Morehouse General Hospital
Morehouse General Hospital in Bastrop, LA publishes cash prices for 216 common procedures listed here, from its own machine-readable price file updated Mar 31, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Louisiana median for 175 of 214 procedures and below it for 39. By typical cash price it ranks #33 of 40 Louisiana hospitals and #6 of 6 hospitals in the Monroe, LA area, cheapest first. Click a procedure to compare it with other hospitals nearby.
323 W. Walnut Avenue Bastrop, LA 71220 Collected Sep 29, 2026 Source price file (318) 283-3600
Acute care hospital Emergency department CMS star rating 2 of 5 CCN 190116 · CMS hospital register NPI 1003898313
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 Morehouse General Hospital in Bastrop, LA:
- Jul 8, 2022 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
| Procedure | Cash price | List price | Insurers pay | vs Louisiana | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 ANKLE 3 VIEWS | $264.00 | $330.00 | $36.06–$264.00 | 100% above | 20% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HT ABI 1-2 LEVELS | $264.00 | $330.00 | $89.89–$264.00 | 25% above | 20% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE SCAN BODY | $1,131.20 | $1,414.00 | $292.25–$1,131.20 | 65% above | 20% |
| Breast ultrasound, complete, one breast CPT 76641 US BREAST COMPLETE | $342.40 | $428.00 | $86.80–$342.40 | 93% above | 20% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 US BREAST LIMITED UN | $342.40 | $428.00 | $67.35–$342.40 | 92% above | 20% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST FOR PE | $1,699.20 | $2,124.00 | $151.49–$1,699.20 | 52% above | 20% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST W/WO | $1,699.20 | $2,124.00 | $151.49–$1,699.20 | 52% above | 20% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CALCIUM SCORE WO | $116.00 | $145.00 | $54.04–$116.00 | 29% above | 20% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD + PELV WO | $2,412.80 | $3,016.00 | $135.13–$2,412.80 | 62% above | 20% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT AB + PELV W | $2,632.00 | $3,290.00 | $287.35–$2,632.00 | 48% above | 20% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD + PELV WO/W | $2,851.20 | $3,564.00 | $317.08–$2,851.20 | 59% above | 20% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ENTEROGRAPHY | $2,851.20 | $3,564.00 | $317.08–$2,851.20 | 59% above | 20% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN (W) | $1,699.20 | $2,124.00 | $151.49–$1,699.20 | 75% above | 20% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO | $1,316.00 | $1,645.00 | $90.64–$1,316.00 | 62% above | 20% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL BONES WO | $1,316.00 | $1,645.00 | $90.64–$1,316.00 | 98% above | 20% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUSES WO | $1,316.00 | $1,645.00 | $90.64–$1,316.00 | 98% above | 20% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO | $1,200.00 | $1,500.00 | $87.65–$1,200.00 | 75% above | 20% |
| CT scan of the head with contrast CPT 70460 CT HEAD W | $1,699.20 | $2,124.00 | $125.70–$1,699.20 | 113% above | 20% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD (WO&W) | $1,699.20 | $2,124.00 | $150.35–$1,699.20 | 75% above | 20% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMB SPINE WO | $1,316.00 | $1,645.00 | $90.64–$1,316.00 | 63% above | 20% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERV SPINE WO | $1,316.00 | $1,645.00 | $90.64–$1,316.00 | 64% above | 20% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS (W) | $1,699.20 | $2,124.00 | $151.49–$1,699.20 | 96% above | 20% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US CAROTID BI | $1,371.20 | $1,714.00 | $194.02–$1,371.20 | — | 20% |
| Chest X-ray, 2 views CPT 71046 CHEST PA & LAT | $220.00 | $275.00 | $29.73–$220.00 | 55% above | 20% |
| Chest X-ray, single view CPT 71045 CHEST 1VIEW | $200.00 | $250.00 | $22.11–$200.00 | 63% above | 20% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERIT COMP | $260.00 | $325.00 | $90.64–$260.00 | 12% below | 20% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY RTN | $229.60 | $287.00 | $37.76–$229.60 | 16% above | 20% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX WO | $1,316.00 | $1,645.00 | $90.64–$1,316.00 | 70% above | 20% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX (W) | $1,699.20 | $2,124.00 | $148.23–$1,699.20 | 72% above | 20% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO BILAT DIAG DIG | $342.40 | $428.00 | $142.32–$342.40 | — | 20% |
| Diagnostic mammogram, one breast CPT 77065 MAMMO UNIL DIAG DIG | $228.80 | $286.00 | $106.59–$228.80 | 81% above | 20% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 US ART LOWER EXT BIL | $800.00 | $1,000.00 | $202.03–$800.00 | 76% above | 20% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US VEN UPPER EXT BIL | $800.00 | $1,000.00 | $196.56–$800.00 | 91% above | 20% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US VEN LOWER EXT BIL | $800.00 | $1,000.00 | $196.56–$800.00 | 91% above | 20% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO COMPLETE | $1,805.60 | $2,257.00 | $164.01–$1,805.60 | 122% above | 20% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HIDA W/O | $770.40 | $963.00 | $333.40–$770.40 | 32% above | 20% |
| Knee X-ray, 3 views CPT 73562 KNEE 3 VIEWS | $264.00 | $330.00 | $40.72–$264.00 | 67% above | 20% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED | $460.00 | $575.00 | $75.81–$460.00 | 45% above | 20% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US PYLORIC STENOSIS | $460.00 | $575.00 | $75.81–$460.00 | 45% above | 20% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LUNG CANCER SCREE | $1,316.00 | $1,645.00 | $90.64–$1,316.00 | 748% above | 20% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI KNEE WO CONT | $2,412.80 | $3,016.00 | $183.76–$2,412.80 | 123% above | 20% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI HIP WO CONT | $2,412.80 | $3,016.00 | $183.76–$2,412.80 | 123% above | 20% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI FOOT WO CONT | $2,412.80 | $3,016.00 | $183.76–$2,412.80 | 123% above | 20% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI ANKLE WO CONT | $2,412.80 | $3,016.00 | $183.76–$2,412.80 | 123% above | 20% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI JOINT LOWEXT W/O | $2,412.80 | $3,016.00 | $183.76–$2,412.80 | 123% above | 20% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI JOINT LOW EXW/WO | $2,851.20 | $3,564.00 | $317.08–$2,851.20 | 111% above | 20% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI KNEE W&WO CONT | $2,851.20 | $3,564.00 | $317.08–$2,851.20 | 111% above | 20% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN WO CONT | $2,412.80 | $3,016.00 | $168.95–$2,412.80 | 127% above | 20% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/WO | $2,851.20 | $3,564.00 | $311.16–$2,851.20 | 110% above | 20% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO CONT | $2,412.80 | $3,016.00 | $168.11–$2,412.80 | 114% above | 20% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W&WO CONT | $2,851.20 | $3,564.00 | $279.86–$2,851.20 | 97% above | 20% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR WO CONT | $2,412.80 | $3,016.00 | $161.34–$2,412.80 | 91% above | 20% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR W&WO CONT | $2,851.20 | $3,564.00 | $280.71–$2,851.20 | 104% above | 20% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC WO CONT | $2,412.80 | $3,016.00 | $160.50–$2,412.80 | 104% above | 20% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL W&WO | $2,851.20 | $3,564.00 | $281.56–$2,851.20 | 58% above | 20% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL WO CONT | $2,412.80 | $3,016.00 | $160.92–$2,412.80 | 101% above | 20% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W&WO | $2,851.20 | $3,564.00 | $309.46–$2,851.20 | 117% above | 20% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONT | $2,412.80 | $3,016.00 | $202.03–$2,412.80 | 128% above | 20% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UPPER EXT W/O | $2,412.80 | $3,016.00 | $184.18–$2,412.80 | 123% above | 20% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI SHOULDER WO CONT | $2,412.80 | $3,016.00 | $184.18–$2,412.80 | 123% above | 20% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM CARDIO STRESS MS | $2,560.00 | $3,200.00 | $455.98–$2,560.00 | 81% above | 20% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US BLADDER | $576.00 | $720.00 | $33.52–$576.00 | 167% above | 20% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC NON-OB COM | $576.00 | $720.00 | $90.64–$576.00 | 67% above | 20% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US MALE PELVIS NONSC | $576.00 | $720.00 | $90.64–$576.00 | 67% above | 20% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US TRANSABDO>=14 WKS | $452.00 | $565.00 | $90.64–$452.00 | 52% above | 20% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG TRANSAB >/=1 | $576.00 | $720.00 | $90.64–$576.00 | 94% above | 20% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US TRANABD <14WK 1ST | $228.80 | $286.00 | $90.18–$228.80 | 16% below | 20% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG TRANSAB <14 | $512.00 | $640.00 | $90.18–$512.00 | 88% above | 20% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB TRANS ABD <14 | $576.00 | $720.00 | $90.18–$576.00 | 112% above | 20% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREG UTERUS LIMTD | $452.00 | $565.00 | $64.39–$452.00 | 154% above | 20% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US FETAL-LIMITED | $576.00 | $720.00 | $64.39–$576.00 | 224% above | 20% |
| Screening mammogram, both breasts CPT 77067 MAMMO BIL SCR W/CAD | $314.40 | $393.00 | $117.25–$314.40 | 142% above | 20% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 SHOULDER 2 VW | $252.00 | $315.00 | $33.10–$252.00 | 45% above | 20% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSONOGRAM COMPLT | $1,224.00 | $1,530.00 | $570.23–$1,224.00 | 9% below | 20% |
| Transvaginal pelvic ultrasound CPT 76830 US VAG PROBE NON OB | $576.00 | $720.00 | $90.64–$576.00 | 131% above | 20% |
| Transvaginal ultrasound during pregnancy CPT 76817 US VAG PROBE/PLVS OB | $228.80 | $286.00 | $72.85–$228.80 | 10% above | 20% |
| Transvaginal ultrasound during pregnancy CPT 76817 US TRANSVAGINAL | $452.00 | $565.00 | $72.85–$452.00 | 117% above | 20% |
| Ultrasound of the abdomen, complete CPT 76700 US ABD ASCITES | $260.00 | $325.00 | $90.64–$260.00 | 26% below | 20% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $260.00 | $325.00 | $90.64–$260.00 | 26% below | 20% |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM | $576.00 | $720.00 | $89.33–$576.00 | 128% above | 20% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE HD/NK | $342.40 | $428.00 | $90.64–$342.40 | 17% above | 20% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US VEN UPPER EXT UNI | $548.80 | $686.00 | $90.64–$548.80 | 63% above | 20% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US VEN LOWER EXT UNI | $548.80 | $686.00 | $90.64–$548.80 | 63% above | 20% |
| Wrist X-ray, complete, 3 or more views CPT 73110 WRIST 3+ VWS | $252.00 | $315.00 | $41.98–$252.00 | 92% above | 20% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HIP UNI W/PEL 2-3 VW | $252.00 | $315.00 | $47.05–$252.00 | 77% above | 20% |
| X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1 VW | $168.00 | $210.00 | $27.61–$168.00 | 39% above | 20% |
| X-ray of the ankle, 2 views CPT 73600 ANKLE 2 VIEWS | $240.00 | $300.00 | $31.41–$240.00 | 117% above | 20% |
| X-ray of the finger(s), 2 or more views CPT 73140 FINGER 2+VWS | $264.00 | $330.00 | $40.30–$264.00 | 157% above | 20% |
| X-ray of the foot, 2 views CPT 73620 FOOT 2 VIEWS | $210.40 | $263.00 | $27.19–$210.40 | 93% above | 20% |
| X-ray of the foot, complete, 3 or more views CPT 73630 FOOT 3 VIEW | $252.00 | $315.00 | $33.52–$252.00 | 103% above | 20% |
| X-ray of the hand, 3 or more views CPT 73130 HAND 3+ VWS | $300.00 | $375.00 | $36.90–$300.00 | 137% above | 20% |
| X-ray of the knee, 1 or 2 views CPT 73560 KNEE/PATELLA 1-2 VWS | $240.00 | $300.00 | $33.52–$240.00 | 108% above | 20% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 L-SPINE 2 OR 3 VWS | $264.00 | $330.00 | $37.32–$264.00 | 54% above | 20% |
| X-ray of the lower back, 4 or more views CPT 72110 LUMBAR W/OBL 4+ VWS | $294.40 | $368.00 | $50.43–$294.40 | 22% above | 20% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE 2VWS | $210.40 | $263.00 | $29.73–$210.40 | 14% above | 20% |
| X-ray of the nasal bones, 3 or more views CPT 70160 NOSE 3+VWS | $264.00 | $330.00 | $37.76–$264.00 | 106% above | 20% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 C-SPINE 2 OR 3 VWS | $264.00 | $330.00 | $36.90–$264.00 | 68% above | 20% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS-P | $264.00 | $330.00 | $25.07–$264.00 | 56% above | 20% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1-2 VWS | $264.00 | $330.00 | $25.07–$264.00 | 56% above | 20% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM COCCYX MIN 2 | $396.00 | $495.00 | $30.99–$396.00 | 127% above | 20% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Louisiana | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT | $23.20 | $29.00 | $3.98–$23.20 | 14% below | 20% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT | $22.40 | $28.00 | $3.89–$22.40 | 21% below | 20% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANE | $213.60 | $267.00 | $35.72–$213.60 | 32% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROF IGE EA | $6.96 | $8.70 | $3.24–$6.96 | 44% below | 20% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP CYCLIC CITRULLIN | $49.60 | $62.00 | $9.71–$49.60 | 4% above | 20% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA | $53.60 | $67.00 | $9.07–$53.60 | 4% above | 20% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BRAIN NATRIURETIC PE | $228.80 | $286.00 | $29.45–$228.80 | 157% above | 20% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOL PANEL | $31.90 | $39.87 | $6.35–$31.90 | 46% below | 20% |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE | $48.00 | $60.00 | $7.74–$48.00 | 17% below | 20% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 MISC COLL PROC FEE | $20.00 | $25.00 | $6.62–$20.00 | 119% above | 20% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 TELE VENIPUNCTURE | $20.00 | $25.00 | $6.62–$20.00 | 119% above | 20% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE ICU | $20.00 | $25.00 | $6.62–$20.00 | 119% above | 20% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE MEDSURG | $20.00 | $25.00 | $6.62–$20.00 | 119% above | 20% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCT NBN NURS | $20.00 | $25.00 | $6.62–$20.00 | 119% above | 20% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 OB VENIPUNCTURE | $20.00 | $25.00 | $6.62–$20.00 | 119% above | 20% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLL FEE MATERNITY21 | $20.00 | $25.00 | $6.62–$20.00 | 119% above | 20% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 IL28-B COLLECTION FE | $20.00 | $25.00 | $6.62–$20.00 | 119% above | 20% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $20.00 | $25.00 | $6.62–$20.00 | 119% above | 20% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE ER | $22.40 | $28.00 | $6.62–$22.40 | 145% above | 20% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ATON HLTH COLLECTION | $40.00 | $50.00 | $6.62–$40.00 | 337% above | 20% |
| Blood glucose (sugar) test CPT 82947 BLOOD SUGAR | $16.80 | $21.00 | $2.95–$16.80 | at median | 20% |
| Blood glucose (sugar) test CPT 82947 POST P SUGAR | $30.40 | $38.00 | $2.95–$30.40 | 80% above | 20% |
| Blood lead test CPT 83655 LEAD | $53.60 | $67.00 | $9.08–$53.60 | 32% above | 20% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PED HCG B SUBUNIT | $28.80 | $36.00 | $5.64–$28.80 | 36% below | 20% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD GROUP, A,B,O | $108.00 | $135.00 | $2.99–$108.00 | 101% above | 20% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-R-P | $23.20 | $29.00 | $3.89–$23.20 | 29% below | 20% |
| C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM DIFFICIL | $148.80 | $186.00 | $27.95–$148.80 | 69% above | 20% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 | $94.40 | $118.00 | $15.61–$94.40 | 42% above | 20% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 | $100.80 | $126.00 | $15.61–$100.80 | 42% above | 20% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 TESTING | $120.00 | $150.00 | $38.48–$120.00 | 54% above | 20% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 RAPID COVID 19 TEST | $132.00 | $165.00 | $38.48–$132.00 | 69% above | 20% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACH AMP | $57.44 | $71.80 | $26.32–$57.44 | 2% below | 20% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA DNA,PCR,UR | $66.40 | $83.00 | $26.32–$66.40 | 13% above | 20% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $53.60 | $67.00 | $10.04–$53.60 | 22% below | 20% |
| Complete blood count (CBC) with differential CPT 85025 CBC | $86.40 | $108.00 | $5.83–$86.40 | 118% above | 20% |
| Complete blood count (CBC), no differential CPT 85027 CBC, AUTOMATED | $24.67 | $30.84 | $4.85–$24.67 | 37% below | 20% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METAB PANEL | $120.80 | $151.00 | $7.92–$120.80 | 8% above | 20% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANTATIVE | $50.40 | $63.00 | $7.64–$50.40 | 31% below | 20% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-SULFATE | $100.00 | $125.00 | $16.67–$100.00 | 36% above | 20% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEAS PEDIATRIC | $103.20 | $129.00 | $16.67–$103.20 | 40% above | 20% |
| Estradiol blood test CPT 82670 ESTRADIOL (E-2) | $125.60 | $157.00 | $20.96–$125.60 | 44% above | 20% |
| Estradiol blood test CPT 82670 ESTRADIOL PEDIATRIC | $156.80 | $196.00 | $20.96–$156.80 | 80% above | 20% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH PEDIATRIC | $66.40 | $83.00 | $13.94–$66.40 | 5% above | 20% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $96.00 | $120.00 | $13.94–$96.00 | 52% above | 20% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN, FECAL | $178.40 | $223.00 | $14.72–$178.40 | 22% above | 20% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $60.80 | $76.00 | $10.22–$60.80 | 8% above | 20% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID | $66.40 | $83.00 | $11.03–$66.40 | 34% above | 20% |
| Free T3 thyroid hormone test CPT 84481 T3 FREE | $106.40 | $133.00 | $12.71–$106.40 | 85% above | 20% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4,FREE | $44.80 | $56.00 | $6.77–$44.80 | 18% below | 20% |
| Free testosterone test CPT 84402 TESTOSTERONE, FREE | $114.40 | $143.00 | $19.10–$114.40 | 49% above | 20% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GTT 1 HR | $21.60 | $27.00 | $3.56–$21.60 | 1% above | 20% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOL 3 HRS | $58.40 | $73.00 | $9.65–$58.40 | 20% above | 20% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GONORRHOEAE NEI AMP | $98.78 | $123.48 | $26.32–$98.78 | 71% above | 20% |
| H. pylori antibody blood test CPT 86677 HELIBACT PYL ANT-IGG | $84.00 | $105.00 | $12.64–$84.00 | 11% above | 20% |
| H. pylori antibody blood test CPT 86677 HELIBACT PYL ANT-IGA | $95.20 | $119.00 | $12.64–$95.20 | 26% above | 20% |
| H. pylori antibody blood test CPT 86677 HELIBACT PYL ANT-IGM | $105.60 | $132.00 | $12.64–$105.60 | 39% above | 20% |
| H. pylori stool antigen test CPT 87338 HELIBACT PYL STL AGN | $144.80 | $181.00 | $10.79–$144.80 | 120% above | 20% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV1 RNA PCR VIRAL | $324.00 | $405.00 | $63.83–$324.00 | 65% above | 20% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV STAT | $60.80 | $76.00 | $10.28–$60.80 | 16% above | 20% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1 ANTIGEN W/HIV1 | $85.68 | $107.10 | $18.06–$85.68 | 56% above | 20% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HUMAN PAPILLOMA VIRU | $157.60 | $197.00 | $26.32–$157.60 | 205% above | 20% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C | $44.00 | $55.00 | $7.28–$44.00 | 11% below | 20% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP, BS AB, DIAG | $48.00 | $60.00 | $8.06–$48.00 | 21% above | 20% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SUR ANTIBIO OB | $48.00 | $60.00 | $8.06–$48.00 | 21% above | 20% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURF ANTIG OB | $47.20 | $59.00 | $7.75–$47.20 | 13% above | 20% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP, BS ANTIGN SCREE | $47.20 | $59.00 | $7.75–$47.20 | 13% above | 20% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY | $88.80 | $111.00 | $10.70–$88.80 | 52% above | 20% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA PCR QUANTIFI | $300.00 | $375.00 | $32.13–$300.00 | 81% above | 20% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 SPECIFIC IGG | $59.20 | $74.00 | $9.89–$59.20 | 41% above | 20% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV-2 IGG | $44.57 | $55.71 | $14.51–$44.57 | 6% below | 20% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HIGH SENSITIVITY CRP | $49.60 | $62.00 | $9.71–$49.60 | 12% above | 20% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP, CARDIAC | $92.00 | $115.00 | $9.71–$92.00 | 107% above | 20% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE, SERUM | $87.20 | $109.00 | $13.44–$87.20 | 38% above | 20% |
| Insulin blood test CPT 83525 INSULIN SERUM | $43.60 | $54.50 | $8.57–$43.60 | 12% above | 20% |
| Iron blood test (serum iron) CPT 83540 IRON SERUM | $34.40 | $43.00 | $4.85–$34.40 | 1% above | 20% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAP | $39.20 | $49.00 | $6.56–$39.20 | 8% below | 20% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $49.60 | $62.00 | $6.51–$49.60 | 26% below | 20% |
| LH (luteinizing hormone) test CPT 83002 LH PEDIATRIC | $73.60 | $92.00 | $13.89–$73.60 | 19% above | 20% |
| LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE | $83.20 | $104.00 | $13.89–$83.20 | 34% above | 20% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $31.20 | $39.00 | $5.17–$31.20 | 23% below | 20% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PAN | $36.80 | $46.00 | $6.13–$36.80 | 49% below | 20% |
| Lyme disease antibody test CPT 86618 LYME (B. BURGDORFERI | $76.00 | $95.00 | $12.77–$76.00 | 28% above | 20% |
| Magnesium blood test CPT 83735 MAGNESIUM SERUM | $30.40 | $38.00 | $5.03–$30.40 | 3% above | 20% |
| Magnesium blood test CPT 83735 MAGNESIUM, RBC | $72.80 | $91.00 | $5.03–$72.80 | 147% above | 20% |
| Magnesium blood test CPT 83735 MAGNESIUM, URINE | $86.40 | $108.00 | $5.03–$86.40 | 193% above | 20% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGM | $49.09 | $61.36 | $9.66–$49.09 | 27% above | 20% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG, IMMUNIT | $60.80 | $76.00 | $9.66–$60.80 | 57% above | 20% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONOSPOT | $25.60 | $32.00 | $3.89–$25.60 | 27% below | 20% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE DX | $144.80 | $181.00 | $13.79–$144.80 | 133% above | 20% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL DX | $124.00 | $155.00 | $13.79–$124.00 | 100% above | 20% |
| Pap test (liquid-based, automated screening with review) CPT 88175 PAP SMEAR | $96.00 | $120.00 | $19.96–$96.00 | 97% above | 20% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE- | $184.80 | $231.00 | $30.96–$184.80 | 52% above | 20% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $27.20 | $34.00 | $4.51–$27.20 | 7% below | 20% |
| Progesterone blood test CPT 84144 PROGESTERONE | $94.40 | $118.00 | $15.65–$94.40 | 34% above | 20% |
| Prolactin blood test CPT 84146 PEDIATRIC PROLACTIN | $73.01 | $91.26 | $14.54–$73.01 | 1% below | 20% |
| Prolactin blood test CPT 84146 PROLACTIN SERUM | $87.20 | $109.00 | $14.54–$87.20 | 19% above | 20% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN | $16.80 | $21.00 | $3.22–$16.80 | 22% below | 20% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A SCREEN | $53.60 | $67.00 | $12.40–$53.60 | 83% above | 20% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID AGG | $24.80 | $31.00 | $4.25–$24.80 | 8% below | 20% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA, IGG IMMUNIT | $64.00 | $80.00 | $10.79–$64.00 | 47% above | 20% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM | $156.80 | $196.00 | $10.79–$156.80 | 260% above | 20% |
| Stool ova and parasites exam CPT 87177 O&P FECES EXAM | $40.00 | $50.00 | $6.68–$40.00 | 8% above | 20% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES | $14.40 | $18.00 | $3.29–$14.40 | 13% below | 20% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR | $19.20 | $24.00 | $3.20–$19.20 | 2% below | 20% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL, CSF | $22.40 | $28.00 | $3.20–$22.40 | 14% above | 20% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL | $24.80 | $31.00 | $3.20–$24.80 | 26% above | 20% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD | $272.00 | $340.00 | $46.49–$272.00 | 64% above | 20% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE (PEDS) | $59.45 | $74.31 | $19.36–$59.45 | 22% below | 20% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE WOMEN C | $66.40 | $83.00 | $19.36–$66.40 | 13% below | 20% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL | $115.20 | $144.00 | $19.36–$115.20 | 50% above | 20% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE/WOMEN/C | $324.80 | $406.00 | $19.36–$324.80 | 323% above | 20% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 PEDI THYROGLOBULIN | $55.58 | $69.48 | $10.91–$55.58 | 13% above | 20% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 ANTITHYROID PEROXIDA | $77.60 | $97.00 | $10.91–$77.60 | 58% above | 20% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER KIDNEY MICRO A | $79.20 | $99.00 | $10.91–$79.20 | 61% above | 20% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $75.20 | $94.00 | $12.60–$75.20 | 42% above | 20% |
| Trichomonas test (NAAT) CPT 87661 TRICH VAG BY NAA | $96.00 | $120.00 | $26.32–$96.00 | 57% above | 20% |
| Uric acid blood test CPT 84550 URIC ACID, SERUM | $20.00 | $25.00 | $3.39–$20.00 | 22% below | 20% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS | $19.20 | $24.00 | $2.38–$19.20 | 45% below | 20% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS W/O MICRO | $11.20 | $14.00 | $1.69–$11.20 | 1% above | 20% |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE | $36.80 | $46.00 | $6.05–$36.80 | 21% below | 20% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST | $34.40 | $43.00 | $6.46–$34.40 | 7% above | 20% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $67.20 | $84.00 | $11.31–$67.20 | 11% above | 20% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VIT D25(OH)PEDIATRIC | $92.14 | $115.17 | $22.20–$92.14 | 8% below | 20% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D, 25 HYDROX | $172.80 | $216.00 | $22.20–$172.80 | 73% above | 20% |
| Zinc blood test CPT 84630 ZINC,PLASMA/SERUM | $31.30 | $39.13 | $8.54–$31.30 | 24% below | 20% |
| Zinc blood test CPT 84630 ZINC LEVEL | $75.30 | $94.13 | $8.54–$75.30 | 83% above | 20% |
| Zinc blood test CPT 84630 ZINC,RBC | $111.00 | $138.75 | $8.54–$111.00 | 169% above | 20% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANTITATIVE SER | $56.68 | $70.85 | $11.29–$56.68 | 9% below | 20% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG,QT (LAB CORP) | $57.51 | $71.89 | $11.29–$57.51 | 8% below | 20% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG-B, TUMOR MARKER | $116.80 | $146.00 | $11.29–$116.80 | 88% above | 20% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Louisiana | Off list |
|---|---|---|---|---|---|
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION | $2,444.00 | $3,055.00 | $134.97–$2,444.00 | 144% above | 20% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US GUIDE BREAST BX 1 | $3,095.20 | $3,869.00 | $214.35–$3,095.20 | 171% above | 20% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ 20 SQCM/< | $701.98 | $877.47 | $84.25–$701.98 | 85% above | 20% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Louisiana | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 ER BLOOD TRANSFUSION | $827.20 | $1,034.00 | $54.09–$827.20 | 74% above | 20% |
| Blood transfusion (giving blood or blood components) CPT 36430 MEDSURG BLOOD TRANSF | $827.20 | $1,034.00 | $54.09–$827.20 | 74% above | 20% |
| Blood transfusion (giving blood or blood components) CPT 36430 TELE BLOOD TRANSFUS | $827.20 | $1,034.00 | $54.09–$827.20 | 74% above | 20% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION | $827.20 | $1,034.00 | $54.09–$827.20 | 74% above | 20% |
| Blood transfusion (giving blood or blood components) CPT 36430 OB BLOOD TRANSFUSION | $827.20 | $1,034.00 | $54.09–$827.20 | 74% above | 20% |
| Blood transfusion (giving blood or blood components) CPT 36430 OSS BLOOD TRANSFUS | $827.20 | $1,034.00 | $54.09–$827.20 | 74% above | 20% |
| Blood transfusion (giving blood or blood components) CPT 36430 ICU BLOOD TRANSFUS | $827.20 | $1,034.00 | $54.09–$827.20 | 74% above | 20% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB TX SUBSEQUENT | $328.00 | $410.00 | $10.27–$328.00 | 195% above | 20% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB TX INITIAL | $328.00 | $410.00 | $10.27–$328.00 | 195% above | 20% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT MTRD DOSE TX INIT | $328.00 | $410.00 | $10.27–$328.00 | 195% above | 20% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER INITIAL TX | $508.00 | $635.00 | $10.27–$508.00 | 356% above | 20% |
| Chemotherapy IV infusion, first hour CPT 96413 IV INFUSION ENTYVIO | $420.80 | $526.00 | $166.63–$420.80 | 16% above | 20% |
| Critical care, first 30 to 74 minutes CPT 99291 CRIT CARE 30-74 MIN | $1,511.20 | $1,889.00 | $600.00–$1,511.20 | 118% above | 20% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE/DROWSEY | $612.00 | $765.00 | $258.79–$612.00 | 66% above | 20% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG | $89.60 | $112.00 | $8.15–$89.60 | 1% below | 20% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER CARE LEVEL 1 | $179.20 | $224.00 | $83.48–$673.20 | 198% above | 20% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER CARE LEVEL 2 | $292.00 | $365.00 | $136.04–$734.85 | 91% above | 20% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER CARE LEVEL 3 | $472.00 | $590.00 | $219.89–$835.24 | 101% above | 20% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER CARE LEVEL 4 | $628.00 | $785.00 | $292.57–$965.18 | 65% above | 20% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER CARE LEVEL 5 | $897.60 | $1,122.00 | $418.17–$1,129.59 | 78% above | 20% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 TREADMILL | $448.80 | $561.00 | $48.02–$448.80 | 28% above | 20% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRA NEW SITE | $177.60 | $222.00 | $42.15–$177.60 | 3% below | 20% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDR INITIAL | $177.60 | $222.00 | $42.15–$177.60 | 3% below | 20% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION INITIAL | $177.60 | $222.00 | $42.15–$177.60 | 3% below | 20% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION NEW SITE | $420.80 | $526.00 | $81.26–$420.80 | 117% above | 20% |
| IV infusion of a medicine, first hour CPT 96365 IV INF THERAPY INT | $420.80 | $526.00 | $81.26–$420.80 | 117% above | 20% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION INITIAL | $420.80 | $526.00 | $81.26–$420.80 | 117% above | 20% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION INIT HR | $420.80 | $526.00 | $81.26–$420.80 | 117% above | 20% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SUBC OR IM | $61.60 | $77.00 | $19.31–$61.60 | 8% above | 20% |
| New patient office visit, about 30 minutes CPT 99203 FAC CHG 99203 NEW PT | $156.00 | $195.00 | $72.68–$156.00 | 96% above | 20% |
| New patient office visit, about 30 minutes CPT 99203 NP VISIT LEVEL 3 | $200.00 | $250.00 | $93.18–$200.00 | 151% above | 20% |
| New patient office visit, about 45 minutes CPT 99204 FAC CHG 99204 NEW PT | $180.00 | $225.00 | $83.86–$186.51 | 48% above | 20% |
| New patient office visit, about 45 minutes CPT 99204 NP VISIT LEVEL 4 | $255.74 | $319.68 | $96.04–$255.74 | 110% above | 20% |
| New patient office visit, about 60 minutes CPT 99205 FAC CHG 99205 NEW PT | $204.00 | $255.00 | $95.04–$253.53 | 29% above | 20% |
| New patient office visit, about 60 minutes CPT 99205 NP VISIT LEVEL 5 | $255.74 | $319.68 | $96.04–$255.74 | 62% above | 20% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 FAC CHG 99202 NEW PT | $134.40 | $168.00 | $62.61–$134.40 | 166% above | 20% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NP VISIT LEVEL 2 | $255.74 | $319.68 | $66.21–$255.74 | 407% above | 20% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 IND MNT INIT EA 15 | $61.60 | $77.00 | $28.70–$61.60 | 104% above | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT SOFT TISS EA 15 | $62.40 | $78.00 | $29.07–$62.40 | 41% above | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL THER EA 30 | $124.80 | $156.00 | $36.95–$124.80 | 183% above | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MANUL THER 30M | $124.80 | $156.00 | $36.95–$124.80 | 183% above | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MANUL THER EA 45M | $187.20 | $234.00 | $36.95–$187.20 | 324% above | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL THER EA 45 | $187.20 | $234.00 | $36.95–$187.20 | 324% above | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THER EXER EA 15M | $95.20 | $119.00 | $40.02–$95.20 | 76% above | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THER EX EA 30M | $124.80 | $156.00 | $40.02–$124.80 | 130% above | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THER EX EA 45M | $187.20 | $234.00 | $40.02–$187.20 | 246% above | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THER EXER EA 30M | $190.40 | $238.00 | $40.02–$190.40 | 252% above | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THER EXER EA 45 | $285.60 | $357.00 | $40.02–$285.60 | 427% above | 20% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESSA <10 MI | $32.00 | $40.00 | $14.91–$32.00 | 11% above | 20% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 FAC CHG 99215 EST PT | $203.20 | $254.00 | $94.67–$203.20 | 53% above | 20% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 EP VISIT LEVEL 5 | $255.74 | $319.68 | $96.04–$255.74 | 92% above | 20% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OSS EST PAT LEVEL 5 | $288.00 | $360.00 | $134.17–$288.00 | 116% above | 20% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OB LEVEL OF CARE 5 | $288.00 | $360.00 | $134.17–$288.00 | 116% above | 20% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 FAC CHG 99213 EST PT | $104.80 | $131.00 | $48.82–$104.80 | 94% above | 20% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OB LEVEL OF CARE 3 | $175.20 | $219.00 | $81.62–$175.20 | 224% above | 20% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OSS EST PAT LEVEL 3 | $175.20 | $219.00 | $81.62–$175.20 | 224% above | 20% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 EP VISIT LEVEL 3 | $255.74 | $319.68 | $91.94–$255.74 | 373% above | 20% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 FAC CHG 99214 EST PT | $155.20 | $194.00 | $72.30–$155.20 | 62% above | 20% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OSS EST PAT LEVEL 4 | $223.20 | $279.00 | $103.98–$223.20 | 133% above | 20% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OB LEVEL OF CARE 4 | $223.20 | $279.00 | $103.98–$223.20 | 133% above | 20% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EP VISIT LEVEL 4 | $255.74 | $319.68 | $96.04–$255.74 | 167% above | 20% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 FAC CHG 99212 EST PT | $62.40 | $78.00 | $29.07–$96.04 | 53% above | 20% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OB LEVEL OF CARE 2 | $168.00 | $210.00 | $49.36–$168.00 | 312% above | 20% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OSS EST PAT LEVEL 2 | $168.00 | $210.00 | $49.36–$168.00 | 312% above | 20% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EP VISIT LEVEL 2 | $255.74 | $319.68 | $49.36–$255.74 | 527% above | 20% |
| Spirometry (breathing test) CPT 94010 PF WITHOUT BD | $240.00 | $300.00 | $24.65–$240.00 | 52% above | 20% |
| Spirometry (breathing test) CPT 94010 PF W/LUNG VOL W/O BD | $314.40 | $393.00 | $24.65–$314.40 | 99% above | 20% |
| Spirometry before and after a bronchodilator CPT 94060 PF WITH BD | $448.80 | $561.00 | $36.90–$448.80 | 43% above | 20% |
| Spirometry before and after a bronchodilator CPT 94060 PF W/LUNG VOL W/ BD | $448.80 | $561.00 | $36.90–$448.80 | 43% above | 20% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT JOBST MEAS EA 15 | $62.40 | $78.00 | $29.07–$62.40 | 26% above | 20% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT THER ACT EA 15 M | $62.40 | $78.00 | $29.07–$62.40 | 26% above | 20% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT THER ACT EA 15M | $89.60 | $112.00 | $41.74–$89.60 | 80% above | 20% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT THER ACT EA 30M | $124.80 | $156.00 | $49.27–$124.80 | 151% above | 20% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT THER ACT EA 30M | $179.20 | $224.00 | $49.27–$179.20 | 261% above | 20% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT THER ACT EA 45M | $187.20 | $234.00 | $49.27–$187.20 | 277% above | 20% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT THER ACT EA 45M | $268.80 | $336.00 | $49.27–$268.80 | 441% above | 20% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Louisiana | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 MODERNA COVID 50MCQ | $272.80 | $341.00 | $127.09–$272.80 | 407% above | 20% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 PFIZER COVID 30MCG | $272.80 | $341.00 | $127.09–$272.80 | 404% above | 20% |
| Hepatitis A vaccine, adult dose CPT 90632 HAVRIX 1440 EL.U./1M | $241.00 | $301.25 | $112.28–$241.00 | 312% above | 20% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX-B 20MCG VL | $227.04 | $283.80 | $105.77–$227.04 | 335% above | 20% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE HI DOSE >65 | $245.36 | $306.70 | $69.94–$245.36 | 337% above | 20% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR-20 | $1,512.96 | $1,891.20 | $704.85–$1,512.96 | 741% above | 20% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VACCINE | $676.60 | $845.75 | $315.21–$676.60 | 505% above | 20% |
| Rabies vaccine, one dose CPT 90675 RABAVERT RABIES VACC | $945.76 | $1,182.20 | $350.14–$945.76 | 9% above | 20% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS/DIPHTHERIA T | $129.24 | $161.55 | $60.21–$129.24 | 208% above | 20% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP (ADACEL) | $138.24 | $172.80 | $64.40–$138.24 | 144% above | 20% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX (TDAP) | $153.92 | $192.40 | $71.71–$153.92 | 172% above | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 PNUEM ADMINISTRATION | $58.40 | $73.00 | $27.21–$58.40 | 34% above | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 FLU ADMINISTRATION | $58.40 | $73.00 | $27.21–$58.40 | 34% above | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 FLU VACCINE ADM FEE | $58.40 | $73.00 | $27.21–$58.40 | 34% above | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HEP B ADMINISTRATION | $58.40 | $73.00 | $27.21–$58.40 | 34% above | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 PNEUMONIA ADM | $59.20 | $74.00 | $27.36–$59.20 | 36% above | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 PNEUM ADMINISTRATION | $59.20 | $74.00 | $27.36–$59.20 | 36% above | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN 1ST | $128.00 | $160.00 | $27.36–$128.00 | 193% above | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VAC/TOXOID ADM 1ST | $128.00 | $160.00 | $27.36–$128.00 | 193% above | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VAC ADMIN 1ST | $128.00 | $160.00 | $27.36–$128.00 | 193% above | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VAC ADMIN 1ST (HEP B | $128.00 | $160.00 | $27.36–$128.00 | 193% above | 20% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VAC/TOXOID ADM EA AD | $58.40 | $73.00 | $19.62–$58.40 | 109% above | 20% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VAC ADMIN EA ADDL | $58.40 | $73.00 | $19.62–$58.40 | 109% above | 20% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VAC ADMIN EACH ADDL | $58.40 | $73.00 | $19.62–$58.40 | 109% above | 20% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VACCINE ADMIN EA ADD | $58.40 | $73.00 | $19.62–$58.40 | 109% above | 20% |