Hospital Alexandria, LA

Central Louisiana Surgical Hospital

Central Louisiana Surgical Hospital in Alexandria, LA publishes cash prices for 275 common procedures listed here, from its own machine-readable price file updated Nov 20, 2024. Compared with other hospitals in the state, its outpatient cash prices are above the Louisiana median for 192 of 242 procedures and below it for 50. Click a procedure to compare it with other hospitals nearby.

651 N Bolton Ave, Alexandria, LA 71301 Collected Sep 28, 2026 Source price file (318) 449-6400

Acute care hospital No emergency department CCN 190298 · CMS hospital register

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 1 action for a hospital named Central Louisiana Surgical Hospital in Alexandria, LA:

  • Jul 25, 2025 Met requirements

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

ProcedureCash price List priceInsurers payvs LouisianaOff list
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE LT 3 VIEWS $132.18 $556.00 $27.84–$199.88 10% above 76%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE RT 3 VIEWS $132.18 $556.00 $27.84–$199.88 10% above 76%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ANKLE, BRACHIAL INDECES $184.26 $824.00 $112.39–$280.98 4% below 78%
Barium swallow (esophagus X-ray with contrast) CPT 74220 X-RAY OF ESOPHAGUS WITH SINGLE CONTRAST $291.89 — $27.84–$404.15 23% above —
Bone scan, whole body (nuclear medicine) CPT 78306 NUCLEAR MEDICINE STUDY OF BONE AND/OR JOINT WHOLE BODY $615.98 — $118.53–$907.20 1% above —
Breast ultrasound, complete, one breast CPT 76641 COMPLETE ULTRASOUND SCAN OF 1 BREAST $177.90 — $34.72–$241.83 3% above —
Breast ultrasound, limited (one breast or one area) CPT 76642 LIMITED ULTRASOUND SCAN OF 1 BREAST $132.18 — $30.47–$199.88 26% below —
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST-NON CORONARY W & W/O CONTRAST $291.89 $1,789.00 $11.71–$850.00 69% below 84%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT SCAN OF HEART BLOOD VESSELS AND GRAFTS WITH CONTRAST DYE $291.89 — $24.58–$850.00 10% below —
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT SCAN OF HEART WITH EVALUATION OF BLOOD VESSEL CALCIUM $132.18 — $31.44–$850.00 67% above —
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN & PELVIS WITHOUT CONTRAST $376.00 $2,177.00 $27.72–$850.00 70% below 83%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN & PELVIS WITH CONTRAST $601.74 $2,721.00 $46.94–$850.00 63% below 78%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN & PELVIS WITHOUT & WITH CONTR $601.74 $3,401.00 $23.12–$850.00 65% below 82%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CONTRAST $291.89 $1,662.00 $36.94–$850.00 68% below 82%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST $177.90 $1,337.00 $96.73–$850.00 79% below 87%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O CONTRAST $177.90 $877.00 $14.95–$850.00 73% below 80%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O CONTRAST $177.90 $949.00 $32.76–$850.00 73% below 81%
CT scan of the head with contrast CPT 70460 CT HEAD W CONTRAST $291.89 $988.00 $41.58–$850.00 63% below 70%
CT scan of the head without and with contrast CPT 70470 CT HEAD W & W/WO CONTRAST $291.89 $1,114.00 $11.97–$850.00 69% below 74%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O CONTRAST $177.90 $1,402.00 $43.98–$850.00 78% below 87%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERV SPINE W/O CONTRAST $177.90 $1,374.00 $41.35–$850.00 77% below 87%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONTRAST $291.89 $1,404.00 $10.83–$850.00 65% below 79%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US CAROTID DUPLEX BILATERAL $376.00 $1,225.00 $215.60–$539.00 — 69%
Chest X-ray, 2 views CPT 71046 CHEST X-RAY 2 VIEWS $132.18 $657.00 $39.52–$199.88 3% below 80%
Chest X-ray, single view CPT 71045 CHEST X-RAY 1 VIEW $132.18 $515.00 $31.69–$199.88 18% above 74%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 COMPLETE ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY $177.90 — $42.11–$241.83 40% below —
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BONE DENSITY MEASUREMENT OF THE CORE OR CENTRAL SKELETON (E.G., HIPS, PELVIS, SPINE) $177.90 — $21.88–$245.18 6% above —
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BONE DENSITY MEASUREMENT OF THE CORE OR EXTREMITIES (E.G., RADIUS, WRIST, HEEL) $132.18 — $18.66–$199.88 77% above —
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US TRANSABD FETAL & MATERNAL EVAL, SING $376.00 $1,283.00 $33.29–$539.00 42% above 71%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX W/O CONTRAST $177.90 $1,241.00 $11.13–$850.00 77% below 86%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX W CONTRAST $291.89 $1,490.00 $14.95–$850.00 69% below 80%
Duplex ultrasound of the leg arteries, both legs CPT 93925 OPIATE $376.00 $1,518.00 $215.60–$539.00 17% below 75%
Duplex ultrasound of the leg arteries, both legs CPT 93925 US ARTERIAL DUPLEX LOWER EXTREM BILATERA $376.00 $1,518.00 $215.60–$539.00 17% below 75%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US LOWER EXTREM VENOUS DUPLEX BILATERAL $376.00 $1,386.00 $215.60–$539.00 — 73%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ULTRASOUND EXAMINATION OF HEART INCLUDING COLOR-DEPICTED BLOOD FLOW RATE, DIRECTION, AND VALVE FUNCTION $789.57 — $257.50–$1,213.48 10% above —
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NUCLEAR MEDICINE STUDY OF LIVER AND BILE DUCT SYSTEM $615.98 — $46.32–$907.20 22% above —
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 UNATTENDED SLEEP STUDY WITH RECORDING OF HEART RATE, OXYGEN, RESPIRATORY AIRFLOW AND EFFORT $228.14 — $137.44–$463.50 74% above —
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP MONITORING OF PATIENT (6 YEARS OR OLDER) IN SLEEP LAB WITH CONTINUED PRESSURED RESPIRATORY ASSISTANCE BY MASK OR BREATHING TUBE $1,503.38 — $919.91–$2,299.78 30% above —
Knee X-ray, 3 views one side CPT 73562 KNEE LT 3 VIEWS $132.18 $490.00 $12.06–$199.88 6% below 73%
Knee X-ray, 3 views one side CPT 73562 KNEE RT 3 VIEWS $132.18 $490.00 $12.06–$199.88 6% below 73%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMINAL, LIMITED (SINGLE ORGAN, QU $177.90 $983.00 $36.71–$241.83 40% below 82%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMINAL SOFT TISSUE $177.90 $983.00 $36.71–$241.83 40% below 82%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SOFT TISSUE LOWER BACK $177.90 $983.00 $36.71–$241.83 40% below 82%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US LIVER $177.90 $983.00 $36.71–$241.83 40% below 82%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GALLBLADDER $177.90 $983.00 $36.71–$241.83 40% below 82%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SPLEEN $177.90 $983.00 $36.71–$241.83 40% below 82%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LOW DOSE LUNG SCREENING $177.90 $1,789.00 $7.92–$850.00 57% above 90%
MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI HIPS BILATERAL $376.00 $3,954.00 $215.60–$1,314.00 — 90%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR RT LOWER EXTREM JOINT W/O CONTRAST $376.00 $3,954.00 $215.60–$1,314.00 65% below 90%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR LT LOWER EXTREM JOINT W/O CONTRAST $376.00 $3,954.00 $215.60–$1,314.00 65% below 90%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR RT LOWER EXTREM JOINT W & W/O CONTRAS $601.74 $5,163.00 $11.97–$1,314.00 56% below 88%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR LT LOWER EXTREM JOINT W & W/O CONTRAS $601.74 $5,163.00 $11.97–$1,314.00 56% below 88%
MRI of the abdomen without contrast CPT 74181 MR ABDOMEN W/O CONTRAST $376.00 $3,742.00 $29.91–$1,314.00 65% below 90%
MRI of the abdomen, without and then with contrast dye CPT 74183 MR ABDOMEN W & W/O CONTRAST $601.74 $6,187.00 $31.74–$1,314.00 56% below 90%
MRI of the brain, no contrast dye CPT 70551 MR BRAIN W/O CONTRAST $376.00 $4,455.00 $10.33–$1,314.00 67% below 92%
MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN W & W/O CONTRAST $601.74 $7,326.00 $13.98–$1,314.00 58% below 92%
MRI of the lower back, no contrast dye CPT 72148 MR LUMBAR W/O CONTRAST $376.00 $3,987.00 $43.73–$1,314.00 70% below 91%
MRI of the lower back, without and then with contrast dye CPT 72158 MR LUMBAR W & W/O CONTRAST $601.74 $5,539.00 $31.97–$1,314.00 57% below 89%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR THORACIC W/O CONTRAST $376.00 $3,706.00 $21.04–$1,314.00 69% below 90%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MR CERV W & W/O CONTRAST $601.74 $8,247.00 $24.97–$1,314.00 64% below 93%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MR CERVICAL W/O CONTRAST $376.00 $5,941.00 $44.70–$1,314.00 69% below 94%
MRI of the pelvis without and with contrast CPT 72197 MR PELVIS W & W/O CONTRAST $601.74 $5,438.00 $15.92–$1,314.00 53% below 89%
MRI of the pelvis, no contrast dye CPT 72195 MR PELVIS W/O CONTRAST $376.00 $3,902.00 $10.37–$1,314.00 67% below 90%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR RT UPPER EXTREM JOINT W/O CONTRAST $376.00 $2,997.00 $22.13–$1,314.00 65% below 87%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR LT UPPER EXTREM JOINT W/O CONTRAST $376.00 $2,997.00 $22.13–$1,314.00 65% below 87%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NUCLEAR MEDICINE STUDY OF VESSELS OF HEART USING DRUGS OR EXERCISE MULTIPLE STUDIES $2,135.39 — $68.84–$3,123.38 71% above —
OCT scan of the retina (optical coherence tomography) CPT 92134 DIAGNOSTIC IMAGING OF RETINA $90.96 — $53.82–$134.55 49% above —
PET/CT scan from the base of the skull to mid-thigh CPT 78815 NUCLEAR MEDICINE STUDY FROM SKULL BASE TO MID-THIGH WITH CT SCAN $2,418.50 — $162.16–$3,441.20 19% above —
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LIMITED OR FOLLOW-UP $177.90 $994.00 $69.69–$241.83 at median 82%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE $177.90 $1,132.00 $96.73–$241.83 38% below 84%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US TRANSABD POST 1ST TRI, >=14WK, SGL $177.90 $1,135.00 $34.19–$241.83 36% below 84%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US TRANSABD UTERUS 1ST TRI, <14WK, SGL $177.90 $830.00 $96.73–$241.83 33% below 79%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US UTERUS LIMITED (FETAL HRT BEAT, PLAC $177.90 $886.00 $38.92–$241.83 31% above 80%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER LT 2 VIEWS $132.18 $569.00 $15.08–$199.88 at median 77%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER RT 2 VIEWS $132.18 $569.00 $15.08–$199.88 at median 77%
Sleep study in a lab (polysomnography) CPT 95810 SLEEP MONITORING OF PATIENT (6 YEARS OR OLDER) IN SLEEP LAB $1,503.38 — $919.91–$2,299.78 12% above —
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ULTRASOUND EXAMINATION AND CONTINUOUS MONITORING OF THE HEART PERFORMED DURING REST, EXERCISE, AND/OR DRUG-INDUCED STRESS WITH INTERPRETATION AND REPORT $789.57 — $257.50–$1,213.48 31% above —
Swallow study (modified barium swallow, video X-ray) CPT 74230 IMAGING FOR EVALUATION OF SWALLOWING FUNCTION $291.89 — $27.84–$404.15 20% above —
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL $177.90 $894.00 $68.56–$241.83 12% below 80%
Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL, SINGLE FETUS $177.90 $960.00 $29.75–$241.83 4% above 81%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMINAL, COMPLETE $177.90 $1,759.00 $28.62–$241.83 47% below 90%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM AND CONTENTS (TESTICLES) $177.90 $1,132.00 $96.73–$288.70 22% below 84%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID $177.90 $1,151.00 $30.47–$241.83 38% below 85%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE HEAD & NECK $177.90 $1,151.00 $30.47–$241.83 38% below 85%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD AND NECK, SOFT TISSUE $177.90 $1,151.00 $30.47–$241.83 38% below 85%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-RAY OF UPPER DIGESTIVE TRACT WITH SINGLE CONTRAST $291.89 — $18.92–$404.15 7% above —
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LOWER EXTREM VENOUS DUPLEX UNILATERAL $177.90 $1,139.00 $96.73–$257.50 47% below 84%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UPPER EXTREM VENOUS DUPLEX UNILATERAL $177.90 $1,139.00 $96.73–$257.50 47% below 84%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST LT 3 VIEWS $132.18 $485.00 $15.89–$199.88 17% above 73%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST RT 3 VIEWS $132.18 $485.00 $15.89–$199.88 17% above 73%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XRAY PELVIS W/ HIP, LT, 2 VIEWS $132.18 $593.00 $13.33–$199.88 7% below 78%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP RT MINIMUM 2 VIEWS $132.18 $593.00 $13.33–$199.88 7% below 78%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XRAY PELVIS W/ HIP, RT, 2 VIEWS $132.18 $593.00 $13.33–$199.88 7% below 78%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN/KUB 1 VIEW $132.18 $618.00 $58.79–$199.88 17% above 79%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE RT 2 VIEWS $132.18 $415.00 $28.78–$199.88 23% above 68%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE LT 2 VIEWS $132.18 $415.00 $28.78–$199.88 23% above 68%
X-ray of the finger(s), 2 or more views CPT 73140 RT LITTLE FINGER (5TH DIGIT) 2 VIEWS $132.18 $349.00 $17.26–$199.88 35% above 62%
X-ray of the finger(s), 2 or more views CPT 73140 RT MIDDLE FINGER (3RD DIGIT) 2 VIEWS $132.18 $349.00 $17.26–$199.88 35% above 62%
X-ray of the finger(s), 2 or more views CPT 73140 LT MIDDLE FINGER (3RD DIGIT) 2 VIEWS $132.18 $349.00 $17.26–$199.88 35% above 62%
X-ray of the finger(s), 2 or more views CPT 73140 RT INDEX FINGER (2ND DIGIT) 2 VIEWS $132.18 $349.00 $17.26–$199.88 35% above 62%
X-ray of the finger(s), 2 or more views CPT 73140 RT RING FINGER (4TH DIGIT) 2 VIEWS $132.18 $349.00 $17.26–$199.88 35% above 62%
X-ray of the finger(s), 2 or more views CPT 73140 RT THUMB (1ST DIGIT) 2 VIEWS $132.18 $349.00 $17.26–$199.88 35% above 62%
X-ray of the finger(s), 2 or more views CPT 73140 LT LITTLE FINGER (5TH DIGIT) 2 VIEWS $132.18 $349.00 $17.26–$199.88 35% above 62%
X-ray of the finger(s), 2 or more views CPT 73140 LT THUMB ( 1ST DIGIT) 2 VIEWS $132.18 $349.00 $17.26–$199.88 35% above 62%
X-ray of the finger(s), 2 or more views CPT 73140 LT INDEX FINGER (2ND DIGIT) 2 VIEWS $132.18 $349.00 $17.26–$199.88 35% above 62%
X-ray of the finger(s), 2 or more views CPT 73140 LT RING FINGER (4TH DIGIT) 2 VIEWS $132.18 $349.00 $17.26–$199.88 35% above 62%
X-ray of the foot, 2 views one side CPT 73620 FOOT LT 2 VIEWS $132.18 $456.00 $27.93–$199.88 23% above 71%
X-ray of the foot, 2 views one side CPT 73620 FOOT RT 2 VIEWS $132.18 $456.00 $27.93–$199.88 23% above 71%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT RT 3 VIEWS $132.18 $550.00 $25.78–$199.88 8% above 76%
X-ray of the hand, 3 or more views one side CPT 73130 HAND RT 3 VIEWS $132.18 $566.00 $43.31–$199.88 4% above 77%
X-ray of the hand, 3 or more views one side CPT 73130 HAND LT 3 VIEWS $132.18 $566.00 $43.31–$199.88 4% above 77%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE LT 1 OR 2 VIEWS $132.18 $473.00 $18.06–$199.88 20% above 72%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE RT 1 OR 2 VIEWS $132.18 $473.00 $18.06–$199.88 20% above 72%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR SPINE 2 OR 3 VIEWS $177.90 $646.00 $37.65–$245.18 17% above 72%
X-ray of the lower back, 4 or more views CPT 72110 LUMBAR SPINE 4 VIEWS $177.90 $757.00 $47.05–$245.18 23% below 76%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE 2 VIEWS $177.90 $641.00 $9.22–$245.18 1% above 72%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES COMPLETE MINIMUM 3 VIEWS $132.18 $426.00 $11.23–$199.88 9% above 69%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE 2 OR 3 VIEWS $132.18 $578.00 $9.96–$199.88 8% below 77%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1 OR 2 VIEWS $177.90 $550.00 $35.39–$245.18 23% above 68%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM AND COCCYX - MINIMUM 2 VIEWS $132.18 $459.00 $23.52–$199.88 6% below 71%

Lab tests

ProcedureCash price List priceInsurers payvs LouisianaOff list
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TIS LEVEL 4 ADDITIONAL $81.20 $112.00 $44.52–$2,067.20 11% above 28%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 BCR/ABL GENE TRANSLOCATION 9;22 $81.20 $112.00 $44.52–$2,067.20 11% above 28%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 BCR/ABL BY FISH $81.20 $112.00 $44.52–$2,067.20 11% above 28%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM IV $81.20 $112.00 $44.52–$2,067.20 11% above 28%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 REF LAB ABO $184.26 $95.00 $1.50–$280.98 290% above -94%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 EXTENDED CASE CHARGE #3 $184.26 $95.00 $1.50–$280.98 290% above -94%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ISOHEMAGGLUTININ TITER, IGG AND IGM $184.26 $95.00 $1.50–$280.98 290% above -94%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 POST TYPE AND HOLD (TSHOLD) $184.26 $95.00 $1.50–$280.98 290% above -94%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 CORD BLOOD ABORH TYPE AND DAT $184.26 $95.00 $1.50–$280.98 290% above -94%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ANTI D TITER $184.26 $95.00 $1.50–$280.98 290% above -94%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ANTI S TITER $184.26 $95.00 $1.50–$280.98 290% above -94%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 EXTENDED CASE CHARGE #2 $184.26 $95.00 $1.50–$280.98 290% above -94%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 PRE TYPE AND HOLD (TSHOLD) $184.26 $95.00 $1.50–$280.98 290% above -94%

Surgery and procedures

ProcedureCash price List priceInsurers payvs LouisianaOff list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 REMOVAL OF ADENOIDS PATIENT YOUNGER THAN AGE 12, INITIAL PROCEDURE $4,470.37 — $679.83–$11,903.45 — —
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 FUSION OF SPINE BONES WITH REMOVAL OF DISC AT UPPER SPINAL COLUMN, ANTERIOR APPROACH, COMPLEX $20,149.26 — $1,444.88–$28,949.43 — —
Appendectomy, open surgery CPT 44950 REMOVAL OF APPENDIX $5,198.96 — $1,444.88–$16,641.33 231% above —
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 REPAIR OF ANTERIOR CRUCIATE LIGAMENT OF KNEE WITH ASSISTANCE OF AN ENDOSCOPE $10,235.28 — $550.32–$41,964.70 — —
Arthroscopic rotator cuff repair of the shoulder CPT 29827 REPAIR OF SHOULDER ROTATOR CUFF USING AN ENDOSCOPE $10,235.28 — $773.72–$15,736.18 — —
Balloon dilation of the maxillary sinus opening, one side CPT 31295 DILATION OF MAXILLARY SINUS IN THE NOSE USING AN ENDOSCOPE $9,515.97 — $550.32–$15,054.83 427% above —
Botox injections for chronic migraine CPT 64615 INJECTION OF CHEMICAL FOR DESTRUCTION OF FACIAL AND NECK NERVE MUSCLES ON BOTH SIDES OF FACE $426.93 — $163.00–$948.08 203% above —
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING X-RAY WITH NEEDLE, FIRST GROWTH $2,299.18 — $481.27–$17,120.96 171% above —
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLOSED TREATMENT OF THE OUTSIDE BONE OF THE LEG (FIBULA) IN THE REGION OF THE ANKLE WITHOUT MANIPULATION $336.80 — $207.49–$2,550.00 111% above —
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CLOSED TREATMENT OF BROKEN FOOT BONE IN THE FORE OR MIDFOOT WITHOUT MANIPULATION $336.80 — $163.00–$726.15 88% above —
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 CORRECTION OF BUNION, WITH ALIGNMENT CORRECTION OF MIDFOOT BONE (METATARSAL) TOWARDS TOE AREAS $4,627.65 — $550.32–$7,119.80 79% above —
Bunion correction with removal of part of the big toe joint CPT 28292 CORRECTION OF BUNION WITH REMOVAL OF THE BASE OF THE GREAT TOE $4,627.65 — $481.27–$7,119.80 87% above —
Cardiac catheterization with coronary angiogram one side CPT 93458 INSERTION OF CATHETER IN LEFT HEART FOR IMAGING OF BLOOD VESSELS AND LEFT LOWER HEART INCLUDING IMAGING INTERPRETATION AND SUPERVISION AND INJECTION $4,738.43 — $2,867.03–$9,165.31 1% above —
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION $917.97 $2,709.00 $572.63–$1,504.83 70% above 66%
Carpal tunnel release, open surgery CPT 64721 RELEASE AND/OR RELOCATION OF MEDIAN NERVE OF HAND $2,869.30 — $403.81–$4,246.98 63% above —
Cataract surgery with lens implant CPT 66984 REMOVAL OF CATARACT WITH INSERTION OF LENS, SIMPLE $3,393.38 — $13.93–$9,300.00 112% above —
Catheter ablation for atrial fibrillation CPT 93656 COMPREHENSIVE ELECTROPHYSIOLOGIC EVALUATION WITH CATHETER DESTRUCTION OF ABNORMALITY CAUSING ATRIAL FIBRILLATION (UNCOORDINATED CONTRACTION OF UPPER CHAMBERS OF HEART) BY PULMONARY VEIN ISOLATION $35,064.93 — $1,387.62–$52,241.75 149% above —
Cervical biopsy CPT 57500 BIOPSY OF CERVIX OR EXCISION OF LOCAL GROWTHS $1,035.95 — $359.35–$7,628.24 112% above —
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 REMOVAL OF FORESKIN, PATIENT OLDER THAN 28 DAYS OF AGE $2,925.84 — $481.27–$4,480.20 102% above —
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 REMOVAL OF FORESKIN OF USING CLAMP OR DEVICE $2,925.84 — $481.27–$4,480.20 192% above —
Circumcision, surgical, older than a newborn CPT 54160 REMOVAL OF FORESKIN, NEONATE (28 DAYS OF AGE OR LESS) $940.10 — $481.27–$3,991.25 46% above —
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLOSED TREATMENT OF BROKEN FOREARM (RADIUS) BONE AT THE WRIST AREA ON THE THUMB SIDE OF THE WRIST WITHOUT MANIPULATION $336.80 — $163.00–$14,014.88 111% above —
Colonoscopy with endoscopic ultrasound CPT 45391 ULTRASOUND EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE $1,694.50 — $481.27–$3,162.00 150% above —
Colonoscopy with polyp removal CPT 45385 REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE $1,694.50 — $481.27–$3,162.00 85% above —
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE, WITH BIOPSY $1,694.50 — $481.27–$3,162.00 87% above —
Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE $1,296.77 — $481.27–$3,162.00 42% above —
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 BIOPSY OF CERVIX USING AN ENDOSCOPE WITH A LOOP ELECTRODE $4,287.30 — $359.35–$6,936.00 231% above —
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 BIOPSY AND SCRAPING OF THE CERVIX USING AN ENDOSCOPE $460.86 — $282.26–$7,628.24 66% above —
Complex cataract surgery with lens implant CPT 66982 COMPLEX REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS $3,393.38 — $31.60–$9,300.00 — —
Coronary stent placement, one artery CPT 92928 CATHETER PLACEMENT OF STENTS IN MAJOR CORONARY ARTERY OR BRANCH, ACCESSED THROUGH THE SKIN, EACH ADDITIONAL ARTERY OR BRANCH $16,413.58 — $8,662.30–$24,198.30 198% above —
Cystoscopy with ureteral stent placement CPT 52332 INSERTION OF STENT IN URINARY DUCT (URETER) USING AN ENDOSCOPE $5,024.06 — $481.27–$7,668.20 610% above —
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 DIAGNOSTIC EXAMINATION OF THE BLADDER AND BLADDER CANAL (URETHRA) USING AN ENDOSCOPE $940.10 — $359.35–$14,014.88 79% above —
D&C (dilation and curettage), not related to pregnancy CPT 58120 D&C FOR DIAGNOSIS AND/OR THERAPY (NON-OBSTETRICAL) $4,287.30 — $481.27–$6,876.80 246% above —
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCTION OF PRECANCER SKIN GROWTH, 1 GROWTH $293.44 — $163.00–$726.15 202% above —
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 INCISION OF EARDRUM WITH PLACEMENT OF EARDRUM TUBE UNDER GENERAL ANESTHESIA $2,210.46 — $39.73–$5,100.00 170% above —
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 INCISION OF EARDRUM WITH INSERTION OF EARDRUM TUBE UNDER LOCAL OR TOPICAL ANESTHESIA $739.04 — $13.54–$2,550.00 110% above —
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVAL OF IMPACTED EAR WAX BY WASHING $90.96 — $53.82–$726.15 64% above —
Earwax removal with instruments, one ear CPT 69210 REMOVAL OF IMPACT EAR WAX, ONE EAR $90.96 — $39.71–$726.15 51% above —
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF LINING OF UTERUS $278.38 — $163.00–$726.15 138% above —
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 COMPLETE REMOVAL OF NASAL SINUS USING AN ENDOSCOPE $9,515.97 — $773.72–$15,054.83 — —
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 EXPLORATION OF NASAL SINUS USING AN ENDOSCOPE $9,515.97 — $550.32–$15,054.83 — —
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 INCISION OF NASAL (MAXILLARY) SINUS USING AN ENDOSCOPE $5,061.73 — $550.32–$14,014.88 81% above —
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 REMOVAL OF NASAL SINUS TISSUE USING AN ENDOSCOPE, MAXILLARY SINUS $9,515.97 — $496.44–$15,054.83 — —
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJ, SINGLE, EPIDURAL CERVICAL/THORACIC $1,037.63 $2,964.00 $359.35–$2,550.00 53% above 65%
Eye injection into the vitreous (intravitreal injection) CPT 67028 INJECTION OF DRUG INTO EYE $521.02 — $58.33–$2,550.00 144% above —
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ, PARAVERTEBRAL FACET JOINT L/S SGL $1,345.17 $2,634.00 $704.11–$2,550.00 79% above 49%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOID; , DX ONLY (NO SECONDARY ) $1,296.77 $4,048.00 $359.35–$17,120.96 200% above 68%
Gallbladder removal, laparoscopic CPT 47562 REMOVAL OF GALLBLADDER USING AN ENDOSCOPE $8,268.30 — $550.32–$12,691.73 395% above —
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 REMOVAL OF GALLBLADDER WITH X-RAY STUDY OF BILE DUCTS USING AN ENDOSCOPE $8,268.30 — $550.32–$12,691.73 385% above —
Hammertoe correction surgery CPT 28285 CORRECTION OF TOE JOINT DEFORMITY $4,627.65 — $550.32–$7,119.80 79% above —
Hemorrhoid banding (rubber band ligation) CPT 46221 LIGATION OF HEMORRHOID (BANDING) $1,296.77 $2,613.00 $804.14–$4,620.71 165% above 50%
Hemorrhoidectomy (internal and external), one area CPT 46255 REMOVAL OF SINGLE EXTERNAL AND INTERNAL HEMORRHOID GROUP $3,992.06 — $550.32–$6,176.05 411% above —
Hysteroscopy with endometrial ablation CPT 58563 EXAMINATION OF UTERUS WITH DESTRUCTION OF UTERINE LINING USING AN ENDOSCOPE $7,205.58 — $223.45–$10,940.68 231% above —
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 BIOPSY OF LINING OF UTERUS AND/OR REMOVAL OF POLYP USING AN ENDOSCOPE $4,287.30 — $223.45–$6,876.80 276% above —
Incision and drainage of a simple or single skin abscess CPT 10060 SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS $293.44 — $163.00–$17,120.96 60% above —
Inguinal (groin) hernia repair, age 5 or older CPT 49505 REPAIR OF GROIN HERNIA (5 YEARS OR OLDER) $5,198.96 — $679.83–$7,609.93 171% above —
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECT TENDON/LIGAMENT/CYST $426.93 $742.00 $260.59–$2,550.00 227% above 42%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIRATION / INJ MAJOR JOINT $426.93 $1,607.00 $260.59–$2,550.00 65% above 73%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS ASP/INJ MAJOR JOINT $426.93 $1,607.00 $260.59–$2,550.00 65% above 73%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJECTION OF JOINT $426.93 $1,607.00 $260.59–$2,550.00 65% above 73%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 US ASPIR/INJ/REMOVAL LT LARGE JOINT $426.93 $1,607.00 $260.59–$2,550.00 65% above 73%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 US ASPIR/INJ/REMOVAL RT LARGE JOINT $426.93 $1,607.00 $260.59–$2,550.00 65% above 73%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION OF DRUG DELIVERY IMPLANT INTO TISSUE $184.26 — $112.39–$17,120.96 80% above —
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 US ASPIR/INJ/REMOVAL RT INTERMEDIATE JOI $426.93 $785.00 $260.59–$2,550.00 65% above 46%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 US ASPIR/INJ/REMOVAL LT INTERMEDIATE JOI $426.93 $785.00 $260.59–$2,550.00 65% above 46%
Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 US ASPIR/INJ/REMOVAL RT SMALL JOINT $426.93 $663.00 $260.59–$2,550.00 79% above 36%
Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 US ASPIR/INJ/REMOVAL LT SMALL JOINT $426.93 $663.00 $260.59–$2,550.00 79% above 36%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 REPAIR OF INSIDE OR OUTSIDE KNEE JOINT CARTILAGE (MENISCUS) USING AN ENDOSCOPE (ARTHROSCOPY) $4,627.65 — $550.32–$26,327.75 — —
Knee arthroscopy with meniscus trim CPT 29881 REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE $4,627.65 — $679.83–$13,678.64 112% above —
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 REMOVAL OF BOTH KNEE CARTILAGES USING AN ENDOSCOPE $4,627.65 — $679.83–$7,119.80 — —
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 REMOVAL OR SHAVING OF KNEE JOINT CARTILAGE USING AN ENDOSCOPE $4,627.65 — $679.83–$7,119.80 — —
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 REMOVAL OF APPENDIX USING AN ENDOSCOPE $8,268.30 — $773.72–$12,691.73 485% above —
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 STRENGTHENING OF MUSCLE BETWEEN ESOPHAGUS AND STOMACH BY WRAPPING PART OF STOMACH AROUND ESOPHAGUS USING AN ENDOSCOPE $14,554.34 — $679.83–$22,642.20 231% above —
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 REMOVAL OF UTERUS THROUGH ABDOMEN USING AN ENDOSCOPE, 250.0 G OR LESS $14,554.34 — $223.45–$22,642.20 — —
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 ABDOMINAL REMOVAL OF UTERUS (250 GRAMS OR LESS) WITH REMOVAL OF TUBES AND/OR OVARIES USING AN ENDOSCOPE $14,554.34 — $223.45–$22,642.20 231% above —
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 REPAIR OF GROIN HERNIA USING AN ENDOSCOPE $8,268.30 — $679.83–$12,691.73 139% above —
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 REPOSITIONING OF RECURRENT GROIN HERNIA USING AN ENDOSCOPE $8,268.30 — $1,073.67–$12,691.73 — —
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 REMOVAL OF OVARIES AND/OR TUBES USING AN ENDOSCOPE $8,268.30 — $773.72–$12,691.73 — —
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 REMOVAL OF RECURRING CATARACT IN LENS CAPSULE USING LASER $822.37 — $10.12–$3,162.00 79% above —
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 REPAIR OF WOUND (2.5 CENTIMETERS OR LESS) OF THE SCALP, UNDERARMS, TRUNK, ARMS, AND/OR LEGS $564.80 — $163.00–$17,120.96 88% above —
Left heart catheterization, diagnostic one side CPT 93452 INSERTION OF TUBE IN LEFT HEART CHAMBERS FOR DIAGNOSIS WITH REVIEW BY RADIOLOGIST $4,738.43 — $2,027.56–$7,167.58 64% above —
Lower-back epidural injection, with imaging guidance CPT 62323 EPIDURAL LUMBAR/SACRAL W/ IMAGING GUIDNC $1,037.63 $2,964.00 $359.35–$2,550.00 53% above 65%
Lower-back epidural injection, with imaging guidance CPT 62323 LUMBAR/SACRAL ESI $1,037.63 $2,964.00 $359.35–$2,550.00 53% above 65%
Lower-back epidural injection, without imaging guidance CPT 62322 INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL $1,037.63 — $359.35–$2,550.00 183% above —
Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 FL UNILAT L/S SINGLE TRANSFORAMINAL EPID $1,345.17 $4,299.00 $236.22–$2,550.00 67% above 69%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 PARTIAL REMOVAL OF BONE WITH RELEASE OF SPINAL CORD OR SPINAL NERVES OF 1 INTERSPACE IN LOWER SPINE $10,235.28 — $373.94–$15,736.18 199% above —
Lumbar laminectomy (spinal decompression), one level CPT 63047 PARTIAL REMOVAL OF MIDDLE SPINE BONE WITH RELEASE OF SPINAL CORD AND/OR NERVES, LOWER BACK (LUMBAR) AREA $10,235.28 — $237.93–$15,736.18 — —
Lumbar spinal fusion (posterior), one level CPT 22612 FUSION OF LOWER SPINE BONES, POSTERIOR OR POSTEROLATERAL APPROACH $20,149.26 — $6,578.70–$40,992.15 — —
Lumpectomy (partial mastectomy) CPT 19301 PARTIAL REMOVAL OF BREAST $5,160.00 — $550.32–$8,384.35 — —
Mastectomy (total removal of the breast) CPT 19303 SIMPLE COMPLETE REMOVAL OF BREAST $9,043.36 — $679.83–$14,343.88 79% above —
Miscarriage treatment with D&C, first trimester CPT 59820 TREATMENT OF MISCARRIAGE DURING FIRST TRIMESTER $4,287.30 — $773.72–$8,670.00 270% above —
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 REMOVAL AND MICROSCOPIC EXAMINATION OF GROWTH OF THE HEAD, NECK, HANDS, FEET, OR GENITALS (FIRST STAGE, UP TO 5 TISSUE BLOCKS) $855.82 — $552.59–$7,746.34 237% above —
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 REMOVAL OF NONCANCER SKIN GROWTH OF BODY, ARMS, OR LEGS, 0.5 CM OR LESS $1,016.86 — $359.35–$3,846.32 387% above —
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 REMOVAL OF NONCANCER SKIN GROWTH OF FACE, EARS, EYELIDS, NOSE, LIPS, OR MOUTH, 0.5 CM OR LESS $1,016.86 — $359.35–$6,800.22 231% above —
Nail removal (partial or complete), one nail CPT 11730 SIMPLE SEPARATION OF FINGERNAIL OR TOENAIL FROM NAIL BED, FIRST NAIL $293.44 — $163.00–$7,746.34 96% above —
Occipital nerve block (injection for headaches) CPT 64405 INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO GREATER OCCIPITAL NERVE OF UPPER NECK AND BACK OF HEAD $426.93 — $260.59–$2,550.00 65% above —
Pacemaker implant (dual chamber) CPT 33208 INSERTION OF NEW OR REPLACEMENT OF PERMANENT PACEMAKER INCLUDING UPPER AND LOWER CHAMBER ELECTRODES $16,990.91 — $6,936.00–$23,488.08 54% above —
Paracentesis with imaging guidance CPT 49083 DRAINAGE OF FLUID FROM ABDOMINAL CAVITY USING IMAGING GUIDANCE $1,322.22 — $797.57–$9,252.95 135% above —
Partial knee replacement (one compartment) CPT 27446 REPAIR OF KNEE JOINT, LOWER OR UPPER PART OF JOINT, INSIDE OR OUTSIDE AREA $20,149.26 — $6,936.00–$28,949.43 — —
Permanent removal of a nail and nail root (partial or complete) CPT 11750 PERMANENT REMOVAL FINGERNAIL OR TOENAIL $564.80 — $350.83–$7,746.34 119% above —
Prostate biopsy CPT 55700 US NEEDLE BX PROSTATE $2,925.84 $4,931.00 $184.68–$4,480.20 284% above 41%
Prostate removal (prostatectomy), laparoscopic CPT 55866 REMOVAL OF PROSTATE AND LYMPH NODES USING AN ENDOSCOPE $14,554.34 — $184.68–$22,642.20 202% above —
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DSTRCTN BY NEUROLYTIC AGNT, PAR FCT L/S $2,869.30 $3,492.00 $589.17–$8,670.00 183% above 18%
Removal of a breast lump, open surgery CPT 19120 REMOVAL OF 1 OR MORE BREAST GROWTH, OPEN PROCEDURE $5,160.00 — $550.32–$8,384.35 485% above —
Removal of a foreign object under the skin, simple CPT 10120 REMOVAL OF FOREIGN BODY FROM TISSUE, ACCESSED BENEATH THE SKIN, SIMPLE $564.80 — $163.00–$17,120.96 129% above —
Removal of one lobe of the thyroid (lobectomy) CPT 60220 TOTAL REMOVAL OF THYROID LOBE ON ONE SIDE OF THE NECK $8,268.30 — $546.22–$12,691.73 — —
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK $1,296.77 — $481.27–$3,162.00 143% above —
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK $1,296.77 — $481.27–$3,162.00 159% above —
Septoplasty to straighten the nasal septum CPT 30520 RESHAPING OF NASAL CARTILAGE $4,470.37 — $679.83–$7,081.90 — —
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 LITHOTRIPSY, EXTRA CORPOREAL $5,024.06 $38,752.00 $550.32–$9,690.00 62% above 87%
Short arm cast (elbow to hand) CPT 29075 APPLICATION OF CAST, ELBOW TO FINGER (SHORT ARM) $394.21 — $163.00–$7,628.24 133% above —
Short arm splint (forearm and hand) CPT 29125 APPLICATION OF NON-MOVEABLE, SHORT ARM SPLINT (FOREARM TO HAND) $184.26 — $112.39–$13,151.36 58% above —
Short leg cast (below the knee) CPT 29405 APPLICATION OF SHORT LEG CAST (BELOW KNEE TO TOES) $394.21 — $163.00–$3,832.75 85% above —
Short leg splint (calf to foot) CPT 29515 APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT $230.86 — $138.64–$7,628.24 72% above —
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 PARTIAL REMOVAL OF COLLAR BONE AT SHOULDER USING AN ENDOSCOPE $4,627.65 — $773.72–$13,151.36 — —
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIM LAC <2.6 BODY, SCALP, HANDS,FEET $293.44 $774.00 $163.00–$17,120.96 61% above 62%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY OF SINGLE SKIN LESION $564.80 — $163.00–$31,496.97 204% above —
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 REMOVAL OF MALIGNANT GROWTH (0.5 CENTIMETERS OR LESS) OF THE TRUNK, ARMS, OR LEGS $1,016.86 — $619.04–$17,120.96 129% above —
Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF UP TO AND INCLUDING 15 SKIN TAGS $293.44 — $163.00–$17,120.96 120% above —
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL TAP $1,037.63 $2,656.00 $359.35–$2,550.00 110% above 61%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE - LUMBAR DIAGNOSTIC $1,037.63 $2,656.00 $359.35–$2,550.00 110% above 61%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR OF WOUND (2.6 TO 7.5 CENTIMETERS) OF THE SCALP, NECK, UNDERARMS, GENITALS, TRUNK, ARMS AND/OR LEGS $293.44 — $163.00–$31,496.97 61% above —
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPAIR OF WOUND (2.5 CENTIMETERS OR LESS) OF THE FACE, EARS, EYELIDS, NOSE, LIPS, AND/OR MUCOUS MEMBRANES $293.44 — $163.00–$7,746.34 61% above —
TURP (transurethral resection of the prostate) CPT 52601 REMOVAL OF PROSTATE GLAND USING AN ELECTROCAUTERY KNIFE THROUGH URETHRA WITH CONTROL OF BLEEDING USING AN ENDOSCOPE $7,209.42 — $679.83–$11,381.58 — —
Tangential (shave-style) skin biopsy, one lesion CPT 11102 BIOPSY OF RELATED SKIN GROWTH, FIRST GROWTH $293.44 — $163.00–$3,846.32 129% above —
Thoracentesis with imaging guidance CPT 32555 ASPIRATION OF FLUID FROM CHEST CAVITY USING IMAGING GUIDANCE $883.26 — $359.35–$4,553.80 41% above —
Tonsil and adenoid removal, age 12 or older CPT 42821 REMOVAL OF TONSILS AND ADENOID GLANDS PATIENT AGE 12 OR OVER $4,470.37 — $773.72–$11,903.45 — —
Tonsil and adenoid removal, child under 12 CPT 42820 REMOVAL OF TONSILS AND ADENOID GLANDS (YOUNGER THAN 12 YEARS) $8,310.83 — $550.32–$12,881.33 202% above —
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 REMOVAL OF TONSILS PATIENT AGE 12 OR OVER $4,470.37 — $679.83–$7,481.96 — —
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 REMOVAL OF TONSILS PATIENT YOUNGER THAN AGE 12 $8,310.83 — $679.83–$12,881.33 — —
Total hip replacement CPT 27130 REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS $20,149.26 — $6,936.00–$28,949.43 — —
Total knee replacement CPT 27447 REPAIR OF KNEE JOINT, LOWER OR UPPER PART OF JOINT, INSIDE AND OUTSIDE AREA $20,149.26 — $6,936.00–$28,949.43 168% above —
Total shoulder replacement CPT 23472 PROSTHETIC REPAIR OF SHOULDER JOINT, TOTAL SHOULDER $20,149.26 — $545.83–$40,992.15 — —
Total thyroid removal (thyroidectomy) CPT 60240 REMOVAL OF THYROID, COMPLETE $8,268.30 — $1,196.42–$12,691.73 — —
Trigger finger release surgery CPT 26055 INCISION OF TENDON COVERING OF FINGER $2,276.02 — $481.27–$14,014.88 56% above —
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT INJECTION $426.93 $742.00 $260.59–$44,599.46 221% above 42%
Trigger point injections, 1 or 2 muscles CPT 20552 FL INJ 1 OR > TRIGGER POINT(S) 1-2 MUSCL $426.93 $742.00 $260.59–$44,599.46 221% above 42%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 DESTRUCTION OF FALLOPIAN TUBES USING AN ENDOSCOPE $8,268.30 — $550.32–$12,691.73 — —
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BIOPSY OF BREAST ACCESSED THROUGH THE SKIN WITH ULTRASOUND GUIDANCE, FIRST LESION $2,299.18 — $481.27–$5,100.00 144% above —
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 BALLOON DILATION OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE, LESS THAN 3.0 CM $2,654.10 — $481.27–$4,185.48 222% above —
Upper endoscopy (EGD) with biopsy CPT 43239 BIOPSY OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE $1,322.22 — $481.27–$7,481.96 64% above —
Upper endoscopy (EGD) with injection into the lining CPT 43236 INJECTION OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE $1,322.22 — $481.27–$7,481.96 160% above —
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 REMOVAL OF POLYPS OR GROWTHS OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING AN ENDOSCOPE USING A MECHANICAL SNARE $2,654.10 — $481.27–$4,185.48 220% above —
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 SUPPR GI ENDOSCOPY/GUIDE WIRE $1,322.22 $4,736.00 $481.27–$7,481.96 100% above 72%
Upper endoscopy (EGD), diagnostic CPT 43235 DIAGNOSTIC EXAMINATION OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING AN ENDOSCOPE $1,322.22 — $359.35–$3,038.50 60% above —
Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 DRAINAGE OF FLUID COLLECTION OF ESOPHAGUS, STOMACH, AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE $8,225.36 — $481.27–$12,536.13 394% above —
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CRUSHING OF STONE IN URINARY DUCT (URETER) USING AN ENDOSCOPE $7,209.42 — $679.83–$11,381.58 282% above —
Ureteroscopy with laser stone breaking and stent placement CPT 52356 CRUSHING OF STONE IN URINARY DUCT (URETER) WITH STENT USING AN ENDOSCOPE $7,209.42 — $679.83–$14,014.88 174% above —
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 REMOVAL OF SPERM DUCT $2,925.84 — $223.45–$4,480.20 249% above —
Vein ablation, radiofrequency, first vein CPT 36475 DESTRUCTION OF FIRST INCOMPETENT VEIN OF ARM OR LEG USING RADIOFREQUENCY AND IMAGING GUIDANCE $4,677.81 — $317.49–$9,690.00 249% above —
Wart removal, up to 14 warts CPT 17110 DESTRUCTION OF SKIN GROWTH, 1-14 GROWTHS $293.44 — $163.00–$726.15 115% above —
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 REMOVAL OF SKIN AND TISSUE FIRST 20 SQ CM OR LESS $564.80 — $350.83–$3,846.32 49% above —
Wrist fracture surgery (plate and screws), distal radius CPT 25607 TREATMENT OF BROKEN FOREARM BONE ON THUMB SIDE OF WRIST, ABOVE WRIST, WITH PLACEMENT OF STABILIZING DEVICE $10,235.28 — $773.72–$15,736.18 — —

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs LouisianaOff list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS $648.59 $1,660.00 $381.94–$12,383.15 38% above 61%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION $648.59 $1,660.00 $381.94–$12,383.15 38% above 61%
Blood transfusion (giving blood or blood components) CPT 36430 PLATELET PHERESIS LEURCOREDUCED $648.59 $1,660.00 $381.94–$12,383.15 38% above 61%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEB MED TREATMENT INITIAL $307.15 $263.00 $77.25–$7,628.24 227% above -17%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEB MED TREATMETN REPEAT $307.15 $263.00 $77.25–$7,628.24 227% above -17%
Chemotherapy IV infusion, first hour CPT 96413 ADMINISTRATION OF CHEMOTHERAPY INTO VEIN, 1 HOUR OR LESS $521.02 — $283.25–$744.95 73% above —
Comprehensive eye exam by an eye doctor, new patient CPT 92004 EYE AND MEDICAL EXAMINATION FOR DIAGNOSIS AND TREATMENT, NEW PATIENT, 1 OR MORE VISITS $194.16 — $116.31–$290.78 214% above —
Comprehensive eye exam, returning patient CPT 92014 EYE AND MEDICAL EXAMINATION FOR DIAGNOSIS AND TREATMENT, ESTABLISHED PATIENT, 1 OR MORE VISITS $194.16 — $116.31–$290.78 214% above —
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 AIR AND BONE CONDUCTION ASSESSMENT OF HEARING LOSS AND SPEECH RECOGNITION $228.14 — $81.50–$343.60 231% above —
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE DELIVERY CRITICALLY ILL OR INJURED PATIENT, FIRST 30-74 MINUTES $1,217.18 — $780.75–$1,951.88 62% above —
EEG (brain wave test), awake and drowsy, routine CPT 95816 MEASUREMENT AND RECORDING OF BRAIN WAVE (EEG) ACTIVITY, AWAKE AND DROWSY $432.46 — $276.16–$690.40 36% above —
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 LEAD, TRACING ONLY $90.96 $245.00 $53.82–$78,733.47 11% above 63%
Electroconvulsive therapy (ECT), one session CPT 90870 THERAPY USING ELECTRICAL CURRENTS $797.65 — $471.58–$3,398.23 16% above —
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY DEPARTMENT VISIT, SELF LIMITED OR MINOR PROBLEM $118.53 — $78.11–$195.28 103% above —
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD TO MODERATE SEVERITY $214.64 — $143.90–$359.75 46% above —
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY $378.16 — $251.04–$627.60 63% above —
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY $594.43 — $389.69–$974.23 57% above —
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPARTMENT VISIT, PROBLEM WITH SIGNIFICANT THREAT TO LIFE OR FUNCTION $853.23 — $565.14–$1,412.85 64% above —
Exercise stress test, tracing only, the hospital charge CPT 93017 EXERCISE OR DRUG-INDUCED HEART AND BLOOD VESSEL STRESS TEST WITH EKG TRACING AND MONITORING $432.46 — $180.25–$690.40 23% above —
Eye exam, returning patient, intermediate CPT 92012 EYE AND MEDICAL EXAMINATION FOR DIAGNOSIS AND TREATMENT, ESTABLISHED PATIENT $194.16 — $116.31–$290.78 208% above —
Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYCHOTHERAPY, INCLUDING PATIENT, 50 MIN $218.64 — $140.28–$5,783.26 66% above —
Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYCHOTHERAPY WITHOUT PATIENT, 50 MINUTES $218.64 — $140.28–$2,040.00 70% above —
Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY $122.27 — $78.43–$2,162.40 88% above —
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION INFUSION INTO A VEIN 31 MINUTES TO 1 HOUR $334.29 — $185.40–$471.45 98% above —
IV infusion of a medicine, first hour CPT 96365 INFUSION INTO A VEIN FOR THERAPY, PREVENTION, OR DIAGNOSIS, 1 HOUR OR LESS $334.29 — $185.40–$471.45 80% above —
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION BENEATH THE SKIN OR INTO MUSCLE FOR THERAPY, DIAGNOSIS, OR PREVENTION $101.31 — $61.98–$185.40 94% above —
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCHIATRIC DIAGNOSTIC EVALUATION $218.64 — $18.66–$350.70 110% above —
Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE TRANSMISSION STUDIES, 7-8 STUDIES $432.46 — $123.60–$690.40 322% above —
Psychiatric evaluation with medical services CPT 90792 PSYCHIATRIC DIAGNOSTIC EVALUATION WITH MEDICAL SERVICES $218.64 — $140.28–$2,286.57 119% above —
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 PSYCHOLOGICAL TESTING EVALUATION BY QUALIFIED HEALTH CARE PROFESSIONAL, FIRST 60 MINUTES $432.46 — $123.60–$690.40 — —
Psychotherapy for crisis, first 60 minutes CPT 90839 PSYCHOTHERAPY FOR CRISIS, FIRST 60 MINUTES $218.64 — $140.28–$7,208.00 344% above —
Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY, 30 MINUTES $218.64 — $140.28–$9,792.00 119% above —
Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY, 45 MINUTES $218.64 — $140.28–$23,120.00 69% above —
Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY, 60 MINUTES $218.64 — $140.28–$5,521.60 39% above —
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING AND TOBACCO USE INTERMEDIATE COUNSELING, GREATER THAN 3 MINUTES UP TO 10 MINUTES $42.94 — $25.25–$63.13 48% above —
Spirometry (breathing test) CPT 94010 MEASUREMENT AND GRAPHIC RECORDING OF TOTAL AND TIMED EXHALED AIR CAPACITY $228.14 — $137.44–$343.60 61% above —
Spirometry before and after a bronchodilator CPT 94060 MEASUREMENT AND GRAPHIC RECORDING OF THE AMOUNT AND SPEED OF BREATHED AIR, BEFORE AND FOLLOWING MEDICATION ADMINISTRATION $432.46 — $226.60–$690.40 37% above —
TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 TRANSCRANIAL MAGNETIC STIMULATION TREATMENT (STIMULATES NERVE CELLS IN BRAIN TO IMPROVE SYMPTOMS OF DEPRESSION), INITIAL DELIVERY AND MANAGEMENT $432.46 — $276.16–$9,351.31 221% above —
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY $184.26 $239.00 $112.39–$280.98 79% above 23%
Visual field test, extended CPT 92083 MEASUREMENT OF FIELD OF VISION DURING DAYLIGHT CONDITIONS, EXTENDED EXAMINATION $184.26 — $112.39–$280.98 318% above —

Vaccines

ProcedureCash price List priceInsurers payvs LouisianaOff list
Rabies vaccine, one dose CPT 90675 RABIES VIRUS VACCINE, HDC (IMOVAX) INJECTION 1 ML $547.11 $911.00 $299.88–$1,654.22 37% below 40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HEPATITIS B VACCINE (ENGERIX-B) 10 MCG/0.5ML INJECTION 0.5 ML $101.31 $59.42 $20.60–$747.54 152% above -70%

Dental

ProcedureCash price List priceInsurers payvs LouisianaOff list
Removal of an impacted tooth fully covered by bone, often a wisdom tooth CDT D7240 REMOVAL OF IMPACTED TOOTH - COMPLETELY BONY $2,266.59 — $774.67–$2,107.10 283% above —
Simple extraction of a tooth or exposed root that is above the gum CDT D7140 EXTRACTION, ERUPTED TOOTH OR EXPOSED ROOT (ELEVATION AND/OR FORCEPS REMOVAL) $2,266.59 — $774.67–$2,107.10 287% above —

Source file: https://clshospital.com/264732898_central-louisiana-surgical-hospital_standardcharges/