Lake Charles Memorial Hospital
Lake Charles Memorial Hospital in Lake Charles, LA publishes cash prices for 370 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Louisiana median for 313 of 365 procedures and below it for 48. By typical cash price it ranks #47 of 63 Louisiana hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
1701 Oak Park Boulevard Lake Charles, LA 70601 Collected Oct 29, 2026 Source price file Check a bill from this hospital (337) 494-3000
Acute care hospital Nonprofit hospital Emergency department CMS star rating 3 of 5 CCN 190060 · CMS hospital register NPI 1972549855
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Lake Charles Memorial Hospital is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
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 2 actions for a hospital named Lake Charles Memorial Hospital in Lake Charles, LA:
- Dec 5, 2024 Warning notice
- Mar 11, 2025 Case closed
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. 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 |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT of abdomen with and without dye | $1,431.94 | $2,386.56 | $163.94–$2,147.90 | 45% above | 40% |
| Abdominal X-ray, 2 views CPT 74019 ABD COMP W DECUB R EREC | $181.80 | $303.00 | $47.48–$364.00 | 4% above | 40% |
| Ankle X-ray, complete, 3 or more views CPT 73610 Radiologic examination of the ankle with 3 views | $169.22 | $282.04 | $44.20–$364.00 | 49% above | 40% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries | $177.00 | $295.00 | $46.23–$373.66 | — | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT;U EXTR WO CONTRAST LEFT | $1,004.52 | $1,674.20 | $97.16–$1,709.00 | 60% above | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT;U EXTR WO CONTRAST RIGHT | $1,004.52 | $1,674.20 | $97.16–$1,709.00 | 60% above | 40% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHOGRAM | $295.80 | $493.00 | $77.25–$580.37 | 38% above | 40% |
| Bone scan, whole body (nuclear medicine) CPT 78306 A procedure most commonly ordered to detect areas of abnormal bone growth due to fractures, tumors, infection, or other bone issues | $1,211.43 | $2,019.05 | $316.39–$1,817.15 | 120% above | 40% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILAT COMPLETE LT | $249.48 | $415.80 | $65.16–$446.00 | 49% above | 40% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILAT COMPLETE RT | $249.48 | $415.80 | $65.16–$446.00 | 49% above | 40% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 Limited ultrasound of the breast | $249.48 | $415.80 | $65.16–$446.00 | 49% above | 40% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABDOMEN AND PELVIS | $1,680.00 | $2,800.00 | $334.94–$2,520.00 | 88% above | 40% |
| CT angiography (CTA) of the head CPT 70496 CTA HEAD | $1,102.76 | $1,837.94 | $163.94–$1,709.00 | 67% above | 40% |
| CT angiography (CTA) of the neck CPT 70498 CTA NECK | $1,212.79 | $2,021.31 | $163.94–$1,819.18 | 84% above | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Diagnostic Radiology (Diagnostic Imaging) Procedures of the Chest | $1,567.45 | $2,612.42 | $163.94–$2,351.18 | 93% above | 40% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA CORONARY W/O SCORE | $471.24 | $785.40 | $123.07–$1,709.00 | at median | 40% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA CORONARY ARTERIES | $471.24 | $785.40 | $123.07–$1,709.00 | at median | 40% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CALCIUM SCORING | $129.60 | $216.00 | $33.85–$1,709.00 | 58% above | 40% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CALCIUM SCORING | $333.50 | $555.84 | $78.98–$1,709.00 | 307% above | 40% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT of abdomen and pelvis without dye | $2,904.00 | $4,840.00 | $212.29–$4,356.00 | 163% above | 40% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast | $2,904.00 | $4,840.00 | $334.94–$4,356.00 | 164% above | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections | $2,904.00 | $4,840.00 | $334.94–$4,356.00 | 104% above | 40% |
| CT scan of the abdomen with contrast CPT 74160 CT of abdomen with dye | $1,257.43 | $2,095.72 | $163.94–$1,886.15 | 51% above | 40% |
| CT scan of the abdomen without contrast CPT 74150 CT of abdomen without dye | $1,133.88 | $1,889.80 | $97.16–$1,709.00 | 53% above | 40% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT Scan of the face and jaw without dye | $1,211.33 | $2,018.89 | $97.16–$1,817.00 | 94% above | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT scan head or brain without dye | $1,261.79 | $2,102.98 | $97.16–$1,892.68 | 92% above | 40% |
| CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W CONTRAST | $790.91 | $1,318.19 | $163.94–$1,709.00 | 10% above | 40% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/WO CONT | $1,728.97 | $2,881.62 | $163.94–$2,593.46 | 93% above | 40% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT scan of lower spine without dye | $1,281.72 | $2,136.20 | $97.16–$1,922.58 | 71% above | 40% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL W/O CONTRAST | $1,728.97 | $2,881.62 | $97.16–$2,593.46 | 146% above | 40% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT scan, pelvis, with contrast | $1,221.79 | $2,036.32 | $163.94–$1,832.69 | 53% above | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Study of vessels on both sides of the head and neck | $413.64 | $689.40 | $108.03–$751.51 | 11% below | 40% |
| Chest CT scan without and with contrast CPT 71270 CT THORAX; W/WO CONTRAS | $1,875.26 | $3,125.43 | $163.94–$2,812.89 | 82% above | 40% |
| Chest X-ray, 2 views CPT 71046 2 views, front and back | $225.96 | $376.60 | $59.01–$364.00 | 79% above | 40% |
| Chest X-ray, single view CPT 71045 Single view | $129.60 | $216.00 | $33.85–$364.00 | 25% above | 40% |
| Collarbone (clavicle) X-ray, complete CPT 73000 Radiologic examination of the collar bone | $169.22 | $282.04 | $44.20–$364.00 | 48% above | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Ultrasound of back wall of the abdomen with all areas viewed | $388.78 | $647.96 | $97.16–$583.16 | 42% above | 40% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Scan to measure bone mineral density (BMD) at the spine and hip | $181.80 | $303.00 | $47.48–$364.00 | 25% above | 40% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) one side CPT 77081 BONE DENSITY FOREARM LEFT | $86.13 | $143.55 | $22.49–$364.00 | 9% above | 40% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) one side CPT 77081 BONE DENSITY FOREARM RIGHT | $86.13 | $143.55 | $22.49–$364.00 | 9% above | 40% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Ultrasound of single fetus | $352.80 | $588.00 | $92.14–$751.51 | 33% above | 40% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT scan of the thorax without dye | $1,276.21 | $2,127.02 | $97.16–$1,914.32 | 90% above | 40% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT scan of the thorax with dye | $1,693.76 | $2,822.93 | $163.94–$2,540.64 | 101% above | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 Diagnostic mammography, including computer-aided detection (cad) when performed; bilateral | $192.00 | $320.00 | $50.14–$351.27 | — | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 Diagnostic mammography, including computer-aided detection (cad) when performed; unilateral | $192.00 | $320.00 | $50.14–$323.00 | 58% above | 40% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US EXT LOW ARTERIAL BILAT | $452.50 | $754.16 | $118.18–$751.51 | — | 40% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 DUPLEX SCAN LOWER EXT BIL | $452.50 | $754.16 | $118.18–$751.51 | at median | 40% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Complete bilateral study of the extremities | $440.42 | $734.04 | $115.02–$751.51 | — | 40% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | $1,263.14 | $2,105.24 | $329.89–$1,894.72 | 76% above | 40% |
| Elbow X-ray, 2 views CPT 73070 Radiologic examination, elbow; 2 views | $140.71 | $234.52 | $36.75–$364.00 | 24% above | 40% |
| Elbow X-ray, complete, 3 or more views CPT 73080 Radiologic examination, elbow; 3 or more views | $169.22 | $282.04 | $44.20–$364.00 | 29% above | 40% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT IAC/SELLA/ORBIT W/O | $1,211.33 | $2,018.89 | $97.16–$1,817.00 | 100% above | 40% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES COMPLETE | $251.59 | $419.32 | $65.71–$377.39 | 71% above | 40% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 Radiologic examination of the forearm | $169.22 | $282.04 | $44.20–$364.00 | 50% above | 40% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HIDA-SCAN-GB W/O KINEVAC | $944.46 | $1,574.10 | $246.66–$1,762.00 | 66% above | 40% |
| Hand X-ray, 2 views CPT 73120 X-ray of the hand with 2 views | $181.80 | $303.00 | $47.48–$364.00 | 72% above | 40% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 Radiologic examination of the heel | $140.71 | $234.52 | $36.75–$364.00 | 29% above | 40% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY, UNATTENDED | $540.00 | $900.00 | $132.21–$810.00 | 148% above | 40% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Sleep monitoring of patient (6 years or older) in sleep lab using CPAP | $2,822.69 | $4,704.48 | $737.19–$4,234.03 | 104% above | 40% |
| Knee X-ray, 3 views CPT 73562 Radiologic examination of the knee with 3 views | $140.71 | $234.52 | $36.75–$364.00 | 4% above | 40% |
| Knee X-ray, complete, 4 or more views CPT 73564 Radiologic examination of the knee with 4 or more views | $181.80 | $303.00 | $47.48–$364.00 | 25% above | 40% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT scan of leg without dye | $1,004.52 | $1,674.20 | $97.16–$1,709.00 | 68% above | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 A diagnostic procedure that allows a provider to see the organs and other structures in the abdomen | $184.40 | $307.34 | $48.16–$446.00 | 26% below | 40% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Diagnostic ultrasound of an extremity excluding the bone, joints or vessels | $181.80 | $303.00 | $47.48–$446.00 | 5% above | 40% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LOW DOSE LUNG | $1,276.20 | $2,127.00 | $97.16–$1,914.30 | 761% above | 40% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 Radiologic examination of the lower leg | $169.22 | $282.04 | $44.20–$364.00 | 47% above | 40% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD WO CONTRAST | $882.60 | $1,471.00 | $212.29–$1,437.00 | 5% above | 40% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BREAST W/WO BILAT LCMH | $1,200.00 | $2,000.00 | $313.40–$2,000.00 | — | 40% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI of lower extremity joint (knee/ankle) without dye | $882.60 | $1,471.00 | $212.29–$1,437.00 | 2% above | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI of lower extremity joint (knee/ankle) with and without dye | $1,024.50 | $1,707.50 | $267.57–$1,536.75 | 18% below | 40% |
| MRI of the abdomen without contrast CPT 74181 MRI of abdomen without dye | $882.60 | $1,471.00 | $212.29–$1,437.00 | 2% below | 40% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI of abdomen without and with dye | $1,275.12 | $2,125.20 | $333.02–$1,912.68 | 2% above | 40% |
| MRI of the brain, no contrast dye CPT 70551 MRI of brain stem without dye | $1,047.60 | $1,746.00 | $212.29–$1,571.40 | 7% above | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI scan of brain before and after contrast | $1,216.50 | $2,027.50 | $317.71–$1,824.75 | 7% below | 40% |
| MRI of the lower back, no contrast dye CPT 72148 MRI scan of lower spinal canal | $1,047.60 | $1,746.00 | $212.29–$1,571.40 | 1% above | 40% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI of lower back with and without dye | $1,216.50 | $2,027.50 | $317.71–$1,824.75 | 11% below | 40% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI of chest and spine without dye | $1,047.60 | $1,746.00 | $212.29–$1,571.40 | 20% above | 40% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI of neck/spine with and without dye | $1,216.50 | $2,027.50 | $317.71–$1,824.75 | 10% below | 40% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI of the neck or spine without dye | $1,047.60 | $1,746.00 | $212.29–$1,571.40 | 12% above | 40% |
| MRI of the pelvis without and with contrast CPT 72197 MRI of pelvis before and after dye | $1,024.50 | $1,707.50 | $267.57–$1,536.75 | at median | 40% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI of pelvis without dye | $882.60 | $1,471.00 | $212.29–$1,437.00 | 9% above | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI of upper extremity without dye | $882.60 | $1,471.00 | $212.29–$1,437.00 | 11% above | 40% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Radiologic examination of the neck/spine, 4-5 views | $251.59 | $419.32 | $65.71–$377.39 | 25% above | 40% |
| Neck soft tissue CT scan with contrast CPT 70491 CT scan of neck with dye | $1,555.09 | $2,591.82 | $163.94–$2,332.64 | 128% above | 40% |
| Neck soft tissue CT scan without contrast CPT 70490 CT NECK SOFT TISSUE W/O C | $1,381.22 | $2,302.03 | $97.16–$2,071.83 | 107% above | 40% |
| Neck soft tissue X-ray CPT 70360 NECK-SOFT TISSUE | $175.89 | $293.15 | $45.94–$364.00 | 54% above | 40% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Image of the heart to assess perfusion | $2,065.80 | $3,443.00 | $539.52–$4,271.43 | 78% above | 40% |
| Pelvic CT scan without contrast CPT 72192 CT of pelvis without dye | $928.15 | $1,546.92 | $97.16–$1,709.00 | 42% above | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Limited ultrasound of the pelvis | $238.92 | $398.20 | $62.40–$446.00 | 56% above | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Complete ultrasound of the pelvis | $462.23 | $770.39 | $97.16–$693.35 | 68% above | 40% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Abdominal ultrasound of pregnant uterus (greater or equal to 14 weeks 0 days) single or first fetus | $335.61 | $559.35 | $87.65–$503.42 | 45% above | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Abdominal ultrasound of pregnant uterus (less than 14 weeks) single or first fetus | $248.94 | $414.90 | $65.01–$446.00 | 19% above | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Ultrasound of fetus with limited views | $186.84 | $311.40 | $48.80–$446.00 | 22% above | 40% |
| Rib X-ray, one side, 2 views one side CPT 71100 RIBS UNILAT 2-VWS | $169.22 | $282.04 | $44.20–$364.00 | 28% above | 40% |
| Rib X-ray, one side, 2 views one side CPT 71100 RIBS UNILAT 2-VWS RIGHT | $169.22 | $282.04 | $44.20–$364.00 | 28% above | 40% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 Radiologic examination of one side of the chest/ribs | $168.00 | $280.00 | $43.88–$364.00 | 20% above | 40% |
| Screening mammogram, both breasts CPT 77067 Mammography of both breasts-2 or more views | $184.40 | $307.34 | $48.16–$323.00 | 40% above | 40% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 Radiologic examination of the shoulder | $169.22 | $282.04 | $44.20–$364.00 | 33% above | 40% |
| Sinus X-ray, complete, 3 or more views CPT 70220 SINUSES COMPLETE | $314.49 | $524.15 | $78.98–$471.74 | 104% above | 40% |
| Skull X-ray, fewer than 4 views CPT 70250 SKULL 1-4 VWS | $199.53 | $332.55 | $52.11–$364.00 | 70% above | 40% |
| Sleep study in a lab (polysomnography) CPT 95810 Sleep monitoring of patient (6 years or older) in sleep lab | $2,822.69 | $4,704.48 | $737.19–$4,234.03 | 111% above | 40% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 SWALLOWING FCN W CINEVIDE | $295.80 | $493.00 | $77.25–$580.37 | 24% above | 40% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR, 2 VIEWS RIGHT | $140.71 | $234.52 | $36.75–$364.00 | 24% above | 40% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR, 2 VIEWS LEFT | $140.71 | $234.52 | $36.75–$364.00 | 24% above | 40% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT THORACIC W/O CONTRAST | $1,257.43 | $2,095.72 | $97.16–$1,886.15 | 72% above | 40% |
| Toe X-ray, 2 or more views CPT 73660 Radiologic examination of the toe(s) | $140.71 | $234.52 | $36.75–$364.00 | 31% above | 40% |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound of the pelvis through vagina | $238.33 | $397.21 | $62.24–$446.00 | 22% above | 40% |
| Transvaginal ultrasound during pregnancy CPT 76817 Transvaginal ultrasound of uterus | $181.80 | $303.00 | $47.48–$446.00 | 7% above | 40% |
| Ultrasound of the abdomen, complete CPT 76700 Ultrasound of abdomen with all areas scanned | $541.96 | $903.27 | $97.16–$812.94 | 82% above | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Ultrasound of head and neck | $343.20 | $572.00 | $89.63–$514.80 | 36% above | 40% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UPPER GI | $295.80 | $493.00 | $77.25–$580.37 | 21% above | 40% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS LEFT | $169.22 | $282.04 | $44.20–$364.00 | 49% above | 40% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS RIGHT | $169.22 | $282.04 | $44.20–$364.00 | 49% above | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study both sides CPT 93971 One sided or limited bilateral study | $201.60 | $336.00 | $52.65–$343.95 | — | 40% |
| Wrist X-ray, 2 views CPT 73100 3 or more views | $138.25 | $230.42 | $36.11–$364.00 | 31% above | 40% |
| Wrist X-ray, complete, 3 or more views CPT 73110 Up to 3 views | $169.22 | $282.04 | $44.20–$364.00 | 49% above | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 PELVIS/HIPS CHILD | $153.84 | $256.40 | $40.18–$364.00 | 24% above | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP COMPLETE RIGHT | $169.22 | $282.04 | $44.20–$364.00 | 36% above | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP COMPLETE LEFT | $169.22 | $282.04 | $44.20–$364.00 | 36% above | 40% |
| X-ray of the abdomen, 1 view CPT 74018 ABDOMEN AP VIEW | $129.60 | $216.00 | $33.85–$364.00 | 7% above | 40% |
| X-ray of the ankle, 2 views CPT 73600 Radiologic examination of the ankle with 2 views | $131.04 | $218.40 | $34.22–$364.00 | 25% above | 40% |
| X-ray of the finger(s), 2 or more views CPT 73140 Radiologic examination of the finger(s) | $140.71 | $234.52 | $36.75–$364.00 | 37% above | 40% |
| X-ray of the foot, 2 views CPT 73620 Radiologic examination, foot; 2 views | $129.60 | $216.00 | $33.85–$364.00 | 22% above | 40% |
| X-ray of the foot, complete, 3 or more views CPT 73630 Radiologic examination of the foot with 3 or more views | $140.71 | $234.52 | $36.75–$364.00 | 18% above | 40% |
| X-ray of the hand, 3 or more views CPT 73130 X-ray of the hand with 3 or more views | $140.71 | $234.52 | $36.75–$364.00 | 18% above | 40% |
| X-ray of the knee, 1 or 2 views CPT 73560 Radiologic examination of the knee with 1 or 2 views | $167.09 | $278.49 | $43.64–$364.00 | 50% above | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-ray of the lower spine 2-3 views | $197.80 | $329.67 | $51.66–$364.00 | 31% above | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 X-ray of lower and sacral spine, minimum of 4 views | $303.86 | $506.44 | $79.36–$455.80 | 42% above | 40% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Radiologic examination of the middle spine, 2 views | $181.80 | $303.00 | $47.48–$364.00 | 21% above | 40% |
| X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES COMPLETE | $169.22 | $282.04 | $44.20–$364.00 | 52% above | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Radiologic examination of the neck/spine, 2-3 views | $175.89 | $293.15 | $45.94–$364.00 | 22% above | 40% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Radiologic examination of the pelvis | $181.80 | $303.00 | $47.48–$364.00 | 39% above | 40% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM/COCCYX | $169.22 | $282.04 | $44.20–$364.00 | 23% above | 40% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Louisiana | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ACTH(ADRENOCORTICOTR HOR) | $216.81 | $361.35 | $38.61–$325.22 | 102% above | 40% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Blood test to evaluate liver function | $151.80 | $253.00 | $5.30–$227.70 | 684% above | 40% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST OR SGOT | $119.13 | $198.55 | $5.18–$178.70 | 520% above | 40% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute hepatitis panel | $85.80 | $143.00 | $47.63–$168.61 | 27% below | 40% |
| Albumin blood test CPT 82040 ALBUMIN BLOOD | $54.54 | $90.90 | $4.95–$81.81 | 276% above | 40% |
| Aldosterone blood test CPT 82088 ALDOSTERONE | $302.94 | $504.90 | $40.75–$454.41 | 217% above | 40% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHAT SERUM | $54.54 | $90.90 | $5.18–$81.81 | 185% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE SPECIFIC ALLERGINS | $24.42 | $40.70 | $5.22–$36.63 | 135% above | 40% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN TUMOR M | $63.03 | $105.05 | $16.69–$94.55 | 20% above | 40% |
| Ammonia blood test CPT 82140 AMMONIA PLASMA | $63.45 | $105.75 | $14.57–$95.18 | 28% above | 40% |
| Amylase blood test CPT 82150 AMYLASE | $85.59 | $142.65 | $6.48–$128.39 | 284% above | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Blood test to diagnose rheumatoid arthritis | $69.30 | $115.50 | $12.95–$103.95 | 54% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA(REFLEX TITER) | $137.28 | $228.80 | $12.09–$205.92 | 218% above | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Blood test used to diagnose heart failure | $112.32 | $187.20 | $37.71–$168.48 | 80% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Test of body fluid other than blood to assess for bacteria | $133.38 | $222.30 | $8.61–$200.07 | 359% above | 40% |
| Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel | $186.03 | $310.05 | $8.46–$279.05 | 459% above | 40% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL | $68.04 | $113.40 | $4.84–$102.06 | 313% above | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Test of tissues for diagnosis of abnormalities | $139.26 | $232.10 | $40.23–$208.89 | 70% above | 40% |
| Blood culture for bacteria CPT 87040 Blood test to screen for bacteria in the blood | $167.94 | $279.90 | $10.32–$251.91 | 289% above | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Collection of venous blood by venipuncture | $11.02 | $18.36 | $8.57–$30.33 | 33% above | 40% |
| Blood glucose (sugar) test CPT 82947 Quantitative measure of glucose build up in the blood over time | $91.41 | $152.35 | $3.93–$137.12 | 553% above | 40% |
| Blood lead test CPT 83655 Blood test to determine the concentration of lead in the blood | $34.80 | $58.00 | $12.11–$52.20 | 23% above | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Blood test to assess for pregnancy | $132.99 | $221.65 | $7.52–$199.49 | 325% above | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPE - ABO | $177.00 | $295.00 | $2.99–$373.66 | 287% above | 40% |
| Blood urea nitrogen (BUN) test CPT 84520 BUN SERUM | $49.17 | $81.95 | $3.95–$73.76 | 208% above | 40% |
| C-peptide blood test CPT 84681 C-PEPTIDE, SERUM | $53.46 | $89.10 | $13.96–$80.19 | 3% below | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP (C-REACT PROT) | $47.19 | $78.65 | $5.18–$70.79 | 103% above | 40% |
| C. difficile toxin gene test (stool PCR) CPT 87493 INFECTIOUS AGENT DNA CLOSTRIDIUM D | $151.20 | $252.00 | $37.27–$226.80 | 121% above | 40% |
| CA 19-9 blood test (tumor marker) CPT 86301 IA, QUANT; CA 19-9 | $119.07 | $198.45 | $20.81–$178.61 | 144% above | 40% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Blood test to monitor for cancer | $124.74 | $207.90 | $20.81–$187.11 | 140% above | 40% |
| Calcium blood test, total CPT 82310 CALCIUM SERUM | $53.19 | $88.65 | $5.16–$79.79 | 182% above | 40% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA, SERUM | $120.45 | $200.75 | $18.96–$180.68 | 104% above | 40% |
| Chickenpox (varicella) immunity blood test CPT 86787 ANTI-VARICELLA EIA | $63.03 | $105.05 | $12.88–$94.55 | 68% above | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Test that detects Chlamydia | $63.00 | $105.00 | $35.09–$124.21 | 8% above | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids (cholesterol and triglycerides) | $115.83 | $193.05 | $13.39–$173.75 | 136% above | 40% |
| Complete blood count (CBC) with differential CPT 85025 Complete blood cell count, with differential white blood cells, automated | $108.27 | $180.45 | $7.77–$162.41 | 306% above | 40% |
| Complete blood count (CBC), no differential CPT 85027 Complete blood count, automated | $73.17 | $121.95 | $6.47–$109.76 | 163% above | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals | $302.94 | $504.90 | $10.56–$454.41 | 308% above | 40% |
| Cortisol blood test, total CPT 82533 CORTISOL; TOTAL | $69.66 | $116.10 | $16.30–$104.49 | 82% above | 40% |
| Creatine kinase (CK) blood test, total CPT 82550 CK TOTAL CREATINE KINASE SERUM | $124.20 | $207.00 | $6.51–$186.30 | 459% above | 40% |
| Creatinine blood test CPT 82565 CREATININE SERUM | $54.54 | $90.90 | $5.12–$81.81 | 212% above | 40% |
| Cytomegalovirus (CMV) antibody test CPT 86644 Blood test to monitor for cytomegalovirus | $63.69 | $106.15 | $14.39–$95.54 | 72% above | 40% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUAN | $123.12 | $205.20 | $10.18–$184.68 | 151% above | 40% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Blood test to measure an enzyme in the blood | $53.46 | $89.10 | $22.23–$80.19 | 7% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Testing for presence of drug | $163.20 | $272.00 | $62.14–$244.80 | 471% above | 40% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide) | $124.42 | $207.36 | $7.01–$186.62 | 236% above | 40% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Blood test to diagnose mononucleosis | $95.04 | $158.40 | $18.14–$142.56 | 86% above | 40% |
| Estradiol blood test CPT 82670 Blood test to measure a type of estrogen in the blood | $99.66 | $166.10 | $27.94–$149.49 | 75% above | 40% |
| FSH (follicle-stimulating hormone) test CPT 83001 Test of hormone in the blood | $67.98 | $113.30 | $18.57–$101.97 | 21% above | 40% |
| Fecal calprotectin (stool inflammation test) CPT 83993 ASSAY CALPROTECTIN FECAL | $123.00 | $205.00 | $19.63–$184.50 | 24% above | 40% |
| Ferritin blood test (iron stores) CPT 82728 Test to determine level of iron in the blood | $66.66 | $111.10 | $13.63–$99.99 | 45% above | 40% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN PLASMA | $44.28 | $73.80 | $9.44–$66.42 | 46% above | 40% |
| Folate (folic acid) blood test CPT 82746 FOLATE FOLIC ACID SERUM | $92.34 | $153.90 | $14.70–$138.51 | 134% above | 40% |
| Free T3 thyroid hormone test CPT 84481 TRIIODOTHYRONINE T3 FREE | $103.95 | $173.25 | $12.02–$155.93 | 142% above | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Blood test to evaluate thyroid function | $89.43 | $149.05 | $9.02–$134.15 | 157% above | 40% |
| Free testosterone test CPT 84402 TESTOSTERONE, FREE | $110.88 | $184.80 | $25.47–$166.32 | 81% above | 40% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT GAMMA GLUTAM TRNSFRS SERUM | $91.26 | $152.10 | $7.20–$136.89 | 267% above | 40% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General health panel | $193.86 | $323.10 | $45.54–$290.79 | at median | 40% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Test of glucose level in the blood | $83.16 | $138.60 | $4.75–$124.74 | 413% above | 40% |
| Glucose tolerance test, 3 samples CPT 82951 Test to predict likelihood of gestational diabetes | $72.63 | $121.05 | $12.87–$108.95 | 63% above | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Blood test for an STD | $111.24 | $185.40 | $35.09–$166.86 | 90% above | 40% |
| H. pylori antibody blood test CPT 86677 Blood test to if peptic ulcers are caused by a certain bacterium | $33.33 | $55.55 | $14.15–$59.64 | 27% below | 40% |
| H. pylori stool antigen test CPT 87338 HPYLORI STOOL IA | $76.23 | $127.05 | $6.46–$114.35 | 24% above | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 ACCUQUANT, RNA, SER | $153.00 | $255.00 | $84.91–$301.25 | 11% below | 40% |
| HIV-1 and HIV-2 antibody test CPT 86703 Blood test to diagnose HIV | $101.52 | $169.20 | $12.87–$152.28 | 243% above | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Test for HIV | $120.00 | $200.00 | $24.08–$180.00 | 149% above | 40% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 Detection test for human papillomavirus (hpv) | $143.28 | $238.80 | $35.09–$214.92 | 170% above | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Blood test to measure average blood glucose levels for past 2-3 months | $112.20 | $187.00 | $9.71–$168.30 | 242% above | 40% |
| Hemoglobin blood test CPT 85018 Blood test to measure levels of hemoglobin | $31.32 | $52.20 | $2.37–$46.98 | 201% above | 40% |
| Hepatitis B core antibody test (total) CPT 86704 Blood test indicating infection with Hepatitis B | $112.86 | $188.10 | $12.05–$169.29 | 291% above | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB | $114.51 | $190.85 | $10.74–$171.77 | 299% above | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE AG | $101.52 | $169.20 | $10.33–$152.28 | 177% above | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 Blood test to determine infection with Hepatitis C | $112.86 | $188.10 | $14.27–$169.29 | 143% above | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C QUANTIFICATION | $161.37 | $268.95 | $42.84–$242.06 | 38% above | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIM.VIRUS 1 ABS | $27.06 | $45.10 | $13.19–$46.69 | 4% above | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 2 ABS | $144.21 | $240.35 | $19.35–$216.32 | 226% above | 40% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP - HIGH SENSITIVITY | $100.65 | $167.75 | $12.95–$150.98 | 133% above | 40% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE ULTRAQUANT | $74.25 | $123.75 | $17.92–$111.38 | 30% above | 40% |
| Insulin blood test CPT 83525 INSULIN | $77.95 | $129.92 | $11.43–$116.93 | 136% above | 40% |
| Iron blood test (serum iron) CPT 83540 Blood test to measure the amount of iron that is in transit in the body | $71.01 | $118.35 | $6.34–$106.52 | 229% above | 40% |
| Iron-binding capacity (TIBC) test CPT 83550 Blood test that measures the amount of iron carried in the blood | $47.33 | $78.88 | $8.74–$70.99 | 47% above | 40% |
| Kidney function blood test panel CPT 80069 Kidney function panel test | $163.89 | $273.15 | $8.68–$245.84 | 200% above | 40% |
| LH (luteinizing hormone) test CPT 83002 Test of hormone in the blood | $67.98 | $113.30 | $18.52–$101.97 | 26% above | 40% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID LACTATE SERUM | $124.20 | $207.00 | $11.57–$186.30 | 345% above | 40% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH-LACTIC DEHYDROGN | $124.20 | $207.00 | $6.04–$186.30 | 497% above | 40% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE SERUM | $85.59 | $142.65 | $6.89–$128.39 | 242% above | 40% |
| Liver function blood test panel CPT 80076 Liver function blood test panel | $255.09 | $425.15 | $8.17–$382.64 | 398% above | 40% |
| Lyme disease antibody test CPT 86618 BORRELIA B. ABS | $91.41 | $152.35 | $17.03–$137.12 | 81% above | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM SERUM | $66.96 | $111.60 | $6.70–$100.44 | 203% above | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM ASSAY | $66.96 | $111.60 | $6.70–$100.44 | 203% above | 40% |
| Measles (rubeola) antibody test CPT 86765 Blood test to determine if antibodies exist for measles | $37.20 | $62.00 | $12.88–$55.80 | 20% above | 40% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONONUCLEOSIS SCRN BLD | $69.30 | $115.50 | $5.18–$103.95 | 200% above | 40% |
| Mumps immunity blood test CPT 86735 ANTI-MUMPS AB | $30.36 | $50.60 | $13.05–$46.19 | at median | 40% |
| Obstetric blood test panel CPT 80055 Obstetric blood test panel | $382.80 | $638.00 | $24.01–$574.20 | 373% above | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (prostate specific antigen) measurement | $33.00 | $55.00 | $18.39–$65.10 | 32% below | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (prostate specific antigen) | $46.53 | $77.55 | $18.39–$69.80 | 5% above | 40% |
| Pap test (liquid-based, automated screening with review) CPT 88175 PAP smear | $99.60 | $166.00 | $25.59–$149.40 | 131% above | 40% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP smear | $81.76 | $136.26 | $15.87–$122.63 | 182% above | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE | $74.40 | $124.00 | $41.28–$146.13 | 19% below | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test | $91.26 | $152.10 | $6.01–$136.89 | 340% above | 40% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS INORGANIC | $44.28 | $73.80 | $4.74–$66.42 | 171% above | 40% |
| Potassium blood test CPT 84132 POTASSIUM BLOOD | $31.32 | $52.20 | $4.76–$46.98 | 85% above | 40% |
| Progesterone blood test CPT 84144 PROGESTERONE SERUM | $67.98 | $113.30 | $20.86–$101.97 | 22% above | 40% |
| Prolactin blood test CPT 84146 PROLACTIN SERUM | $67.98 | $113.30 | $19.38–$101.97 | 5% above | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time | $40.77 | $67.95 | $4.29–$61.16 | 182% above | 40% |
| Rapid flu test (influenza antigen) CPT 87804 Flu test | $102.60 | $171.00 | $14.90–$153.90 | 355% above | 40% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Test for strep A | $64.94 | $108.24 | $14.88–$97.42 | 165% above | 40% |
| Renin blood test CPT 84244 RENIN | $219.78 | $366.30 | $21.99–$329.67 | 266% above | 40% |
| Rh blood typing CPT 86901 BLOOD TYPE - RH | $54.00 | $90.00 | $2.99–$109.29 | 155% above | 40% |
| Rheumatoid factor (RF) test CPT 86431 RA QUANTITATIVE | $52.80 | $88.00 | $5.67–$79.20 | 128% above | 40% |
| Rubella antibody test (immunity check) CPT 86762 Blood test to determine if antibodies exist for rubella | $25.80 | $43.00 | $14.39–$50.94 | 23% below | 40% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SEDIMENTATION RATE AUTOMATED | $11.10 | $18.50 | $2.70–$16.65 | 39% below | 40% |
| Sodium blood test CPT 84295 SODIUM SERUM | $44.28 | $73.80 | $4.80–$66.42 | 160% above | 40% |
| Stool ova and parasites exam CPT 87177 OVA & PARASITE EXAM | $38.28 | $63.80 | $8.90–$57.42 | 27% above | 40% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD SCREENING, FECES | $17.55 | $29.25 | $3.23–$26.33 | 30% above | 40% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLD FHG QUAL 1 3 | $48.60 | $81.00 | $15.92–$72.90 | 100% above | 40% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Blood test to determine existence of certain bacterium that causes syphilis | $49.41 | $82.35 | $13.24–$74.12 | 84% above | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Blood test to screen for syphilis | $48.33 | $80.55 | $4.26–$72.50 | 275% above | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST,CELL IMMUN MEASUR | $111.60 | $186.00 | $61.98–$219.40 | 5% below | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE SERUM | $67.98 | $113.30 | $25.81–$101.97 | 14% above | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL AB | $57.42 | $95.70 | $14.55–$86.13 | 53% above | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) | $197.67 | $329.45 | $16.80–$296.51 | 390% above | 40% |
| Total IgE blood test CPT 82785 IGE-IMMUNOGLOBULIN E | $34.65 | $57.75 | $16.46–$58.26 | 10% below | 40% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL | $66.66 | $111.10 | $4.26–$99.99 | 344% above | 40% |
| Total thyroxine (T4) blood test CPT 84436 Blood test to measure a type of thyroid hormone | $94.77 | $157.95 | $5.86–$142.16 | 305% above | 40% |
| Total triiodothyronine (T3) blood test CPT 84480 Blood test to evaluate thyroid function | $81.84 | $136.40 | $7.83–$122.76 | 84% above | 40% |
| Transferrin blood test CPT 84466 TRANSFERRIN | $126.06 | $210.10 | $12.76–$189.09 | 215% above | 40% |
| Trichomonas test (NAAT) CPT 87661 Blood test for an STD | $168.00 | $280.00 | $35.09–$252.00 | 222% above | 40% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES | $73.17 | $121.95 | $5.74–$109.76 | 207% above | 40% |
| Troponin test, quantitative CPT 84484 Blood test to measure a certain protein in the blood to determine heart muscle damage | $216.54 | $360.90 | $11.22–$324.81 | 469% above | 40% |
| Uric acid blood test CPT 84550 URIC ACID SERUM | $74.79 | $124.65 | $4.51–$112.19 | 349% above | 40% |
| Urinalysis with microscope exam, automated CPT 81001 Manual urinalysis test with examination with or without using microscope | $98.55 | $164.25 | $3.17–$147.83 | 316% above | 40% |
| Urinalysis without microscope exam, automated CPT 81003 Automated urinalysis test | $53.46 | $89.10 | $2.25–$80.19 | 516% above | 40% |
| Urine culture for bacteria, with colony count CPT 87086 Culture of the urine to determine number of bacteria | $81.00 | $135.00 | $8.07–$121.50 | 120% above | 40% |
| Urine microalbumin (albumin) test CPT 82043 Urine test to measure albumin | $33.56 | $55.94 | $5.78–$50.35 | 72% above | 40% |
| Urine pregnancy test, read by color change CPT 81025 Urine pregnancy test | $13.05 | $21.75 | $7.75–$30.47 | 35% below | 40% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Blood test to measure B-12 | $112.86 | $188.10 | $15.08–$169.29 | 183% above | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Blood test to monitor vitamin D levels | $53.40 | $89.00 | $29.60–$104.78 | 31% below | 40% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D | $179.82 | $299.70 | $20.52–$269.73 | 76% above | 40% |
| Zinc blood test CPT 84630 ZINC | $121.44 | $202.40 | $11.39–$182.16 | 261% above | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANTITATIVE SERUM | $274.56 | $457.60 | $15.05–$411.84 | 440% above | 40% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Louisiana | Off list |
|---|---|---|---|---|---|
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 STEREOTAT GD BRST BX REDU | $818.93 | $1,364.88 | $364.00–$4,825.85 | 19% above | 40% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 STEREOTACTIC BREAST BIOPS RIGHT | $2,229.00 | $3,715.00 | $364.00–$4,825.85 | 225% above | 40% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 STEREOTACTIC BREAST BIOPS LEFT | $2,229.00 | $3,715.00 | $364.00–$4,825.85 | 225% above | 40% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CLSD TX METATARSAL FX WO MANIP EA BONE | $157.68 | $262.80 | $99.86–$666.19 | 19% below | 40% |
| Cardiac catheterization with coronary angiogram CPT 93458 INJ NATIVE CORONARIES W LV GRAM | $6,965.40 | $11,609.00 | $1,819.13–$10,448.10 | 48% above | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTIVE | $871.20 | $1,452.00 | $227.53–$1,892.75 | 50% above | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION | $871.20 | $1,452.00 | $227.53–$1,892.75 | 50% above | 40% |
| Cataract surgery with lens implant CPT 66984 Removal of cataract with insertion of lens | $1,205.04 | $2,008.40 | $903.78–$6,949.53 | 44% below | 40% |
| Cervical biopsy CPT 57500 BIOPSY CERVIX OR LOCAL EXC LSN | $520.30 | $867.16 | $329.52–$2,263.91 | 3% above | 40% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION NEONATE | $2,877.00 | $4,795.00 | $1,686.27–$5,969.39 | 142% above | 40% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLSD TX DISTAL RADIAL FX WO MANIPLTN | $304.32 | $507.20 | $188.19–$666.19 | 22% above | 40% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Biopsy of cervix or uterus | $253.80 | $423.00 | $160.74–$939.58 | 1% below | 40% |
| Coronary stent placement, one artery CPT 92928 CORO STENT RCA | $7,702.50 | $12,837.50 | $2,011.64–$34,162.33 | 3% below | 40% |
| Coronary stent placement, one artery CPT 92928 CORO STENT RAMUS | $7,702.50 | $12,837.50 | $2,011.64–$34,162.33 | 3% below | 40% |
| Coronary stent placement, one artery CPT 92928 CORO STENT LM | $7,702.50 | $12,837.50 | $2,011.64–$34,162.33 | 3% below | 40% |
| Coronary stent placement, one artery CPT 92928 CORO STENT LAD | $7,702.50 | $12,837.50 | $2,011.64–$34,162.33 | 3% below | 40% |
| Coronary stent placement, one artery CPT 92928 CORO STENT CX | $8,088.00 | $13,480.00 | $2,112.32–$34,162.33 | 1% above | 40% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruction of pre-cancerous lesion | $93.41 | $155.68 | $24.40–$581.14 | 4% below | 40% |
| Earwax removal with instruments, one ear CPT 69210 Removal of ear wax from one or both ears | $79.73 | $132.88 | $20.82–$184.98 | 29% above | 40% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Biopsy of the lining of the uterus | $130.20 | $217.00 | $34.00–$573.26 | 16% below | 40% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 CERV/THORACIC EPIDRL/SUBARACH INJ | $756.00 | $1,260.00 | $567.00–$2,073.62 | 1% above | 40% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Injection into lower back of nerve block using imaging guidance | $720.00 | $1,200.00 | $540.00–$2,742.49 | 6% above | 40% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HYSTEROG/SIS CONTR/SALINE | $166.32 | $277.20 | $49.90–$657.00 | 34% above | 40% |
| IUD insertion (the device itself billed separately) CPT 58300 INSERT IUD | $144.00 | $240.00 | $43.20–$240.00 | 12% below | 40% |
| Incision and drainage of a simple or single skin abscess CPT 10060 Incision and drainage of abscess; simple or single and complex or multiple | $283.80 | $473.00 | $164.16–$581.14 | 41% above | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection of medication into a tendon or ligament | $238.43 | $397.38 | $178.82–$875.00 | 10% above | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Draining or injecting medication into a major joint/bursa without ultrasound | $190.74 | $317.90 | $49.81–$875.00 | 26% below | 40% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERT DRUG DELIVERY IMPLANT | $67.20 | $112.00 | $17.55–$373.66 | 22% below | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Draining or injecting medication into a large joint/bursa without ultrasound | $480.00 | $800.00 | $125.36–$875.00 | 93% above | 40% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Draining or injecting medication into a small joint/bursa without ultrasound | $480.00 | $800.00 | $125.36–$875.00 | 86% above | 40% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTRMDT RPR SCLP/AXILL/TRNK/EXT 2.5 OR < | $121.37 | $202.29 | $76.87–$1,200.60 | 62% below | 40% |
| Left heart catheterization, diagnostic one side CPT 93452 Insertion of catheter into left heart for diagnosis | $1,416.00 | $2,360.00 | $369.81–$9,520.95 | 56% below | 40% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Injection of substance into spinal canal of lower back or sacrum using imaging guidance | $604.80 | $1,008.00 | $453.60–$2,073.62 | 15% below | 40% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | $720.00 | $1,200.00 | $540.00–$2,742.49 | 34% above | 40% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC TRK ARM LEG<=0.5CM BENIGN | $351.36 | $585.60 | $222.53–$2,088.52 | 7% below | 40% |
| Nail removal (partial or complete), one nail CPT 11730 Separation and removal of the entire nail plate or a portion of nail plate | $95.17 | $158.61 | $24.85–$581.14 | 33% below | 40% |
| Pacemaker implant (dual chamber) CPT 33208 INS NEW/REP PM W/DUAL LEAD | $16,649.40 | $27,749.00 | $3,793.00–$33,240.18 | 60% above | 40% |
| Paracentesis with imaging guidance CPT 49083 PERITONEOCENTESIS;INITIAL | $290.71 | $484.51 | $218.03–$2,656.66 | 45% below | 40% |
| Paracentesis with imaging guidance CPT 49083 PERITONEOCENTESIS SUBSEQ | $498.30 | $830.50 | $373.73–$2,656.66 | 6% below | 40% |
| Paracentesis with imaging guidance CPT 49083 PERITONEOCENTESIS INITIAL | $984.60 | $1,641.00 | $738.45–$2,656.66 | 85% above | 40% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL & NAIL MATRIX PERMANENT | $414.54 | $690.90 | $262.54–$1,200.60 | 4% above | 40% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DEST. NERVE LUMB | $997.70 | $1,662.84 | $748.28–$5,784.80 | 2% below | 40% |
| Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION | $3,280.20 | $5,467.00 | $1,665.00–$11,063.57 | 132% above | 40% |
| Removal of a foreign object under the skin, simple CPT 10120 INCISION & RMVL FB SUBQ SMPL | $357.60 | $596.00 | $226.48–$1,200.60 | 41% above | 40% |
| Removal of a foreign object under the skin, simple CPT 10120 REMOVAL FOREIGN BODY | $357.60 | $596.00 | $226.48–$1,200.60 | 41% above | 40% |
| Removal of a foreign object under the skin, simple CPT 10120 REMOVAL OF FB SUBCUTANEOUS | $375.60 | $626.00 | $281.70–$1,200.60 | 49% above | 40% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Surgical procedures on the kidney to break up and remove kidney stones | $9,994.48 | $16,657.47 | $2,575.00–$16,657.47 | 177% above | 40% |
| Short arm cast (elbow to hand) CPT 29075 SERIAL CASTING SHORT ARM | $141.94 | $236.57 | $37.07–$772.08 | 19% below | 40% |
| Short arm splint (forearm and hand) CPT 29125 APPLY SHORT ARM SPLINT | $204.60 | $341.00 | $105.55–$373.66 | 67% above | 40% |
| Short leg cast (below the knee) CPT 29405 SHORT LEG CAST | $186.00 | $310.00 | $117.80–$772.08 | 11% below | 40% |
| Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST | $186.00 | $310.00 | $48.58–$772.08 | 11% below | 40% |
| Short leg splint (calf to foot) CPT 29515 APPLY SHORT LEG SPLINT | $153.12 | $255.20 | $39.99–$469.08 | at median | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities | $225.00 | $375.00 | $142.50–$581.14 | 15% above | 40% |
| Skin biopsy, punch, one lesion CPT 11104 SINGLE PUNCH BIOPSY | $168.00 | $280.00 | $43.88–$1,200.60 | 37% below | 40% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY, SINGLE | $241.62 | $402.70 | $63.10–$1,200.60 | 10% below | 40% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC TRK ARM LEG <=0.5CM MALIG | $609.62 | $1,016.04 | $159.21–$2,088.52 | 28% above | 40% |
| Skin tag removal, up to 15 tags CPT 11200 Removal of skin tags, multiple fibrocutaneous tags, any area | $108.89 | $181.48 | $68.96–$581.14 | 17% below | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE | $576.00 | $960.00 | $432.00–$2,073.62 | 33% above | 40% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SMPL RPR SCLP/AXILL/TR 2.6CM - 7.5CM | $214.10 | $356.84 | $135.60–$581.14 | 14% above | 40% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes | $214.10 | $356.84 | $160.58–$581.14 | 17% above | 40% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangential biopsy of skin (e.g., for example, shave, scoop, saucerize, curette); single lesion | $241.62 | $402.70 | $63.10–$581.14 | 41% above | 40% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTSIS INCISI | $206.64 | $344.40 | $154.98–$1,861.73 | 68% below | 40% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/O | $504.00 | $840.00 | $378.00–$1,861.73 | 22% below | 40% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS WITH IMAGE | $1,024.20 | $1,707.00 | $525.91–$1,861.73 | 59% above | 40% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1 OR 2 | $190.75 | $317.92 | $49.82–$875.00 | 30% above | 40% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER PNTS 1-2 MUSCLES | $190.75 | $317.92 | $49.82–$875.00 | 30% above | 40% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJECTION TRIGGER POINT 1 OR 2 | $190.80 | $318.00 | $49.83–$875.00 | 30% above | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US GUIDED BREAST BX W/ CLIP LT | $2,229.00 | $3,715.00 | $446.00–$4,825.85 | 137% above | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US GUIDED BREAST BX W/ CLIP RT | $2,229.00 | $3,715.00 | $446.00–$4,825.85 | 137% above | 40% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 UGI W SUBMUCOSAL INJECTION | $1,607.52 | $2,679.20 | $750.47–$2,679.20 | 169% above | 40% |
| Wart removal, up to 14 warts CPT 17110 Destruction of 1-14 common or plantar warts | $1,530.72 | $2,551.20 | $164.16–$2,296.08 | 1032% above | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRDMNT TO SUBQ 1ST 20 SQ CM OR LESS | $275.88 | $459.80 | $174.72–$1,200.60 | 30% below | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISSUE 20 SQ CM/< | $495.00 | $825.00 | $339.15–$1,200.60 | 26% above | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRDMNT TO SUBQ TISSUE 1ST 20 SQ CM | $535.80 | $893.00 | $339.15–$1,200.60 | 37% above | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SUBCUT TISSUE 1ST 20SQ CM | $602.11 | $1,003.52 | $339.15–$1,200.60 | 54% above | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SQ TISSUE | $602.11 | $1,003.52 | $339.15–$1,200.60 | 54% above | 40% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Louisiana | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD OR BLD COMPONENTS | $630.00 | $1,050.00 | $164.54–$1,373.00 | 33% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB TX SUBSEQUENT | $168.00 | $280.00 | $43.88–$616.28 | 103% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB INITIAL | $168.00 | $280.00 | $43.88–$616.28 | 103% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TX INTIAL | $168.00 | $280.00 | $43.88–$616.28 | 103% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI INITIAL | $298.80 | $498.00 | $78.04–$616.28 | 261% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TX SUBSEQUENT | $298.80 | $498.00 | $78.04–$616.28 | 261% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI DAILY | $298.80 | $498.00 | $78.04–$616.28 | 261% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 EZPAP SUBSEQ | $298.80 | $498.00 | $78.04–$616.28 | 261% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 EZPAP INITIAL | $298.80 | $498.00 | $78.04–$616.28 | 261% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER INITIAL | $298.80 | $498.00 | $78.04–$616.28 | 261% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TX INITIAL | $298.80 | $498.00 | $78.04–$616.28 | 261% above | 40% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INITIAL HR >15 MIN <= 1HR | $360.46 | $600.77 | $94.14–$1,070.43 | 26% above | 40% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE | $1,082.40 | $1,804.00 | $282.69–$3,407.00 | 32% above | 40% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE/DROWSY | $411.00 | $685.00 | $107.34–$901.29 | 34% above | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG ER | $241.76 | $402.93 | $52.25–$373.00 | 218% above | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG PANEL | $241.76 | $402.93 | $52.25–$362.64 | 218% above | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG URGENT CARE | $241.76 | $402.93 | $52.25–$373.00 | 218% above | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER LEVEL I | $174.00 | $290.00 | $45.44–$317.11 | 41% above | 40% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER LEVEL II | $315.00 | $525.00 | $82.27–$582.83 | 91% above | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency department visit, moderately severe problem | $555.00 | $925.00 | $144.95–$1,017.27 | 110% above | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency department visit, problem of high seVERITY PLAN|COMMERCIAL | $900.00 | $1,500.00 | $235.05–$1,602.33 | 115% above | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency department visit, problem with significant threat to life or function | $1,320.00 | $2,200.00 | $344.74–$2,438.00 | 151% above | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIO-STRESS TEST | $431.52 | $719.20 | $112.70–$1,178.00 | 27% above | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 PHARMACOLOGICAL STRESS TEST | $446.90 | $744.84 | $116.72–$1,178.00 | 32% above | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 EXERCISE STRESS TEST | $546.22 | $910.36 | $142.65–$1,178.00 | 61% above | 40% |
| Family therapy with the patient, 50 minutes CPT 90847 Family psychotherapy, including patient, 50 min | $168.00 | $280.00 | $126.00–$268.22 | 49% above | 40% |
| Family therapy without the patient, 50 minutes CPT 90846 Family psychotherapy, not including patient, 50 min | $168.00 | $280.00 | $126.00–$268.22 | 31% above | 40% |
| Group psychotherapy session CPT 90853 Group psychotherapy | $164.40 | $274.00 | $68.94–$246.60 | 71% above | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION INFUSION INITIAL HR | $378.00 | $630.00 | $98.72–$664.77 | 165% above | 40% |
| IV infusion of a medicine, first hour CPT 96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis-initial infusion | $378.00 | $630.00 | $98.72–$664.77 | 100% above | 40% |
| IV push of a medicine, first drug CPT 96374 Intravenous infusion, for therapy, prophylaxis, or diagnosis-IV push | $298.20 | $497.00 | $187.79–$2,239.00 | 206% above | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SQ OR IM | $153.21 | $255.35 | $61.33–$229.82 | 189% above | 40% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 A diagnostic tool employed by a psychiatrist to diagnose problems with memory, thought processes, and behaviors | $115.02 | $191.70 | $86.27–$268.22 | 6% above | 40% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE CONDUCTION STUDIES 7-8 STUDIES | $168.00 | $280.00 | $43.88–$901.29 | 25% above | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 A technique used by physical therapists to restore normal body movement patterns | $61.80 | $103.00 | $16.14–$191.00 | 60% above | 40% |
| New patient office visit, about 30 minutes CPT 99203 New patient office or other outpatient visit, typically 30 min | $101.28 | $168.80 | $30.38–$168.80 | 39% above | 40% |
| New patient office visit, about 45 minutes CPT 99204 New patient office of other outpatient visit, typically 45 min | $233.40 | $389.00 | $56.77–$389.00 | 156% above | 40% |
| New patient office visit, about 60 minutes CPT 99205 New patient office of other outpatient visit, typically 60 min | $183.62 | $306.04 | $55.09–$306.04 | 69% above | 40% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 New patient office or other outpatient visit, typically 10 minutes | $96.00 | $160.00 | $28.80–$160.00 | 61% above | 40% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 OUT PT ED 2.0 | $43.53 | $72.55 | $11.37–$191.00 | 42% above | 40% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEXITY | $157.80 | $263.00 | $72.35–$339.42 | 39% above | 40% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMP 30MIN | $157.80 | $263.00 | $72.35–$339.42 | 39% above | 40% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT HOME EVALUATION | $95.02 | $158.36 | $71.26–$339.42 | 25% below | 40% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVALHIGH COMP 45MIN | $95.02 | $158.36 | $71.26–$339.42 | 25% below | 40% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMP 45MIN | $149.40 | $249.00 | $74.48–$339.42 | 17% above | 40% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMP 45MIN WH | $149.40 | $249.00 | $74.48–$339.42 | 17% above | 40% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMP WH | $49.80 | $83.00 | $37.35–$339.42 | 54% below | 40% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMP | $149.40 | $249.00 | $74.48–$339.42 | 38% above | 40% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEXITY | $149.40 | $249.00 | $74.48–$339.42 | 38% above | 40% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMP 30MIN | $149.40 | $249.00 | $74.48–$339.42 | 23% above | 40% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMP 30MIN WH | $149.40 | $249.00 | $74.48–$339.42 | 23% above | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manipulation of 1 or more regions of the body | $49.80 | $83.00 | $13.01–$191.00 | 29% above | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $53.40 | $89.00 | $16.21–$191.00 | 41% above | 40% |
| Preventive checkup, new patient aged 18–39 CPT 99385 Initial new patient preventive medicine evaluation (18?9 years) | $232.80 | $388.00 | $60.80–$388.00 | 55% above | 40% |
| Preventive checkup, new patient aged 40–64 CPT 99386 Initial new patient preventive medicine evaluation (40?4 years) | $282.00 | $470.00 | $73.65–$470.00 | 101% above | 40% |
| Preventive checkup, new patient aged 65 or older CPT 99387 Initial visit for new patients 65 and older years old | $304.20 | $507.00 | $79.45–$507.00 | 122% above | 40% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 Established patient periodic preventive medicine examination age 18-39 years | $195.00 | $325.00 | $50.93–$325.00 | 95% above | 40% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 Established patient periodic preventive medicine examination age 40-64 years | $230.40 | $384.00 | $60.17–$384.00 | 95% above | 40% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 Periodic primary re-evaluation for an established patient 65 and older | $242.40 | $404.00 | $63.31–$404.00 | 99% above | 40% |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy, 30 min | $213.60 | $356.00 | $132.44–$320.40 | 148% above | 40% |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy, 45 min | $213.60 | $356.00 | $132.44–$320.40 | 96% above | 40% |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy, 60 min | $105.03 | $175.05 | $78.77–$268.22 | 4% below | 40% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Established patient office or other outpatient, visit typically 40 minutes | $134.21 | $223.68 | $40.26–$223.68 | 88% above | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Established patient office or other outpatient visit, typically 15 minutes | $96.00 | $160.00 | $28.80–$160.00 | 69% above | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Established patient office or other outpatient visit, typically 25 minutes | $100.80 | $168.00 | $30.24–$168.00 | 53% above | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Outpatient visit of established patient requiring a physician | $96.00 | $160.00 | $28.80–$160.00 | 85% above | 40% |
| Speech and language evaluation CPT 92523 Evaluation of speech sound production with evaluation of language comprehension | $340.20 | $567.00 | $66.74–$773.84 | 83% above | 40% |
| Speech therapy session, individual CPT 92507 Therapy for speech or hearing | $175.80 | $293.00 | $49.56–$263.70 | 112% above | 40% |
| Spirometry (breathing test) CPT 94010 Test to determine how well oxygen moves from the lungs to the blood stream | $224.40 | $374.00 | $58.61–$468.02 | 78% above | 40% |
| Spirometry before and after a bronchodilator CPT 94060 Test to determine if wheezing is present | $411.00 | $685.00 | $107.34–$901.29 | 99% above | 40% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Incorporates the use of multiple parameters, such as balance, strength, and range of motion, for a functional activity | $67.80 | $113.00 | $13.35–$191.00 | 72% above | 40% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY | $177.00 | $295.00 | $105.55–$373.66 | 77% above | 40% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Louisiana | Off list |
|---|---|---|---|---|---|
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization administration by a medical assistant or nurse | $30.43 | $50.72 | $22.82–$217.13 | 24% below | 40% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 N/A ADMIN VACCINE EA ADDL | $24.35 | $40.58 | $7.30–$42.00 | 9% below | 40% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN VACCINE EA ADDL | $24.35 | $40.58 | $18.26–$42.00 | 9% below | 40% |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.