Reeves Memorial Medical Center
Reeves Memorial Medical Center in Bernice, LA publishes cash prices for 240 common procedures listed here, from its own machine-readable price file updated Aug 26, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Louisiana median for 123 of 237 procedures and below it for 111. By typical cash price it ranks #20 of 40 Louisiana hospitals and #3 of 6 hospitals in the Monroe, LA area, cheapest first. Click a procedure to compare it with other hospitals nearby.
409 1st Street Bernice, LA 71222 Collected Sep 29, 2026 Source price file (318) 285-9066
Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 191326 · 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 3 actions for a hospital named Reeves Memorial Medical Center in Bernice, LA:
- Nov 25, 2024 Warning notice
- Feb 28, 2025 Corrective action plan requested
- Mar 25, 2025 Case closed
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems.
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 both sides CPT 73610 ANKLE BILATERAL | $287.50 | $575.00 | $29.00–$402.50 | — | 50% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE 3 VIEWS RT | $191.50 | $383.00 | $29.00–$268.10 | 45% above | 50% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE 3 VIEWS LT | $191.50 | $383.00 | $29.00–$268.10 | 45% above | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 PF ANKLE BRACHIAL INDEX | $63.00 | $126.00 | $78.03–$82.99 | 70% below | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ANKLE BRACHIAL INDE | $348.50 | $697.00 | $209.77–$487.90 | 64% above | 50% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 BARIUM SWALLOW | $1,083.00 | $2,166.00 | $129.81–$1,516.20 | 322% above | 50% |
| Bone scan, whole body (nuclear medicine) CPT 78306 BONE IMAGING, WHOLE BODY | $1,599.00 | $3,198.00 | $352.70–$2,238.60 | 134% above | 50% |
| Breast ultrasound, complete, one breast CPT 76641 PF US BREAST COMPLETE | $94.00 | $188.00 | $70.43–$99.19 | 47% below | 50% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST LT COMPLETE | $335.00 | $670.00 | $87.73–$469.00 | 88% above | 50% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST RT COMPLETE | $335.00 | $670.00 | $87.73–$469.00 | 88% above | 50% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 PF US BREAST LIMITED UNILAT | $87.50 | $175.00 | $58.26–$82.68 | 51% below | 50% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST RT LIMITED UNILAT | $275.50 | $551.00 | $87.73–$385.70 | 54% above | 50% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LT LIMITED UNILAT | $275.50 | $551.00 | $87.73–$385.70 | 54% above | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 PF CT ANGIOGRAPHY CHEST | $229.50 | $459.00 | $195.08–$277.44 | 80% below | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST | $1,627.50 | $3,255.00 | $450.00–$2,278.50 | 45% above | 50% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 PF CT ABDOMEN/PELVIS WO CONTRAST | $226.00 | $452.00 | $132.38–$182.95 | 85% below | 50% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN/PELVIS WO CONT | $695.50 | $1,391.00 | $450.00–$973.70 | 53% below | 50% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN/PELVIS WITH CONTRAST | $787.50 | $1,575.00 | $450.00–$1,102.50 | 56% below | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN/PELVIS W/WO | $1,222.00 | $2,444.00 | $450.00–$1,710.80 | 32% below | 50% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CONTRAST | $915.00 | $1,830.00 | $450.00–$1,281.00 | 6% below | 50% |
| CT scan of the abdomen without contrast CPT 74150 PF CT ABDOMEN W/O CONTRAST | $154.50 | $309.00 | $98.27–$135.34 | 81% below | 50% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST | $767.50 | $1,535.00 | $381.19–$1,074.50 | 5% below | 50% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXIOFACIAL W/O CNTRST | $856.50 | $1,713.00 | $234.00–$1,199.10 | 29% above | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/ BRAIN WO CNTRST | $708.00 | $1,416.00 | $219.00–$991.20 | 3% above | 50% |
| CT scan of the head with contrast CPT 70460 CT HEAD/ BRAIN W CNTRST | $728.50 | $1,457.00 | $425.03–$1,019.90 | 9% below | 50% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/WO CNTRS | $800.50 | $1,601.00 | $450.00–$1,120.70 | 17% below | 50% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O CNTRS | $695.50 | $1,391.00 | $381.19–$973.70 | 14% below | 50% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE W/O CNTRS | $695.50 | $1,391.00 | $381.19–$973.70 | 13% below | 50% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS WITH CONTRAST | $810.00 | $1,620.00 | $450.00–$1,134.00 | 7% below | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 PF US EXTRACRANIAL BILAT CAROTID | $105.50 | $211.00 | $179.87–$190.40 | — | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 PF US EXTRACRANIAL BILAT CAROTID | $105.50 | $211.00 | $179.87–$190.40 | — | 50% |
| Chest X-ray, 2 views CPT 71046 PF CHEST 2 VIEWS PA/LAT | $28.50 | $57.00 | $19.95–$32.66 | 80% below | 50% |
| Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS PA/LAT | $170.00 | $340.00 | $64.47–$238.00 | 19% above | 50% |
| Chest X-ray, single view CPT 71045 PF CHEST 1 VIEW | $23.50 | $47.00 | $13.15–$25.28 | 81% below | 50% |
| Chest X-ray, single view CPT 71045 CHEST 1 VIEW | $137.00 | $274.00 | $64.47–$191.80 | 12% above | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 PF US RENAL AND BLADDER | $95.00 | $190.00 | $74.25–$104.60 | 68% below | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL AND BLADDER | $353.00 | $706.00 | $148.43–$494.20 | 19% above | 50% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 PF CT THORAX W/O CONTRAST | $149.50 | $299.00 | $117.09–$131.74 | 81% below | 50% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX W/O CONTRAST | $1,102.50 | $2,205.00 | $381.19–$1,543.50 | 42% above | 50% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 PF CT THORAX W CONTRAST | $161.50 | $323.00 | $148.55–$164.40 | 84% below | 50% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX W CONTRAST | $1,403.50 | $2,807.00 | $450.00–$1,964.90 | 42% above | 50% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 PF DUPLEX LOWER EXT ARTERIES BILATERAL | $104.00 | $208.00 | $225.68–$242.24 | — | 50% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 DUPLEX LOWER EXT ARTERIES BILATERAL | $354.50 | $709.00 | $334.45–$496.30 | — | 50% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 PF DOPPLER VENOUS COMP BILAT | $92.00 | $184.00 | $176.59–$185.00 | — | 50% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 DOPPLER VENOUS COMP BILAT | $564.00 | $1,128.00 | $334.45–$789.60 | — | 50% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHOCARDIOGRAM COMPLETE - GLOBAL CHG | $2,664.00 | $5,328.00 | $949.10–$3,729.60 | 227% above | 50% |
| Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEW RT | $218.00 | $436.00 | $31.00–$305.20 | 38% above | 50% |
| Knee X-ray, 3 views one side CPT 73562 KNEE THREE VIEWS LT | $218.00 | $436.00 | $31.00–$305.20 | 38% above | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 PF US ABD LMTD SINGLE ORGAN | $76.00 | $152.00 | $59.93–$84.14 | 76% below | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABD LMTD SINGLE ORGAN | $284.50 | $569.00 | $140.33–$398.30 | 10% below | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US PANCREAS LIMITED | $284.50 | $569.00 | $140.33–$398.30 | 10% below | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SPLEEN | $284.50 | $569.00 | $140.33–$398.30 | 10% below | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US LIVER | $284.50 | $569.00 | $140.33–$398.30 | 10% below | 50% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 PF CT THORAX LUNG CANCER SCR | $131.50 | $263.00 | $136.16 | 15% below | 50% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LUNG CANCER SCR | $315.00 | $630.00 | $302.40–$450.00 | 103% above | 50% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 PF MRI JNT OF LWR EXTRE W/O DYE RIGHT | $262.50 | $525.00 | $153.70–$200.07 | 76% below | 50% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 PF MRI JNT OF LWR EXTRE W/O DYE LEFT | $262.50 | $525.00 | $153.70–$200.07 | 76% below | 50% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI JNT OF LWR EXTRE W/O DYE LEFT | $2,150.00 | $4,300.00 | $600.00–$3,010.00 | 98% above | 50% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI JNT OF LWR EXTRE W/O DYE RIGHT | $2,150.00 | $4,300.00 | $600.00–$3,010.00 | 98% above | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 PF MRI JOINT LWR EXTR W/O&W/DYE RIGHT | $262.50 | $525.00 | $303.13–$375.45 | 81% below | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 PF MRI JOINT LWR EXTR W/O&W/DYE LEFT | $262.50 | $525.00 | $303.13–$375.45 | 81% below | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI JOINT LWR EXTR W/WO DYE LEFT | $2,400.00 | $4,800.00 | $600.00–$3,360.00 | 77% above | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI JOINT LWR EXTR W/WO DYE RIGHT | $2,400.00 | $4,800.00 | $600.00–$3,360.00 | 77% above | 50% |
| MRI of the abdomen without contrast CPT 74181 PF MRI ABDOMEN W/O CONTRAST | $262.50 | $525.00 | $193.02–$214.18 | 75% below | 50% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST | $2,150.00 | $4,300.00 | $600.00–$3,010.00 | 102% above | 50% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/WO CONTRAST | $2,400.00 | $4,800.00 | $600.00–$3,360.00 | 77% above | 50% |
| MRI of the brain, no contrast dye CPT 70551 PF MRI BRAIN W/O DYE | $262.50 | $525.00 | $150.20–$194.04 | 77% below | 50% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O DYE | $2,150.00 | $4,300.00 | $600.00–$3,010.00 | 90% above | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/WO DYE | $2,400.00 | $4,800.00 | $600.00–$3,360.00 | 66% above | 50% |
| MRI of the lower back, no contrast dye CPT 72148 PF MRI LUMBAR SPINE W/O DYE | $262.50 | $525.00 | $145.82–$189.02 | 79% below | 50% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O DYE | $2,150.00 | $4,300.00 | $600.00–$3,010.00 | 70% above | 50% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W/WO DYE | $2,400.00 | $4,800.00 | $600.00–$3,360.00 | 72% above | 50% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 PF MRI T-SPINE W/O DYE | $262.50 | $525.00 | $146.49–$188.72 | 78% below | 50% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-SPINE W/O DYE | $2,150.00 | $4,300.00 | $600.00–$3,010.00 | 82% above | 50% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI NECK SPINE W/WO DYE | $2,400.00 | $4,800.00 | $600.00–$3,360.00 | 33% above | 50% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 PF MRI NECK SPINE W/O DYE | $262.50 | $525.00 | $146.27–$188.40 | 78% below | 50% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI NECK SPINE W/O DYE | $2,150.00 | $4,300.00 | $600.00–$3,010.00 | 79% above | 50% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/WO DYE | $2,400.00 | $4,800.00 | $600.00–$3,360.00 | 83% above | 50% |
| MRI of the pelvis, no contrast dye CPT 72195 PF MRI PELVIS W/O DYE | $262.50 | $525.00 | $224.05–$240.92 | 75% below | 50% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O DYE | $2,150.00 | $4,300.00 | $600.00–$3,010.00 | 103% above | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 PF MRI JOINT UPR EXTREM W/O DYE RIGHT | $262.50 | $525.00 | $153.92–$200.39 | 76% below | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 PF MRI JOINT UPR EXTREM W/O DYE LEFT | $262.50 | $525.00 | $153.92–$200.39 | 76% below | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI JOINT UPR EXTREM W/O DYE LEFT | $2,150.00 | $4,300.00 | $600.00–$3,010.00 | 99% above | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI JOINT UPR EXTREM W/O DYE RIGHT | $2,150.00 | $4,300.00 | $600.00–$3,010.00 | 99% above | 50% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 PF US LIMITED or Follow Up Pelvis | $64.00 | $128.00 | $32.26–$49.24 | 70% below | 50% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US LIMITED or FOLLOW UP PELVIS | $147.50 | $295.00 | $119.75–$206.50 | 32% below | 50% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 PF US PELVIC COMPLETE | $88.50 | $177.00 | $72.32–$101.53 | 74% below | 50% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE | $343.00 | $686.00 | $140.33–$480.20 | 1% below | 50% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 PF OB US >/=14 WKS SINGLE | $130.50 | $261.00 | $93.91–$130.42 | 56% below | 50% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >/=14 WKS SINGLE | $443.00 | $886.00 | $158.46–$620.20 | 49% above | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 PF US OB <14 WKS SINGLE | $146.00 | $292.00 | $81.80–$113.76 | 46% below | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB <14 WKS SINGLE | $386.00 | $772.00 | $158.46–$540.40 | 42% above | 50% |
| Screening mammogram, both breasts both sides CPT 77067 SCREENING MAMMOGRAPHY BILATERAL | $136.50 | $273.00 | $123.27–$191.10 | — | 50% |
| Screening mammogram, both breasts CPT 77067 PF SCREENING MAMMOGRAPHY | $73.50 | $147.00 | $88.34–$124.08 | 43% below | 50% |
| Screening mammogram, both breasts one side CPT 77067 SCREENING MAMMOGRAPHY LEFT | $68.50 | $137.00 | $65.76–$136.83 | 47% below | 50% |
| Screening mammogram, both breasts one side CPT 77067 SCREENING MAMMOGRAPHY RIGHT | $68.50 | $137.00 | $65.76–$136.83 | 47% below | 50% |
| Shoulder X-ray, complete, 2 or more views both sides CPT 73030 SHOULDER BILATERAL | $209.00 | $418.00 | $31.00–$292.60 | — | 50% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 SHOULDER MIN 2 VIEWS | $176.50 | $353.00 | $31.00–$247.10 | 1% above | 50% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER MIN 2 VIEWS RT | $176.50 | $353.00 | $31.00–$247.10 | 1% above | 50% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 CINE/VID X-RAY, THROAT | $780.00 | $1,560.00 | $129.81–$1,092.00 | 221% above | 50% |
| Transvaginal pelvic ultrasound CPT 76830 PF TRANSVAGINAL ULTRASOUND | $93.00 | $186.00 | $79.90–$113.75 | 63% below | 50% |
| Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINALS US NONOB | $380.50 | $761.00 | $140.33–$532.70 | 53% above | 50% |
| Transvaginal ultrasound during pregnancy CPT 76817 PF TRANSVAG OBS LIMITED | $109.50 | $219.00 | $64.55–$89.52 | 47% below | 50% |
| Transvaginal ultrasound during pregnancy CPT 76817 US TRANSVAG OBS LIMITED | $304.50 | $609.00 | $140.33–$426.30 | 46% above | 50% |
| Ultrasound of the abdomen, complete CPT 76700 PF US ABDOMEN COMPLETE | $106.00 | $212.00 | $80.24–$112.10 | 70% below | 50% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $382.50 | $765.00 | $148.43–$535.50 | 8% above | 50% |
| Ultrasound of the scrotum and testicles CPT 76870 PF US SCROTUM | $82.50 | $165.00 | $45.44–$96.61 | 67% below | 50% |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM | $210.50 | $421.00 | $140.33–$294.70 | 17% below | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 PF US SOFT TISSUES HEAD NECK THYROID | $73.00 | $146.00 | $75.66–$105.36 | 75% below | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUES HEAD NECK THYROID | $361.50 | $723.00 | $140.33–$506.10 | 24% above | 50% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UPPER GI DELAY | $721.50 | $1,443.00 | $129.81–$1,010.10 | 147% above | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 PF DOPPLER VEN UNILAT | $59.00 | $118.00 | $112.72–$113.05 | 82% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DOPPLER VEN UNILAT LT | $376.00 | $752.00 | $207.97–$526.40 | 12% above | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DOPPLER VENOUS UNILAT RT | $376.00 | $752.00 | $207.97–$526.40 | 12% above | 50% |
| Wrist X-ray, complete, 3 or more views both sides CPT 73110 WRIST BILATERAL | $268.00 | $536.00 | $29.00–$375.20 | — | 50% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST 3 VIEWS RT | $216.00 | $432.00 | $29.00–$302.40 | 64% above | 50% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST 3 VIEWS LT | $216.00 | $432.00 | $29.00–$302.40 | 64% above | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 PF HIP UNILAT 2 VIEWS | $29.50 | $59.00 | $26.85–$45.83 | 79% below | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP UNILAT 2 VW RT | $252.50 | $505.00 | $48.17–$353.50 | 78% above | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP UNILAT 2 VW LT | $252.50 | $505.00 | $48.17–$353.50 | 78% above | 50% |
| X-ray of the abdomen, 1 view CPT 74018 ABD 1 VIEW | $144.00 | $288.00 | $64.47–$201.60 | 19% above | 50% |
| X-ray of the ankle, 2 views CPT 73600 PF ANKLE 2 VIEWS | $22.00 | $44.00 | $19.33–$30.83 | 80% below | 50% |
| X-ray of the ankle, 2 views CPT 73600 ANKLE 2 VIEWS | $183.00 | $366.00 | $64.47–$256.20 | 66% above | 50% |
| X-ray of the finger(s), 2 or more views CPT 73140 FINGER 2 VIEW | $191.50 | $383.00 | $64.47–$268.10 | 86% above | 50% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER 2 VIEW LT | $191.50 | $383.00 | $64.47–$268.10 | 86% above | 50% |
| X-ray of the foot, 2 views one side CPT 73620 FOOT 2 VIEWS LT | $159.00 | $318.00 | $64.47–$222.60 | 46% above | 50% |
| X-ray of the foot, 2 views one side CPT 73620 FOOT 2 VIEWS RT | $159.00 | $318.00 | $64.47–$222.60 | 46% above | 50% |
| X-ray of the foot, complete, 3 or more views both sides CPT 73630 FOOT 3V BILATERAL | $268.00 | $536.00 | $29.00–$375.20 | — | 50% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT 3 VIEWS LT | $178.50 | $357.00 | $29.00–$249.90 | 44% above | 50% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT 3 VIEWS RT | $178.50 | $357.00 | $29.00–$249.90 | 44% above | 50% |
| X-ray of the hand, 3 or more views both sides CPT 73130 HAND BILATERAL | $238.50 | $477.00 | $29.00–$333.90 | — | 50% |
| X-ray of the hand, 3 or more views both sides CPT 73130 HAND BILATERAL 3VIEW | $281.00 | $562.00 | $29.00–$393.40 | — | 50% |
| X-ray of the hand, 3 or more views one side CPT 73130 HAND 3 VIEWS RT | $187.50 | $375.00 | $29.00–$262.50 | 48% above | 50% |
| X-ray of the hand, 3 or more views one side CPT 73130 HAND 3 VIEWS LT | $187.50 | $375.00 | $29.00–$262.50 | 48% above | 50% |
| X-ray of the knee, 1 or 2 views both sides CPT 73560 KNEE AP/LAT BILATERAL | $284.50 | $569.00 | $64.47–$398.30 | — | 50% |
| X-ray of the knee, 1 or 2 views CPT 73560 KNEE AP/LAT | $189.50 | $379.00 | $64.47–$265.30 | 64% above | 50% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE AP/LAT RT | $189.50 | $379.00 | $64.47–$265.30 | 64% above | 50% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LS-SPINE 2-3 VIEWS | $213.50 | $427.00 | $64.47–$298.90 | 25% above | 50% |
| X-ray of the lower back, 4 or more views CPT 72110 LS-SPINE MIN 4 VIEWS | $298.50 | $597.00 | $50.00–$417.90 | 24% above | 50% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 T-SPINE 2 VIEWS | $207.00 | $414.00 | $64.47–$289.80 | 12% above | 50% |
| X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES 3 VIEWS | $198.50 | $397.00 | $64.47–$277.90 | 55% above | 50% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 PF C-SPINE 2-3 VIEWS | $29.50 | $59.00 | $21.51–$38.30 | 81% below | 50% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 C-SPINE 2-3 VIEWS | $202.50 | $405.00 | $64.47–$283.50 | 29% above | 50% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS AP VIEW | $193.50 | $387.00 | $64.47–$270.90 | 14% above | 50% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM/COCCYX MIN 2VIEW | $172.00 | $344.00 | $64.47–$240.80 | 2% below | 50% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Louisiana | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT) | $38.50 | $77.00 | $16.05–$53.90 | 42% above | 50% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT | $37.50 | $75.00 | $15.66–$52.50 | 33% above | 50% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $188.00 | $376.00 | $144.25–$263.20 | 16% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Specific Each, IgE | $18.50 | $37.00 | $15.82–$25.90 | 48% above | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE | $92.00 | $184.00 | $33.10–$128.80 | 93% above | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES | $61.50 | $123.00 | $36.62–$86.10 | 20% above | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP | $92.50 | $185.00 | $88.80–$129.50 | 4% above | 50% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $59.50 | $119.00 | $13.00–$83.30 | at median | 50% |
| Blood culture for bacteria CPT 87040 CULTURE, BLOOD BACTERIA | $45.00 | $90.00 | $31.25–$63.00 | 22% below | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $13.00 | $26.00 | $6.60–$18.20 | 42% above | 50% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE | $24.50 | $49.00 | $11.88–$34.30 | 45% above | 50% |
| Blood lead test CPT 83655 LEAD LEVEL | $58.00 | $116.00 | $36.66–$81.20 | 43% above | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO | $55.00 | $110.00 | $9.03–$77.00 | 2% above | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP (C-REATIVE PROTEIN) | $24.00 | $48.00 | $15.67–$33.60 | 26% below | 50% |
| C. difficile toxin gene test (stool PCR) CPT 87493 Clostridium difficile by DNA Amplificati | $82.00 | $164.00 | $75.68–$114.80 | 7% below | 50% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 | $65.50 | $131.00 | $62.88–$91.70 | 1% below | 50% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA125 | $65.50 | $131.00 | $62.88–$91.70 | 8% below | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 testing by private lab | $73.50 | $147.00 | $70.56–$102.90 | 6% below | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA DNA | $34.00 | $68.00 | $32.64–$118.02 | 42% below | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $51.00 | $102.00 | $36.18–$71.40 | 26% below | 50% |
| Complete blood count (CBC) with differential CPT 85025 CBC W PLT W AUTOM DF | $39.50 | $79.00 | $23.54–$55.30 | at median | 50% |
| Complete blood count (CBC), no differential CPT 85027 CBC COMPLETE AUTOM W PLT | $28.00 | $56.00 | $19.60–$39.20 | 28% below | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHEN METABOLIC PANEL | $77.50 | $155.00 | $15.00–$108.50 | 31% below | 50% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER | $98.50 | $197.00 | $30.83–$137.90 | 35% above | 50% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S | $96.00 | $192.00 | $67.35–$134.40 | 30% above | 50% |
| Estradiol blood test CPT 82670 ESTRADIOL LEVEL | $108.50 | $217.00 | $84.64–$151.90 | 25% above | 50% |
| FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMONE | $72.50 | $145.00 | $56.30–$101.50 | 15% above | 50% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin | $147.50 | $295.00 | $50.16–$206.50 | 1% above | 50% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $49.00 | $98.00 | $41.25–$68.60 | 13% below | 50% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID/ FOLATE LEVEL | $60.00 | $120.00 | $44.53–$84.00 | 21% above | 50% |
| Free T3 thyroid hormone test CPT 84481 T3 FREE | $124.50 | $249.00 | $29.86–$174.30 | 116% above | 50% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE | $67.00 | $134.00 | $27.31–$93.80 | 23% above | 50% |
| Free testosterone test CPT 84402 TESTOSTERONE, FREE | $121.00 | $242.00 | $77.11–$169.40 | 58% above | 50% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE-POST CHALLENGE | $31.50 | $63.00 | $14.39–$44.10 | 47% above | 50% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE (3 HR) | $69.00 | $138.00 | $39.00–$96.60 | 41% above | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE DNA PROBE | $34.00 | $68.00 | $32.64–$118.02 | 41% below | 50% |
| H. pylori antibody blood test CPT 86677 H.PYLORI ANTIBODIES | $46.00 | $92.00 | $35.21–$64.40 | 39% below | 50% |
| H. pylori stool antigen test CPT 87338 H PYLORI ANTIGEN, EIA, STOOL | $79.00 | $158.00 | $14.08–$110.60 | 20% above | 50% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG with HIV-1,2 ANTIBODIES | $136.50 | $273.00 | $58.26–$191.10 | 149% above | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGB-A1C | $57.00 | $114.00 | $29.40–$79.80 | 15% above | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY | $45.00 | $90.00 | $32.53–$63.00 | 13% above | 50% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN | $39.50 | $79.00 | $31.28–$55.30 | 5% below | 50% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY | $64.00 | $128.00 | $43.22–$89.60 | 9% above | 50% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C RNA | $185.00 | $370.00 | $129.73–$259.00 | 11% above | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SYMPLEX TYPE 1 ANTIBODIES | $55.00 | $110.00 | $39.95–$77.00 | 31% above | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SYMPLEX TYPE 2 ANTIBODIES | $76.50 | $153.00 | $58.64–$107.10 | 61% above | 50% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-Reactive Protein HS | $47.50 | $95.00 | $39.22–$66.50 | 7% above | 50% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE | $83.00 | $166.00 | $51.09–$116.20 | 31% above | 50% |
| Insulin blood test CPT 83525 INSULIN LEVEL, TOTAL | $96.50 | $193.00 | $34.64–$135.10 | 147% above | 50% |
| Iron blood test (serum iron) CPT 83540 IRON | $44.00 | $88.00 | $9.00–$61.60 | 29% above | 50% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY | $51.00 | $102.00 | $26.46–$71.40 | 19% above | 50% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $59.50 | $119.00 | $26.30–$83.30 | 11% below | 50% |
| LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE | $84.00 | $168.00 | $56.11–$117.60 | 35% above | 50% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $47.50 | $95.00 | $20.86–$66.50 | 17% above | 50% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $59.50 | $119.00 | $24.75–$83.30 | 18% below | 50% |
| Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY SCREEN | $76.50 | $153.00 | $51.59–$107.10 | 29% above | 50% |
| Magnesium blood test CPT 83735 MAGNESIUM LEVEL | $44.50 | $89.00 | $20.29–$62.30 | 51% above | 50% |
| Measles (rubeola) antibody test CPT 86765 MEASELS RUBEOLA IGG | $62.00 | $124.00 | $39.02–$86.80 | 60% above | 50% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST | $23.00 | $46.00 | $15.67–$32.20 | 35% below | 50% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA, Free | $66.00 | $132.00 | $55.71–$92.40 | 6% above | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE | $122.50 | $245.00 | $117.60–$171.50 | 1% above | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $26.50 | $53.00 | $18.17–$37.10 | 10% below | 50% |
| Progesterone blood test CPT 84144 PROGESTERONE | $67.50 | $135.00 | $63.19–$94.50 | 4% below | 50% |
| Prolactin blood test CPT 84146 PROLACTIN LEVEL | $70.50 | $141.00 | $58.71–$98.70 | 4% below | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $23.50 | $47.00 | $11.90–$32.90 | 9% above | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN URINE, RAPID | $52.50 | $105.00 | $27.19–$73.50 | 130% above | 50% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA B | $30.50 | $61.00 | $29.28–$42.70 | 18% below | 50% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A | $30.50 | $61.00 | $29.28–$42.70 | 18% below | 50% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP SCREEN RAPID | $25.50 | $51.00 | $24.48–$40.33 | 13% below | 50% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUAN | $38.50 | $77.00 | $17.20–$53.90 | 43% above | 50% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG | $54.00 | $108.00 | $43.60–$75.60 | 24% above | 50% |
| Stool ova and parasites exam CPT 87177 OCP OVA & PARASITE CON. | $33.50 | $67.00 | $26.50–$46.90 | 10% below | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR/VDRL QUALITATIVE | $23.00 | $46.00 | $12.91–$32.20 | 17% above | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon-TB Gold | $168.00 | $336.00 | $158.43–$235.20 | 1% above | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL | $92.00 | $184.00 | $78.22–$128.80 | 20% above | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMIAL ANTIBODY TPO | $60.00 | $120.00 | $44.07–$84.00 | 22% above | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE | $64.00 | $128.00 | $50.88–$89.60 | 21% above | 50% |
| Uric acid blood test CPT 84550 URIC ACID | $38.50 | $77.00 | $13.69–$53.90 | 50% above | 50% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/ MICRO | $36.00 | $72.00 | $9.60–$50.40 | 3% above | 50% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE | $19.00 | $38.00 | $6.81–$26.60 | 72% above | 50% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE BACT;QUAN | $39.50 | $79.00 | $24.45–$55.30 | 15% below | 50% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST | $46.00 | $92.00 | $19.16–$64.40 | 43% above | 50% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $61.00 | $122.00 | $45.66–$85.40 | 1% above | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY | $149.00 | $298.00 | $89.66–$208.60 | 49% above | 50% |
| Zinc blood test CPT 84630 ZINC LEVEL | $57.00 | $114.00 | $34.49–$79.80 | 38% above | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANTITATIVE | $72.00 | $144.00 | $45.58–$100.80 | 16% above | 50% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Louisiana | Off list |
|---|---|---|---|---|---|
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION | $475.00 | $950.00 | $456.00–$992.74 | 17% below | 50% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTR PRE-MAL LES 1ST LES | $118.00 | $236.00 | $96.33–$399.00 | 20% above | 50% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 EAR IRRIGATION | $41.00 | $82.00 | $39.36–$399.00 | 25% below | 50% |
| Earwax removal with instruments, one ear one side CPT 69210 REM IMPACT CERUMEN UNILAT | $46.00 | $92.00 | $44.16–$399.00 | 28% below | 50% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BX UTERUS LINING | $114.00 | $228.00 | $65.09–$174.55 | 23% below | 50% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BX UTERINE LINING | $165.50 | $331.00 | $158.88–$399.00 | 11% above | 50% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 PF REMOVE INT/EXT HEM GRP 1 | $800.00 | $1,600.00 | $362.40–$644.37 | at median | 50% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 REMOVE INT/EXT HEM GRP 1 | $4,250.00 | $8,500.00 | $612.00–$5,950.00 | 431% above | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I & D OF ABS SIMPL/SINGLE | $105.00 | $210.00 | $107.20–$171.79 | 42% below | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I & D OF ABS/SIMPLE | $185.50 | $371.00 | $178.08–$399.00 | 2% above | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABCESS SINGLE/SIMPLE | $185.50 | $371.00 | $178.08–$399.00 | 2% above | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJ/ASPI MAJOR JOINT | $201.50 | $403.00 | $46.44–$87.70 | 22% below | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Inj/Asp Major Joint | $294.50 | $589.00 | $282.72–$412.30 | 14% above | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJ/ASP MAJOR JOINT | $294.50 | $589.00 | $282.72–$412.30 | 14% above | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 PF DRAIN/INJ INTERM JNT/BURS | $201.50 | $403.00 | $37.64–$70.54 | 19% below | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ INTERM JNT/BURS | $1,132.50 | $2,265.00 | $368.64–$1,585.50 | 356% above | 50% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJECT SM JNT/BURSA | $294.50 | $589.00 | $282.72–$412.30 | 22% above | 50% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD WND REP S/T/EXT2.5< | $231.50 | $463.00 | $222.24–$684.20 | 34% below | 50% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC B9 LES TR-EXT 0.5<CM | $265.00 | $530.00 | $84.83–$92.03 | at median | 50% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC ben les .5 < trnk,a,l | $386.50 | $773.00 | $371.04–$748.84 | 46% above | 50% |
| Nail removal (partial or complete), one nail CPT 11730 AVUL NAIL PLT PAR/COM SGL | $66.50 | $133.00 | $55.20–$65.26 | 57% below | 50% |
| Nail removal (partial or complete), one nail CPT 11730 AVUL NP PAR/CMPL SNGL/SMP | $106.00 | $212.00 | $101.76–$399.00 | 31% below | 50% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXC OF NAIL PARTIAL/COMPL | $266.00 | $532.00 | $103.39–$200.74 | 3% above | 50% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXC NAIL BED PAR/COM | $394.00 | $788.00 | $378.24–$748.84 | 53% above | 50% |
| Removal of a foreign object under the skin, simple CPT 10120 REMOVAL FB | $193.50 | $387.00 | $185.76–$684.20 | 21% below | 50% |
| Removal of a foreign object under the skin, simple CPT 10120 INC & REM FB SQ TISS;SMPL | $241.00 | $482.00 | $231.36–$684.20 | 2% below | 50% |
| Short arm cast (elbow to hand) CPT 29075 APP CAST/SHORT ARM | $201.00 | $402.00 | $64.33–$115.14 | 13% above | 50% |
| Short arm cast (elbow to hand) CPT 29075 APPLI CAST/SHORT ARM | $210.50 | $421.00 | $202.08–$294.70 | 18% above | 50% |
| Short arm splint (forearm and hand) CPT 29125 APP SHORT ARM SPLINT STAT | $69.00 | $138.00 | $66.24–$276.59 | 41% below | 50% |
| Short arm splint (forearm and hand) CPT 29125 APP SHORT ARM SPNT STATIC | $201.00 | $402.00 | $40.95–$72.54 | 73% above | 50% |
| Short leg splint (calf to foot) CPT 29515 APP SHORT LEG SPLINT | $69.00 | $138.00 | $66.24–$361.72 | 50% below | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR S/N/AX/GEN/TRNK 2.5/> | $79.50 | $159.00 | $76.32–$399.00 | 60% below | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SMP REP S/N/A/G/TR/E;2.5< | $79.50 | $159.00 | $76.32–$399.00 | 60% below | 50% |
| Skin biopsy, punch, one lesion CPT 11104 BX SKIN SQ TISS/MM;SINGLE | $355.00 | $710.00 | $340.80–$535.25 | 72% above | 50% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL SKIN TAG+^ LES | $56.50 | $113.00 | $76.79–$83.93 | 59% below | 50% |
| Skin tag removal, up to 15 tags CPT 11200 Removal skin tag +^ 15 LE | $83.00 | $166.00 | $79.68–$399.00 | 40% below | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DX | $211.50 | $423.00 | $203.04–$409.19 | 57% below | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SMP RE S/N/A/G/T/E2.6-7.5 | $79.50 | $159.00 | $76.32–$357.44 | 58% below | 50% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SMP REP F/E/N/L/MM;2.5CM< | $79.00 | $158.00 | $75.84–$357.44 | 57% below | 50% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 PHY SHAVE BX SINGLE LESION | $64.00 | $128.00 | $38.12–$46.78 | 54% below | 50% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 SHAVE BX SINGLE LESION | $200.50 | $401.00 | $192.48–$535.25 | 45% above | 50% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ(s) TRIGGR PNT 1-2 MUS | $269.50 | $539.00 | $258.72–$409.19 | 84% above | 50% |
| Wart removal, up to 14 warts CPT 17110 DESTRU B9 LESION UP TO 14 | $143.50 | $287.00 | $137.76–$399.00 | 8% below | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN & SQ TISSUE | $355.00 | $710.00 | $340.80–$942.81 | 6% below | 50% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Louisiana | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION | $656.50 | $1,313.00 | $399.00–$919.10 | 38% above | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT | $131.50 | $263.00 | $44.88–$184.10 | 18% above | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 NEBULIZER TREATMENT - RT | $131.50 | $263.00 | $44.88–$184.10 | 18% above | 50% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 30-74 MIN | $492.00 | $984.00 | $450.00–$1,166.73 | 29% below | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG | $49.00 | $98.00 | $47.04–$68.60 | 46% below | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 PHYSICIAN LEVEL I . | $53.00 | $106.00 | $11.81–$20.95 | 12% below | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER LEVEL I | $67.00 | $134.00 | $64.32–$450.00 | 11% above | 50% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 PHYSICIAN LEVEL II | $62.50 | $125.00 | $40.88–$43.47 | 59% below | 50% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER LEVEL II | $72.00 | $144.00 | $69.12–$450.00 | 53% below | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 PHYSICIAN LEVEL III | $72.00 | $144.00 | $61.25–$73.49 | 69% below | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER LEVEL III | $120.00 | $240.00 | $115.20–$450.00 | 49% below | 50% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 PHYSICIAN LEVEL IV | $129.50 | $259.00 | $116.30–$125.49 | 66% below | 50% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER LEVEL IV | $167.50 | $335.00 | $160.80–$548.96 | 56% below | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 PHYSICIAN LEVEL V | $271.50 | $543.00 | $171.84–$182.11 | 46% below | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER LEVEL V | $317.00 | $634.00 | $304.32–$548.96 | 37% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDR 31 MIN-1HR; INTL | $109.50 | $219.00 | $105.12–$153.30 | 40% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUS THER UP TO 1HR | $109.50 | $219.00 | $105.12–$153.30 | 43% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM/SQ | $23.50 | $47.00 | $22.56–$56.93 | 59% below | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR RE-ED OT | $87.00 | $174.00 | $53.63–$121.80 | 70% above | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR RE-ED PT | $87.00 | $174.00 | $53.63–$121.80 | 70% above | 50% |
| New patient office visit, about 30 minutes CPT 99203 OPTH NEW PT LVL 3 | $104.50 | $209.00 | $75.00–$84.14 | 31% above | 50% |
| New patient office visit, about 30 minutes CPT 99203 OUTPT VISIT LOW 30 MIN | $187.50 | $375.00 | $132.57–$262.50 | 135% above | 50% |
| New patient office visit, about 45 minutes CPT 99204 OPTH NEW PT LVL 4 | $140.50 | $281.00 | $126.59–$136.94 | 15% above | 50% |
| New patient office visit, about 45 minutes CPT 99204 OUTPT VISIT HIGH 45MIN | $201.00 | $402.00 | $192.89–$281.40 | 65% above | 50% |
| New patient office visit, about 60 minutes CPT 99205 OUTPT NEW VISIT | $183.00 | $366.00 | $164.93–$186.25 | 16% above | 50% |
| New patient office visit, about 60 minutes CPT 99205 OUTPT VISIT HIGH 60MIN | $201.00 | $402.00 | $192.89–$281.40 | 27% above | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PT LVL 2 | $54.50 | $109.00 | $48.07–$49.19 | 8% above | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OUTPT VISIT NEW MINOR 20 MIN | $174.00 | $348.00 | $115.22–$243.60 | 245% above | 50% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Medical Nutrition ; Initial Each 15mins | $31.50 | $63.00 | $30.24–$76.25 | 4% above | 50% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL- LOW COMPLX | $203.00 | $406.00 | $80.00–$284.20 | 79% above | 50% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL- HIGH COMPLX | $209.50 | $419.00 | $80.00–$293.30 | 70% above | 50% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL- LOW COMPX | $209.50 | $419.00 | $80.00–$293.30 | 85% above | 50% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL- MODERATE COMPLX | $209.50 | $419.00 | $80.00–$293.30 | 68% above | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY PT | $77.00 | $154.00 | $48.38–$107.80 | 75% above | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY OT | $77.00 | $154.00 | $48.38–$107.80 | 75% above | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISE PT | $90.50 | $181.00 | $51.90–$126.70 | 67% above | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC EXERCISES | $90.50 | $181.00 | $51.90–$126.70 | 67% above | 50% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 | $21.00 | $42.00 | $20.16–$29.40 | 27% below | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OUTPT VISIT-5 FACILITY ES | $187.50 | $375.00 | $180.00–$262.50 | 41% above | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OUTPT VISIT LEVEL 5 PHY | $188.50 | $377.00 | $108.00–$147.08 | 42% above | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OUTPT VISIT LEVEL 3 PHY | $55.00 | $110.00 | $49.55–$67.62 | 2% above | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OUTPT VISIT-3 FACILITY ES | $174.00 | $348.00 | $132.57–$243.60 | 222% above | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OUTPT VISIT LEVEL 4 PHY | $119.00 | $238.00 | $76.33–$99.57 | 24% above | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OUTPT VISIT-4 FACILITY ES | $187.50 | $375.00 | $180.00–$262.50 | 96% above | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OUTPT VISIT LEVEL 2 PHY | $27.50 | $55.00 | $24.81–$36.05 | 33% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OUTPT VISIT-2 FACILITY ES | $161.00 | $322.00 | $115.22–$225.40 | 294% above | 50% |
| Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMP/EX | $196.50 | $393.00 | $80.00–$284.93 | 9% above | 50% |
| Speech therapy session, individual CPT 92507 TRMT SP/LANG/VCE/COMM/AUD | $73.00 | $146.00 | $70.08–$208.74 | 10% below | 50% |
| Spirometry (breathing test) CPT 94010 SPIROMETRY - PULMONARY | $118.00 | $236.00 | $32.00–$165.20 | 25% below | 50% |
| Spirometry (breathing test) CPT 94010 SPIROMETRY - RAD | $118.00 | $236.00 | $32.00–$165.20 | 25% below | 50% |
| Spirometry before and after a bronchodilator CPT 94060 BRONCHOSPASM EVALUATION | $229.50 | $459.00 | $125.28–$321.30 | 27% below | 50% |
| Spirometry before and after a bronchodilator CPT 94060 SPIROMETRY PRE/POST TRTMT | $229.50 | $459.00 | $125.28–$321.30 | 27% below | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT PROCEDURE | $90.50 | $181.00 | $53.52–$126.70 | 82% above | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES OT | $90.50 | $181.00 | $53.52–$126.70 | 82% above | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES PT | $90.50 | $181.00 | $53.52–$126.70 | 82% above | 50% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAP | $64.50 | $129.00 | $61.92–$90.30 | 46% below | 50% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Louisiana | Off list |
|---|---|---|---|---|---|
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 EMP-FLUZONE VACC > 36 MO | $20.00 | $40.00 | $19.20–$28.00 | 33% below | 50% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VACC INJ | $20.00 | $40.00 | $19.20–$28.00 | 33% below | 50% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 NOC^ HUMAN PAPILLOMAVIRUS INJ | $287.00 | $574.00 | $259.70–$401.80 | 48% above | 50% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEP A&B VACC 1ML | $108.00 | $216.00 | $103.68–$151.20 | 155% above | 50% |
| Hepatitis A vaccine, adult dose CPT 90632 HEP A VACC 1 ML | $83.00 | $166.00 | $64.28–$116.20 | 42% above | 50% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEP B VACC 20MCG/ML | $74.50 | $149.00 | $71.52–$104.30 | 43% above | 50% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 EMP-FLUZONE HIGH DOSE INJ | $45.00 | $90.00 | $43.20–$67.69 | 20% below | 50% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VACC - HIGH DOSE | $45.00 | $90.00 | $43.20–$67.69 | 20% below | 50% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR-II INJ | $100.00 | $200.00 | $89.26–$140.00 | 37% above | 50% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL VACC 0.5 ML | $168.50 | $337.00 | $146.21–$235.90 | 31% above | 50% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 BEXSERO INJ 0.5 ML | $230.00 | $460.00 | $204.20–$322.00 | 180% above | 50% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR-20 VACCINE | $277.50 | $555.00 | $266.40–$388.50 | 54% above | 50% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 CAPVAXIVE 0.5ML INJ | $345.50 | $691.00 | $331.68–$483.70 | 92% above | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 INJ [0.5M | $133.00 | $266.00 | $127.68–$186.20 | 19% above | 50% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE 1 ML | $433.50 | $867.00 | $333.56–$606.90 | 50% below | 50% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 SHINGRIX 50MCG INJ | $194.50 | $389.00 | $172.61–$272.30 | 72% above | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS/DIPTH VAC INJ 0.5ML | $43.50 | $87.00 | $27.80–$60.90 | 4% above | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TET/DIPTH/PERT VACC 0.5ML | $57.50 | $115.00 | $37.71–$80.50 | 2% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN | $17.00 | $34.00 | $16.32–$23.80 | 61% below | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EA ADD | $16.00 | $32.00 | $14.92–$22.40 | 43% below | 50% |