Hospital Monroe, LA

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

ProcedureCash price List priceInsurers payvs LouisianaOff 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

ProcedureCash price List priceInsurers payvs LouisianaOff 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

ProcedureCash price List priceInsurers payvs LouisianaOff 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

ProcedureCash price List priceInsurers payvs LouisianaOff 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

ProcedureCash price List priceInsurers payvs LouisianaOff 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%

Source file: https://morehousegeneralhospital.pg.quadax.revenuemasters.com/cdm-files/726011528_morehouse-general-hospital_standardcharges.csv