 | $401.74 | 883% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUP VEIN UNI/LTD | $1,618.59 | $1,618.59 | $352.85–$1,311.06 | 380% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 XR HIP W PEL UN 2-3 VIEW | $560.83 | $560.83 | $122.26–$454.27 | 294% above | — |
| X-ray of the abdomen, 1 view CPT 74018 ABD XR 1V | $879.60 | $879.60 | $191.75–$712.48 | 627% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR L-SPINE 2/3 VIEWS | $1,105.77 | $1,105.77 | $241.06–$895.67 | 589% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 SPINE LUMBAR/5 VIEWS | $308.88 | $308.88 | $67.34–$250.19 | 31% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 XR L-SPINE 4 + VIEWS | $1,519.79 | $1,519.79 | $331.31–$1,231.03 | 543% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR T-SPINE 2 VIEWS | $1,070.06 | $1,070.06 | $233.27–$866.75 | 490% above | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES COMP | $879.60 | $879.60 | $191.75–$712.48 | 613% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR C-SPINE 2-3 VIEWS | $1,047.58 | $1,047.58 | $228.37–$848.54 | 629% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1/2 VIEWS | $1,349.15 | $1,349.15 | $294.11–$1,092.81 | 731% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX 2 + V | $928.54 | $928.54 | $202.42–$752.12 | 490% above | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Louisiana | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT) | $68.00 | $68.00 | $14.82–$55.08 | 119% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT) | $165.81 | $165.81 | $36.15–$134.31 | 491% above | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA | $580.40 | $580.40 | $47.63 | 436% above | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $580.40 | $580.40 | $126.53–$470.12 | 436% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE EACH | $105.00 | $105.00 | $22.89–$85.05 | 1055% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic citrullinated peptide (CCP), antibody | $33.00 | $33.00 | $12.95 | 19% below | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTI-CCP | $33.00 | $33.00 | $7.19–$26.73 | 19% below | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA QUAL SCREEN | $150.00 | $150.00 | $32.70–$121.50 | 218% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE | $663.35 | $663.35 | $144.61–$537.31 | 744% above | — |
| Basic metabolic panel (blood test) CPT 80048 BMP TOTAL CALCIUM | $441.63 | $441.63 | $96.28–$357.72 | 615% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH LEVEL 4 | $312.00 | $312.00 | $68.02–$252.72 | 328% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, | $312.00 | $312.00 | $49.42–$243.20 | 328% above | — |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD | $146.00 | $146.00 | $31.83–$118.26 | 126% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $30.46 | $30.46 | $6.64–$24.67 | 255% above | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE BLD QN | $51.00 | $51.00 | $11.12–$41.31 | 211% above | — |
| Blood lead test CPT 83655 LEAD URINE | $37.00 | $37.00 | $8.07–$29.97 | 54% above | — |
| Blood lead test CPT 83655 LEAD BLOOD | $37.00 | $37.00 | $8.07–$29.97 | 54% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUALITATIVE SERUM | $100.00 | $100.00 | $21.80–$81.00 | 76% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPE | $41.00 | $41.00 | $8.94–$33.21 | 8% below | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPE CORD BLOOD | $101.52 | $101.52 | $22.13–$82.23 | 127% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $15.00 | $15.00 | $3.27–$12.15 | 40% below | — |
| CA 19-9 blood test (tumor marker) CPT 86301 Immunoassay for tumor antigen, quantitative; CA 19-9 | $48.00 | $48.00 | $20.81 | 1% below | — |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 QN | $48.00 | $48.00 | $10.46–$38.88 | 1% below | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Immunoassay for tumor antigen, quantitative; CA 125 | $50.00 | $50.00 | $20.81 | 15% below | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 QN | $50.00 | $50.00 | $10.90–$40.50 | 15% below | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 DNA/RNA AMP | $52.27 | $52.27 | $11.39–$42.34 | 4% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA T AMP PROBE | $428.11 | $428.11 | $93.33–$346.77 | 707% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $98.00 | $98.00 | $21.36–$79.38 | 42% above | — |
| Complete blood count (CBC), no differential CPT 85027 CBC AUTOMATED | $66.00 | $66.00 | $14.39–$53.46 | 50% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL | $722.55 | $722.55 | $157.52–$585.27 | 531% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANT | $583.77 | $583.77 | $127.26–$472.85 | 528% above | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone-sulfate (DHEA-S) | $67.00 | $67.00 | $22.23 | 8% above | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S | $67.00 | $67.00 | $14.61–$54.27 | 8% above | — |
| Estradiol blood test CPT 82670 ESTRADIOL TOTAL | $133.00 | $133.00 | $28.99–$107.73 | 107% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $219.99 | $219.99 | $47.96–$178.19 | 266% above | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL | $190.00 | $190.00 | $41.42–$153.90 | 31% above | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, fecal | $190.00 | $190.00 | $19.63 | 31% above | — |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $583.77 | $583.77 | $127.26–$472.85 | 1045% above | — |
| Folate (folic acid) blood test CPT 82746 Folic acid; serum | $595.63 | $595.63 | $14.20–$53.87 | 1270% above | — |
| Folate (folic acid) blood test CPT 82746 FOLATE (FOLIC ACID) SER | $595.63 | $595.63 | $129.85–$482.46 | 1270% above | — |
| Free T3 thyroid hormone test CPT 84481 T3 FREE | $80.00 | $80.00 | $17.44–$64.80 | 45% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE | $509.33 | $509.33 | $111.03–$412.56 | 781% above | — |
| Free testosterone test CPT 84402 TESTOSTERONE FREE | $77.00 | $77.00 | $16.79–$62.37 | 11% above | — |
| Free testosterone test CPT 84402 Testosterone; free | $77.00 | $77.00 | $25.47 | 11% above | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GEN HEALTH PANEL | $367.00 | $367.00 | $55.05–$297.27 | 90% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2 HR W GLUCOLA | $441.63 | $441.63 | $96.28–$357.72 | 2648% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1 HR W GLUCOLA | $441.63 | $441.63 | $96.28–$357.72 | 2648% above | — |
| Glucose tolerance test, 3 samples CPT 82951 Glucose; tolerance test (GTT), 3 specimens (includes glucose) | $340.11 | $340.11 | $12.87 | 635% above | — |
| Glucose tolerance test, 3 samples CPT 82951 GTT 1ST 3 SPECIMENS | $340.11 | $340.11 | $74.14–$275.49 | 635% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC AMP PROBE | $312.00 | $312.00 | $68.02–$252.72 | 505% above | — |
| H. pylori antibody blood test CPT 86677 H PYLORI AB QL IGG | $29.00 | $29.00 | $6.32–$23.49 | 47% below | — |
| H. pylori antibody blood test CPT 86677 H PYLORI AB QL IGM | $29.00 | $29.00 | $6.32–$23.49 | 47% below | — |
| H. pylori antibody blood test CPT 86677 H PYLORI AB QL IGA | $29.00 | $29.00 | $6.32–$23.49 | 47% below | — |
| H. pylori antibody blood test CPT 86677 H PYLORI AB QUAL | $507.63 | $507.63 | $110.66–$411.18 | 829% above | — |
| H. pylori stool antigen test CPT 87338 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC | $526.24 | $526.24 | $14.38 | 698% above | — |
| H. pylori stool antigen test CPT 87338 H PYLORI AG EIA STOOL | $526.24 | $526.24 | $114.72–$426.25 | 698% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 VIRAL LOAD | $125.00 | $125.00 | $27.25–$101.25 | 35% below | — |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV 1&2 AB QUAL | $140.44 | $140.44 | $30.62–$113.76 | 195% above | — |
| HIV-1 and HIV-2 antibody test CPT 86703 Antibody; HIV-1 and HIV-2, single result | $140.44 | $140.44 | $13.71 | 195% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC | $145.56 | $145.56 | $24.08 | 246% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1AG HIV-1/2AB SINGLE | $145.56 | $145.56 | $31.73–$117.90 | 246% above | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), pooled result | $192.00 | $192.00 | $35.09 | 322% above | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK TYPES POOL | $192.00 | $192.00 | $41.86–$155.52 | 322% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C | $379.04 | $379.04 | $82.63–$307.02 | 667% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB QUAL | $33.00 | $33.00 | $7.19–$26.73 | 3% below | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B surface antibody (HBsAb) | $33.00 | $33.00 | $10.74 | 3% below | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B S AG EIA QL | $130.29 | $130.29 | $28.40–$105.53 | 225% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB QUAL | $177.67 | $177.67 | $38.73–$143.91 | 266% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C antibody; | $177.67 | $177.67 | $14.27 | 266% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C RNA QN | $175.00 | $175.00 | $38.15–$141.75 | at median | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1 AB IGG | $40.00 | $40.00 | $8.72–$32.40 | 30% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1 AB IGM | $40.00 | $40.00 | $8.72–$32.40 | 30% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 2 AB IGG | $40.00 | $40.00 | $8.72–$32.40 | 8% below | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS | $81.22 | $81.22 | $17.71–$65.79 | 83% above | — |
| Homocysteine blood test CPT 83090 Homocysteine | $51.00 | $51.00 | $17.92 | 5% below | — |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE QN | $51.00 | $51.00 | $11.12–$41.31 | 5% below | — |
| Insulin blood test CPT 83525 INSULIN TOTAL | $35.00 | $35.00 | $7.63–$28.35 | 5% below | — |
| Insulin blood test CPT 83525 Insulin; total | $35.00 | $35.00 | $11.43 | 5% below | — |
| Iron blood test (serum iron) CPT 83540 IRON LIVER TISSUE QN | $140.00 | $140.00 | $30.52–$113.40 | 354% above | — |
| Iron blood test (serum iron) CPT 83540 IRON | $361.89 | $361.89 | $78.89–$293.13 | 1075% above | — |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $434.88 | $434.88 | $94.80–$352.25 | 314% above | — |
| LH (luteinizing hormone) test CPT 83002 LH | $55.00 | $55.00 | $11.99–$44.55 | 7% below | — |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $483.94 | $483.94 | $105.50–$391.99 | 1314% above | — |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $72.00 | $72.00 | $15.70–$58.32 | 4% below | — |
| Lyme disease antibody test CPT 86618 LYME DISEASE AB IGG QL | $51.00 | $51.00 | $11.12–$41.31 | 2% above | — |
| Lyme disease antibody test CPT 86618 LYME DISEASE AB IGM QL | $51.00 | $51.00 | $11.12–$41.31 | 2% above | — |
| Lyme disease antibody test CPT 86618 LYME DISEASE AB QL | $121.00 | $121.00 | $26.38–$98.01 | 142% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM URINE | $50.00 | $50.00 | $10.90–$40.50 | 102% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM BLD | $213.20 | $213.20 | $46.48–$172.69 | 760% above | — |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG | $34.00 | $34.00 | $7.41–$27.54 | 3% below | — |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGM | $34.00 | $34.00 | $7.41–$27.54 | 3% below | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO SCR (HETEROPHILE) | $165.81 | $165.81 | $36.15–$134.31 | 356% above | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PROS SPEC AG FREE | $177.00 | $177.00 | $38.59–$143.37 | 245% above | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Prostate specific antigen (PSA); free | $177.00 | $177.00 | $18.39 | 245% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROS SPEC AG (PSA) TOTAL | $531.32 | $531.32 | $115.83–$430.37 | 837% above | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with screening by automated system and manual rescreening or review, under | $198.00 | $198.00 | $26.61 | 306% above | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 PAP AUTO W MAN RESCN TLP | $198.00 | $198.00 | $43.16–$160.38 | 306% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAPDX TCSC NORSC TH | $167.00 | $167.00 | $36.41–$135.27 | 573% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision | $167.00 | $167.00 | $20.26 | 573% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathormone (parathyroid hormone) | $509.33 | $509.33 | $41.28 | 429% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT | $509.33 | $509.33 | $111.03–$412.56 | 429% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $340.11 | $340.11 | $74.14–$275.49 | 1306% above | — |
| Progesterone blood test CPT 84144 PROGESTERONE | $122.00 | $122.00 | $26.60–$98.82 | 92% above | — |
| Prolactin blood test CPT 84146 PROLACTIN | $236.90 | $236.90 | $51.64–$191.89 | 220% above | — |
| Prolactin blood test CPT 84146 Prolactin | $236.90 | $236.90 | $19.38 | 220% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME | $282.58 | $282.58 | $61.60–$228.89 | 1474% above | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCR DOO MANUAL READ | $93.87 | $93.87 | $20.46–$76.03 | 304% above | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay ºeg, dipsticks, cups, ca | $93.87 | $93.87 | $12.60 | 304% above | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A OPTICAL IA | $292.73 | $292.73 | $63.82–$237.11 | 1064% above | — |
| Rheumatoid factor (RF) test CPT 86431 RA QN | $91.37 | $91.37 | $19.92–$74.01 | 242% above | — |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor; quantitative | $91.37 | $91.37 | $5.67 | 242% above | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG | $27.00 | $27.00 | $5.89–$21.87 | 19% below | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM | $44.00 | $44.00 | $9.59–$35.64 | 32% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE AUTO | $270.72 | $270.72 | $59.02–$219.28 | 760% above | — |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 Semen analysis; volume, count, motility, and differential | $703.92 | $703.92 | $12.31 | 1106% above | — |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS COMPLETE | $703.92 | $703.92 | $153.45–$570.18 | 1106% above | — |
| Stool ova and parasites exam CPT 87177 O&P SMEAR CONC ID | $76.00 | $76.00 | $16.57–$61.56 | 112% above | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLD SCN 3 SPEC | $66.00 | $66.00 | $14.39–$53.46 | 232% above | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations | $45.00 | $45.00 | $15.38–$58.34 | 110% above | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL OCCULT BLD CRC IA | $45.00 | $45.00 | $9.81–$36.45 | 110% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL BLD QUAL | $29.00 | $29.00 | $6.32–$23.49 | 83% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF QUAL | $106.00 | $106.00 | $23.11–$85.86 | 570% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR QUAL | $179.37 | $179.37 | $39.10–$145.29 | 1034% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB GAMMA INTERFERON RESP | $753.00 | $753.00 | $164.15–$609.93 | 553% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon | $753.00 | $753.00 | $61.98 | 553% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL UR | $78.00 | $78.00 | $17.00–$63.18 | 13% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $301.20 | $301.20 | $65.66–$243.97 | 336% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI MICROSOMAL AB | $25.00 | $25.00 | $5.45–$20.25 | 39% below | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB | $37.00 | $37.00 | $8.07–$29.97 | 10% below | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $805.44 | $805.44 | $175.59–$652.41 | 1708% above | — |
| Trichomonas test (NAAT) CPT 87661 TRICH VAGINALIS AMP PRBE | $86.00 | $86.00 | $18.75–$69.66 | 45% above | — |
| Uric acid blood test CPT 84550 URIC ACID BLD | $146.93 | $146.93 | $32.03–$119.01 | 466% above | — |
| Uric acid blood test CPT 84550 Uric acid; blood | $146.93 | $146.93 | $4.52 | 466% above | — |
| Urinalysis with microscope exam, automated CPT 81001 UA W MICRO AUTO | $55.00 | $55.00 | $11.99–$44.55 | 10% above | — |
| Urinalysis without microscope exam, automated CPT 81003 SPEC GRAV UR AUTO | $43.99 | $43.99 | $9.59–$35.63 | 355% above | — |
| Urinalysis without microscope exam, automated CPT 81003 GLUC UR QUAL AUTO | $43.99 | $43.99 | $9.59–$35.63 | 355% above | — |
| Urinalysis without microscope exam, automated CPT 81003 PH UR AUTO | $43.99 | $43.99 | $9.59–$35.63 | 355% above | — |
| Urinalysis without microscope exam, automated CPT 81003 NITRITES UR AUTO | $47.36 | $47.36 | $10.32–$38.36 | 390% above | — |
| Urinalysis without microscope exam, automated CPT 81003 UA W O MICRO AUTO | $66.00 | $66.00 | $14.39–$53.46 | 583% above | — |
| Urinalysis without microscope exam, automated CPT 81003 KETONES UR AUTO | $76.15 | $76.15 | $16.60–$61.68 | 688% above | — |
| Urine culture for bacteria, with colony count CPT 87086 CULT COLONY COUNT UR | $146.00 | $146.00 | $31.83–$118.26 | 173% above | — |
| Urine pregnancy test, read by color change CPT 81025 PREG URINE QUAL BY DOO | $137.05 | $137.05 | $29.88–$111.01 | 557% above | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $583.77 | $583.77 | $127.26–$472.85 | 1002% above | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin (Vitamin B-12); | $583.77 | $583.77 | $15.08 | 1002% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25OH W/WO FRAC | $329.95 | $329.95 | $71.93–$267.26 | 215% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed | $329.95 | $329.95 | $29.60 | 215% above | — |
| Zinc blood test CPT 84630 ZINC URINE | $44.00 | $44.00 | $9.59–$35.64 | 21% above | — |
| Zinc blood test CPT 84630 ZINC BLOOD | $69.00 | $69.00 | $15.04–$55.89 | 90% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG BETA QUANTITATIVE | $106.00 | $106.00 | $23.11–$85.86 | 97% above | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Louisiana | Off list |
|---|---|---|---|---|---|
| Cardiac catheterization with coronary angiogram CPT 93458 CTH PLC/INJ LHC & L VENT | $47,091.47 | $47,091.47 | $10,265.94–$38,144.09 | 902% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL | $11,239.38 | $11,239.38 | $2,450.18–$9,103.90 | 2115% above | — |
| Catheter ablation for atrial fibrillation CPT 93656 Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including | $106,007.82 | $106,007.82 | $6,144.00–$15,300.00 | 651% above | — |
| Catheter ablation for atrial fibrillation CPT 93656 COM EP REPO CTH TX AFIB | $106,007.82 | $106,007.82 | $23,109.70–$85,866.33 | 651% above | — |
| Left heart catheterization, diagnostic one side CPT 93452 CATH HRT LT/INJ L VENT | $10,421.17 | $10,421.17 | $2,271.82–$8,441.15 | 261% above | — |
| Pacemaker implant (dual chamber) CPT 33208 Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular | $29,043.05 | $29,043.05 | $6,144.00–$61,006.00 | 206% above | — |
| Pacemaker implant (dual chamber) CPT 33208 INS PACEMAKER ATR/VENT | $29,043.05 | $29,043.05 | $6,331.38–$23,524.87 | 206% above | — |
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 TRANSFUSION | $2,129.80 | $2,129.80 | $464.30–$1,725.14 | 352% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INH TX AC AWY OBST | $590.63 | $590.63 | $128.76–$478.41 | 577% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV SING/IN DR 1 HR | $1,502.32 | $1,502.32 | $327.51–$1,216.88 | 400% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug | $1,502.32 | $1,502.32 | $594.10–$668.09 | 400% above | — |
| Comprehensive eye exam by an eye doctor, new patient CPT 92004 Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits | $149.90 | $149.90 | $250.17 | 142% above | — |
| Comprehensive eye exam by an eye doctor, new patient CPT 92004 OPHTHALMOLGC SERV COM NP | $149.90 | $149.90 | $32.68–$121.42 | 142% above | — |
| Comprehensive eye exam, returning patient CPT 92014 Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visits | $450.98 | $450.98 | $250.17 | 628% above | — |
| Comprehensive eye exam, returning patient CPT 92014 OPHTHALMOLGC SER COM EST | $450.98 | $450.98 | $98.31–$365.29 | 628% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 CRIT CARE 1ST 30-74 MINS | $3,088.50 | $3,088.50 | $673.29–$2,501.68 | 351% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes | $3,088.50 | $3,088.50 | $1,438.59–$3,710.00 | 351% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING ONLY | $532.01 | $532.01 | $115.98–$430.93 | 549% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional | $331.99 | $331.99 | $150.23–$519.00 | 476% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 LVL 1 EMER DEPT | $331.99 | $331.99 | $72.37–$268.91 | 476% above | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LVL 2 EMER DEPT | $682.51 | $682.51 | $148.79–$552.83 | 376% above | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making | $682.51 | $682.51 | $600.00–$1,551.00 | 376% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LVL 3 EMER DEPT | $977.48 | $977.48 | $213.09–$791.76 | 331% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making | $977.48 | $977.48 | $600.00–$2,714.00 | 331% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LVL 4 EMER DEPT | $1,461.59 | $1,461.59 | $318.63–$1,183.89 | 304% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making | $1,461.59 | $1,461.59 | $600.00 | 304% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making | $2,185.10 | $2,185.10 | $600.00–$2,999.00 | 335% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 LVL 5 EMER DEPT | $2,185.10 | $2,185.10 | $476.35–$1,769.93 | 335% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST | $2,609.96 | $2,609.96 | $568.97–$2,114.07 | 643% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; tracing only, without interpretation an | $2,609.96 | $2,609.96 | $546.16 | 643% above | — |
| Eye exam, returning patient, intermediate CPT 92012 Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient | $317.44 | $317.44 | $250.17 | 404% above | — |
| Eye exam, returning patient, intermediate CPT 92012 OPHTHALMOLGC SER INT EST | $317.44 | $317.44 | $69.20–$257.13 | 404% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRAT INIT UP TO 1HR | $863.72 | $863.72 | $188.29–$699.61 | 411% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INITIAL UP TO 1 HOUR | $866.37 | $866.37 | $188.87–$701.76 | 350% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM OR SQ | $91.27 | $91.27 | $19.90–$73.93 | 83% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSC REEDUCT 15 MIN | $537.67 | $537.67 | $117.21–$435.51 | 1349% above | — |
| New patient office visit, about 30 minutes CPT 99203 OP VISIT LEVEL 3 NP | $244.38 | $244.38 | $36.66–$197.95 | 342% above | — |
| New patient office visit, about 45 minutes CPT 99204 OP VISIT LEVEL 4 NP | $396.81 | $396.81 | $59.52–$321.42 | 404% above | — |
| New patient office visit, about 60 minutes CPT 99205 OP VISIT LEVEL 5 NP | $529.08 | $529.08 | $79.36–$428.55 | 282% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OP VISIT LEVEL 2 NP | $244.38 | $244.38 | $36.66–$197.95 | 560% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 FOLLOW UP VISIT ONLY NP | $386.73 | $386.73 | $58.01–$313.25 | 945% above | — |
| Occupational therapy evaluation, low complexity CPT 97165 Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or | $714.25 | $714.25 | $72.35–$249.61 | 561% above | — |
| Preventive checkup, new patient aged 18–39 CPT 99385 Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reductio | $212.89 | $212.89 | $66.28–$214.82 | 33% above | — |
| Preventive checkup, new patient aged 18–39 CPT 99385 PREV EX 18 TO 39 YRS NP | $212.89 | $212.89 | $31.93–$172.44 | 33% above | — |
| Preventive checkup, new patient aged 40–64 CPT 99386 Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reductio | $212.89 | $212.89 | $80.56–$260.63 | 55% above | — |
| Preventive checkup, new patient aged 40–64 CPT 99386 PREV EX 40 TO 64 YRS NP | $212.89 | $212.89 | $31.93–$172.44 | 55% above | — |
| Preventive checkup, new patient aged 65 or older CPT 99387 PRV EX 65 OR MORE YRS NP | $212.89 | $212.89 | $31.93–$172.44 | 32% above | — |
| Preventive checkup, new patient aged 65 or older CPT 99387 Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reductio | $212.89 | $212.89 | $86.22–$280.89 | 32% above | — |
| Preventive checkup, returning patient aged 18–39 CPT 99395 Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduc | $212.89 | $212.89 | $60.35–$194.84 | 161% above | — |
| Preventive checkup, returning patient aged 18–39 CPT 99395 PREV EX 18 TO 39 YRS EST | $212.89 | $212.89 | $31.93–$172.44 | 161% above | — |
| Preventive checkup, returning patient aged 40–64 CPT 99396 Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduc | $212.89 | $212.89 | $65.48–$212.57 | 61% above | — |
| Preventive checkup, returning patient aged 40–64 CPT 99396 PREV EX 40 TO 64 YRS EST | $212.89 | $212.89 | $31.93–$172.44 | 61% above | — |
| Preventive checkup, returning patient aged 65 or older CPT 99397 Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduc | $212.89 | $212.89 | $68.71–$224.08 | 69% above | — |
| Preventive checkup, returning patient aged 65 or older CPT 99397 PRV EX 65 OR MORE YRS ES | $212.89 | $212.89 | $31.93–$172.44 | 69% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OP VISIT LEVEL 5 EST | $571.91 | $571.91 | $85.79–$463.25 | 659% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OP VISIT LEVEL 3 EST | $225.49 | $225.49 | $33.82–$182.65 | 573% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OP VISIT LEVEL 4 EST | $396.38 | $396.38 | $59.46–$321.07 | 664% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP VISIT LEVEL 2 EST | $244.38 | $244.38 | $36.66–$197.95 | 773% above | — |
| Speech and language evaluation CPT 92523 Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) | $2,167.29 | $2,167.29 | $66.74–$565.95 | 1597% above | — |
| Spirometry (breathing test) CPT 94010 SPIROMETRY | $1,751.65 | $1,751.65 | $381.86–$1,418.84 | 1011% above | — |
| Spirometry (breathing test) CPT 94010 Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation | $1,751.65 | $1,751.65 | $298.55 | 1011% above | — |
| Spirometry before and after a bronchodilator CPT 94060 Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration | $3,394.56 | $3,394.56 | $546.16 | 978% above | — |
| Spirometry before and after a bronchodilator CPT 94060 BRONCH EV SPIR PRE/POST | $3,394.56 | $3,394.56 | $740.01–$2,749.59 | 978% above | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy, therapeutic (separate procedure) | $97.98 | $97.98 | $235.28 | at median | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEB | $97.98 | $97.98 | $21.36–$79.36 | at median | — |
| Visual field test, extended both sides CPT 92083 Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann visual fields with at least 3 isopters plotted and static determination within the | $246.90 | $246.90 | $235.28 | — | — |
| Visual field test, extended CPT 92083 VISUAL FIELD EXTENDED | $246.90 | $246.90 | $53.82–$199.99 | 460% above | — |
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 FLUVAC IIV3 PF 0.5 ML IM | $102.60 | $102.60 | $22.37–$83.11 | 529% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUZONE TRI 0.5 ML PF IM | $137.00 | $137.00 | $29.87–$110.97 | 740% above | — |
| Hepatitis A vaccine, adult dose CPT 90632 HEPA VAC ADULT IM | $1,495.76 | $1,495.76 | $224.36–$1,211.57 | 3015% above | — |
| Hepatitis A vaccine, adult dose CPT 90632 Hepatitis A vaccine (HepA), adult dosage, for intramuscular use | $1,495.76 | $1,495.76 | $121.65 | 3015% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 RECOMBIVAX ADLT 10MCG IM | $335.92 | $335.92 | $73.23–$272.10 | 848% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use | $335.92 | $335.92 | $124.00 | 848% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUVAC IIV INC ANT 0.7IM | $160.80 | $160.80 | $35.05–$130.25 | 338% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUVAC HIGH-DOSE PF IM | $233.28 | $233.28 | $50.86–$188.96 | 535% above | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VAC LIVE SQ | $2,144.49 | $2,144.49 | $321.67–$1,737.04 | 2504% above | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use | $2,144.49 | $2,144.49 | $193.28 | 2504% above | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, diphtheria toxoid carrier (MenACWY-D) or CRM197 carrier (MenACWY-CRM), for intramuscular use | $1,305.35 | $1,305.35 | $349.64 | 1401% above | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACWY-D OR -CRM VAC IM | $1,305.35 | $1,305.35 | $195.80–$1,057.33 | 1401% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use | $438.79 | $438.79 | $129.47–$148.18 | 622% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PPSV23 VAC IMSQ | $438.79 | $438.79 | $95.66–$355.42 | 622% above | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 RSV MAB SEASONAL 0.5MLIM | $1,385.68 | $1,385.68 | $207.85–$1,122.40 | 211% above | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Respiratory syncytial virus, monoclonal antibody, seasonal dose; 0.5 mL dosage, for intramuscular use | $1,385.68 | $1,385.68 | $1,178.22 | 211% above | — |
| Rabies vaccine, one dose CPT 90675 Rabies vaccine, for intramuscular use | $4,868.13 | $4,868.13 | $520.11 | 389% above | — |
| Rabies vaccine, one dose CPT 90675 RABIES VAC IM | $4,868.13 | $4,868.13 | $1,061.25–$3,943.19 | 389% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use | $181.40 | $181.40 | $63.94 | 408% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VAC PF >=7YRS IM | $181.40 | $181.40 | $27.21–$146.93 | 408% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VAC >=7YRS IM | $924.50 | $924.50 | $138.68–$748.85 | 1734% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use | $924.50 | $924.50 | $38.30–$61.70 | 1734% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZ ADMIN SGL | $90.85 | $90.85 | $19.81–$73.59 | 126% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZ ADMIN EA ADDTL | $68.71 | $68.71 | $10.31–$55.66 | 235% above | — |