Does Abrom Kaplan Memorial Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Abrom Kaplan Memorial Hospital. In a medical emergency, call 911.

Where is Abrom Kaplan Memorial Hospital?

1310 West Seventh Street, Kaplan, LA 70548, in Vermilion Parish, Louisiana.

What is the phone number of Abrom Kaplan Memorial Hospital?

(337) 643-8300, as listed by Medicare (CMS).

What is the Medicare star rating of Abrom Kaplan Memorial Hospital?

CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Abrom Kaplan Memorial Hospital — Phone, Address & ER

Quick answers

Does Abrom Kaplan Memorial Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Abrom Kaplan Memorial Hospital. In a medical emergency, call 911.
Where is Abrom Kaplan Memorial Hospital?: 1310 West Seventh Street, Kaplan, LA 70548, in Vermilion Parish, Louisiana.
What is the phone number of Abrom Kaplan Memorial Hospital?: (337) 643-8300, as listed by Medicare (CMS).
What is the Medicare star rating of Abrom Kaplan Memorial Hospital?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^[4]

Cardiology
Ear, nose and throat (ENT)
Emergency medicine
Gastroenterology
General surgery
Hospital medicine
Infectious diseases
Orthopedics
Pathology
Primary care
Psychiatry and behavioral health
Pulmonary services
Radiology and diagnostic imaging
Sleep disorders
Speech-language pathology
Nuclear medicine
Radiology and imaging
Respiratory therapy

Conditions treated^[4]

Inflammatory bowel disease
Mental health disorders
Heart conditions
Joint, muscle and bone conditions

Treatments^[4]

Infusion services
Physical therapy
Occupational therapy
Skilled nursing
Diabetes care and education
Crisis intervention and symptom stabilization
Psychopharmacologic management
Activity therapy
Case management
Respiratory therapy

Procedures^[4]

Colonoscopy
CT scans
Mammography
Bone density screening
MRI
Nuclear medicine
Ultrasound
X-ray
Psychiatric evaluation
Biopsychosocial evaluation
Laboratory and diagnostic testing

Programs and centers^[4]

Behavioral health unit (10 beds)
Virtual visits
Behavioral Health Unit (10-bed psychiatric facility)
Virtual cardiology program
Outpatient respiratory therapy

Emergency care (hospital website)^[4][5][6]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Visiting	Up to two visitors during the day, two per room at a time; one overnight visitor who stays in the room^[4]

Doctors and clinicians (147)

147 doctors and other clinicians list Abrom Kaplan Memorial Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 123 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Abbeville General Hospital12 mi · Abbeville, LA · Acute Care Hospital
Acadia General Hospital16 mi · Crowley, LA · Acute Care Hospital
Our Lady of Lourdes Regional Medical Center, Inc18 mi · Lafayette, LA · Acute Care Hospital
Ochsner University Hospital and Clinics21 mi · Lafayette, LA · Acute Care Hospital
Ochsner Lafayette General Medical Center21 mi · Lafayette, LA · Acute Care Hospital

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Kaplan

Lafayette - A M G Specialty Hospital18 mi · Lafayette, LA · Long-Term Acute Care Hospital
Park Place Surgical Hospital18 mi · Lafayette, LA · Acute Care Hospital
Lafayette-Amg Physical Rehabilitation Hospital18 mi · Lafayette, LA · Inpatient Rehabilitation Hospital

Hospitals in Vermilion Parish · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

Kaplan Healthcare Center0.1 mi · Kaplan, LA · 1 of 5 stars
Vermilion Health Care Center5.0 mi · Kaplan, LA · 5 of 5 stars
Eastridge Nursing & Rehabilitation11 mi · Abbeville, LA · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Lamm Family Care Hospice15 mi · Crowley, LA · 5 of 5 stars
Amedisys Hospice18 mi · Lafayette, LA
Community Hospice of Lafayette18 mi · Lafayette, LA

All hospice providers in the state →

Home health agencies

Acadian Homecare / Abbeville10.0 mi · Abbeville, LA · 3 of 5 stars
Lamm Family Care Home Health15 mi · Crowley, LA · 5 of 5 stars
Professional HHS of Southwest Louisiana15 mi · Crowley, LA · 2.5 of 5 stars

All home health agencies in the state →

Dialysis facilities

Fmcna - Veterans Memorial10.0 mi · Abbeville, LA · 3 of 5 stars
DCI - Crowley15 mi · Crowley, LA · 1 of 5 stars
DCI - Kidney Treatment Options Center, LLC (Ktoc)18 mi · Lafayette, LA · 3 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

Laser & Surgery Center of Acadiana18 mi · Lafayette, LA
Acadiana Endoscopy Center, Inc18 mi · Lafayette, LA
Surgery Center18 mi · Lafayette, LA

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Abbeville Community Health Center10 mi · Abbeville, LA · Community health center
Abbeville Community Health Center Main Site10 mi · Abbeville, LA · Community health center
SWLA Center for Health Services - Crowley15 mi · Crowley, LA · Community health center

Clinics and urgent care

Abbeville General Hospital10.0 mi · Abbeville, LA · Urgent care center
Abbeville General Hospital Clinic10.0 mi · Abbeville, LA · Rural health clinic
Claude Meeks Medical Group LLC10.0 mi · Abbeville, LA · Rural health clinic

Pharmacies

Cashway Pharmacy of Abbeville LLC10.0 mi · Abbeville, LA · Community/retail pharmacy
Hollier Drug Store Inc10.0 mi · Abbeville, LA · Community/retail pharmacy
Iberia Comprehensive Community Health Center10.0 mi · Abbeville, LA · Clinic pharmacy

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Abrom Kaplan Memorial Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Rated the hospital 9 or 10 out of 10	79%National average: 72%
Would definitely recommend the hospital	84%National average: 71%
Nurses “always” communicated well	84%National average: 80%
Doctors “always” communicated well	85%National average: 80%
“Always” got help as soon as they wanted	78%National average: 64%
Staff “always” explained medicines before giving them	58%National average: 62%
Were given information about recovery at home	87%National average: 86%
Room and bathroom “always” clean	83%National average: 73%
Not reported to Medicare	Summary star rating (all survey topics); Overall rating of the hospital; Would recommend the hospital; Nurses communicated well; Doctors communicated well; Patients got help quickly from staff; Staff explained medicines; Information about recovery at home; Room and bathroom kept clean; Restfulness of Environment; Care Coordination; Symptoms After Stay
Completed surveys	54Response rate: 21%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: pneumonia patients	15.6%
Not reported to Medicare	Deaths within 30 days: stroke patients; Deaths within 30 days: coronary bypass surgery (CABG); Serious complications (patient safety indicator PSI-90); Complications after hip or knee replacement
Too few cases to report	Deaths within 30 days: heart attack patients; Deaths within 30 days: heart failure patients; Deaths within 30 days: COPD patients

Source: Complications and Deaths - Hospital — CMS, released October 20, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)	17.2%
Readmitted within 30 days: pneumonia	17.3%
Readmitted within 30 days: COPD	19.8%
Not reported to Medicare	Readmitted within 30 days: heart attack; Readmitted within 30 days: coronary bypass surgery; Readmitted within 30 days: hip or knee replacement
Too few cases to report	Readmitted within 30 days: heart failure

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	91 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	0%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	92%National average: 66%

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

Not reported to Medicare: infections caught in the hospital. For these topics Medicare shows no result for this hospital (not reported, or too few cases).

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in Louisiana Best hospitals in Louisiana

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 77 common services exactly as Abrom Kaplan Memorial Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

Hospital charge: The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price: The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates: The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees: A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Show the prices of 77 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: PR OFFICE/OUTPT VISIT, NEW, LEVL III, 30-44 MIN	$195	$87.75	$62.18 – $136.50
New patient office visit (about 30–44 minutes): 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $62.18 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $76.50 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $83.28 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $78.80 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $62.18 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $80.84 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $80.84 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $76.50 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $80.84 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $80.84
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: HC OFFICE/OUTPT VISIT, NEW, LEVL III, 30-44 MIN	$161	$72.45	$38 – $216.83
New patient office visit (about 30–44 minutes): 10 of 25 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $38 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $72.45 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $101.11 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $74.62 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $38 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $199.42 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $216.83 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $72.45 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $216.83 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $199.42
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) In the file: HC OFFICE/OUTPT VISIT, NEW, LEVL III, 30-44 MIN	$161	$72.45	Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: PR OFFICE/OUTPT VISIT, NEW, LEVL IV, 45-59 MIN	$299	$134.55	$96.56 – $209.30
New patient office visit (about 45–59 minutes): 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $96.56 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $124.50 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $134.33 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $128.24 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $96.56 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $130.92 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $130.92 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $124.50 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $130.92 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $130.92
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: HC OFFICE/OUTPT VISIT, NEW, LEVL IV, 45-59 MIN	$170	$76.50	$57 – $315.48
New patient office visit (about 45–59 minutes): 10 of 25 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $57 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $76.50 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $106.76 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $78.80 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $57 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $290.16 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $315.48 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $76.50 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $315.48 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $290.16
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) In the file: HC OFFICE/OUTPT VISIT, NEW, LEVL IV, 45-59 MIN	$170	$76.50	Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: HC OFFICE/OUTPT VISIT, NEW, LEVL V, 60-74 MIN	$179	$80.55	$57 – $315.48
New patient office visit (about 60–74 minutes): 10 of 25 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $57 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $80.55 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $112.41 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $82.97 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $57 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $290.16 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $315.48 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $80.55 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $315.48 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $290.16
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) In the file: HC OFFICE/OUTPT VISIT, NEW, LEVL V, 60-74 MIN	$179	$80.55	Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: PR OFFICE/OUTPT VISIT, EST, LEVL III, 20-29 MIN	$132	$59.40	$41.53 – $173.22
Established patient office visit (about 20–29 minutes): 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $41.53 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $61.47 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $66.11 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $63.31 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $41.53 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $173.22 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $173.22 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $61.47 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $173.22 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $173.22
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: HC OFFICE/OUTPT VISIT, EST, LEVL III, 20-29 MIN	$143	$64.35	$38 – $216.83
Established patient office visit (about 20–29 minutes): 10 of 25 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $38 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $64.35 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $89.80 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $66.28 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $38 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $199.42 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $216.83 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $64.35 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $216.83 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $199.42
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) In the file: HC OFFICE/OUTPT VISIT, EST, LEVL III, 20-29 MIN	$143	$64.35	Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: PR OFFICE/OUTPT VISIT, EST, LEVL IV, 30-39 MIN	$194	$87.30	$41.39 – $135.80
Established patient office visit (about 30–39 minutes): 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $62.65 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $90.52 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $96.62 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $93.24 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $62.65 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $41.39 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $41.39 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $90.52 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $41.39 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $41.39
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: HC OFFICE/OUTPT VISIT, EST, LEVL IV, 30-39 MIN	$151	$67.95	$52.85 – $315.48
Established patient office visit (about 30–39 minutes): 10 of 25 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $57 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $67.95 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $94.83 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $69.99 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $57 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $290.16 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $315.48 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $67.95 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $315.48 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $290.16
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) In the file: HC OFFICE/OUTPT VISIT, EST, LEVL IV, 30-39 MIN	$151	$67.95	Not listed in the file
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: PR PREVENTIVE VISIT,NEW,18-39	$138	$62.10	$12.50 – $119.46
Preventive checkup, new patient, age 18–39: 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $76.67 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $87.61 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $112.79 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $90.24 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $76.67 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $12.50 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $12.50 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $87.61 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $12.50 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $12.50
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: PR PREVENTIVE VISIT,NEW,40-64	$166	$74.70	$12.75 – $144.94
Preventive checkup, new patient, age 40–64: 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $89.97 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $106.06 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $136.84 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $109.24 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $89.97 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $12.75 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $12.75 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $106.06 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $12.75 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $12.75
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: HC EMER ROOM LEVEL III	$270	$121.50	$94.50 – $464.86
Emergency room visit (moderate): 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $209.93 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $121.50 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $169.56 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $125.14 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $209.93 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $427.56 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $464.86 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $121.50 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $464.86 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $427.56
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) In the file: HC EMER ROOM LEVEL III	$270	$121.50	Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: HC EMER ROOM LEVEL IV	$408	$183.60	$142.80 – $808.89
Emergency room visit (moderately high): 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $317.22 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $183.60 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $256.22 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $189.11 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $317.22 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $743.97 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $808.89 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $183.60 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $808.89 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $743.97
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) In the file: HC EMER ROOM LEVEL IV	$408	$183.60	Not listed in the file
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: HC EMER ROOM LEVEL V	$577	$259.65	$201.95 – $1,496
Emergency room visit (high): 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $448.62 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $259.65 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $362.36 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $267.44 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $448.62 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $743.97 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $808.89 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $259.65 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $808.89 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $743.97
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) In the file: HC EMER ROOM LEVEL V	$577	$259.65	Not listed in the file

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: HC BASIC METABOLIC PANEL(8 TESTS)	$82	$36.90	$8.46 – $57.40
Basic metabolic panel (blood test): 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $8.46 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $36.90 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $51.50 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $38.01 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $8.46 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $20.73 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $22.54 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $36.90 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $22.54 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $20.73
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) In the file: HC BASIC METABOLIC PANEL(8 TESTS)	$82	$36.90	Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: HC COMPREHENSIVE METABOLIC PAN 14	$101	$45.45	$10.56 – $70.70
Comprehensive metabolic panel (blood test): 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $10.56 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $45.45 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $63.43 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $46.81 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $10.56 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $22.59 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $24.57 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $45.45 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $24.57 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $22.59
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) In the file: HC COMPREHENSIVE METABOLIC PAN 14	$101	$45.45	Not listed in the file
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: HC OBSTETRIC PANEL	$45	$20.25	$15.75 – $85.21
Obstetric blood test panel: 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $24.12 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $20.25 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $28.26 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $20.86 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $24.12 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $78.37 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $85.21 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $20.25 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $85.21 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $78.37
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) In the file: HC OBSTETRIC PANEL	$45	$20.25	Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: HC LIPID PROFILE	$99	$44.55	$13.39 – $69.30
Cholesterol panel (lipid panel): 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $13.39 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $44.55 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $62.17 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $45.89 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $13.39 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $23.01 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $25.02 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $44.55 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $25.02 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $23.01
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) In the file: HC LIPID PROFILE	$99	$44.55	Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: HC RENAL FUNCTION PANEL	$96	$43.20	$8.68 – $67.20
Kidney function panel: 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $8.68 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $43.20 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $60.29 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $44.50 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $8.68 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $19.75 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $21.48 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $43.20 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $21.48 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $19.75
Kidney function panel CPT 80069 · Inpatient (hospital stay) In the file: HC RENAL FUNCTION PANEL	$96	$43.20	Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HC HEPATIC FUNCTION PANEL,7 TESTS	$101	$45.45	$8.17 – $70.70
Liver function panel: 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $8.17 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $45.45 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $63.43 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $46.81 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $8.17 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $14.39 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $15.64 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $45.45 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $15.64 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $14.39
Liver function panel CPT 80076 · Inpatient (hospital stay) In the file: HC HEPATIC FUNCTION PANEL,7 TESTS	$101	$45.45	Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: HC URINALYSIS, AUTO W/MICRO	$31	$13.95	$3.17 – $21.70
Urine test (automated, with microscope): 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $3.17 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $13.95 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $19.47 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $14.37 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $3.17 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $5.42 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $5.89 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $13.95 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $5.89 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $5.42
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: HC POC URINALYSIS, AUTO W/MICRO	$8	$3.60	$2.80 – $5.89
Urine test (automated, with microscope): 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $3.17 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $3.60 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $5.02 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $3.71 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $3.17 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $5.42 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $5.89 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $3.60 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $5.89 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $5.42
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) In the file: HC URINALYSIS, AUTO W/MICRO	$31	$13.95	Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: HC URINALYSIS W/O MICRO NON-AUTO	$7	$3.15	$2.45 – $4.90
Urine test (manual, without microscope): 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $3.48 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $3.15 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $4.40 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $3.24 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $3.48 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $3.83 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $4.17 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $3.15 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $4.17 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $3.83
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: *HC URINE SINGLE ITEM	$11	$4.95	$3.48 – $7.70
Urine test (manual, without microscope): 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $3.48 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $4.95 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $6.91 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $5.10 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $3.48 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $3.83 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $4.17 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $4.95 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $4.17 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $3.83
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: PR URINALYSIS NONAUTO W/O SCOPE	$17	$7.65	$1.56 – $22
Urine test (manual, without microscope): 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $2.54 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $3.48 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $5.15 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $3.58 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $2.54 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $22 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $22 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $3.48 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $22 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $22
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: HC URINE W/O MICRO, AUTO	$29	$13.05	$2.25 – $20.30
Urine test (automated, without microscope): 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $2.25 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $13.05 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $18.21 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $13.44 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $2.25 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $4.49 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $4.89 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $13.05 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $4.89 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $4.49
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: HC POC URINE W/O MICRO, AUTO	$7	$3.15	$2.25 – $4.90
Urine test (automated, without microscope): 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $2.25 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $3.15 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $4.40 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $3.24 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $2.25 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $4.49 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $4.89 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $3.15 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $4.89 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $4.49
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) In the file: HC URINE W/O MICRO, AUTO	$29	$13.05	Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: HC PSA, DIAGNOSTIC	$82	$36.90	$18.39 – $57.40
PSA (prostate specific antigen) blood test: 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $18.39 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $36.90 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $51.50 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $38.01 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $18.39 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $36.70 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $39.91 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $36.90 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $39.91 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $36.70
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: HC PSA, SCREENING	$86	$38.70	$18.39 – $60.20
PSA (prostate specific antigen) blood test: 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $18.39 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $38.70 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $54.01 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $39.86 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $18.39 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $36.70 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $39.91 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $38.70 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $39.91 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $36.70
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: HC PSA, TOTAL	$82	$36.90	$18.39 – $57.40
PSA (prostate specific antigen) blood test: 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $18.39 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $36.90 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $51.50 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $38.01 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $18.39 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $36.70 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $39.91 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $36.90 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $39.91 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $36.70
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: HC TSH	$83	$37.35	$16.80 – $58.10
Thyroid stimulating hormone (TSH) test: 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $16.80 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $37.35 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $52.12 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $38.47 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $16.80 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $38.15 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $41.48 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $37.35 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $41.48 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $38.15
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: HC CU INDEX-TSH ASSAY	$83	$37.35	$16.80 – $58.10
Thyroid stimulating hormone (TSH) test: 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $16.80 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $37.35 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $52.12 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $38.47 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $16.80 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $38.15 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $41.48 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $37.35 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $41.48 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $38.15
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: HC TSH - SENSITIVE, SERUM - RL	$83	$37.35	$16.80 – $58.10
Thyroid stimulating hormone (TSH) test: 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $16.80 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $37.35 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $52.12 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $38.47 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $16.80 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $38.15 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $41.48 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $37.35 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $41.48 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $38.15
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: HC COMPL CBC W/PLT W/AUTOM DIFF	$51	$22.95	$7.77 – $35.70
Complete blood count (CBC) with differential: 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $7.77 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $22.95 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $32.03 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $23.64 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $7.77 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $16.31 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $17.73 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $22.95 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $17.73 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $16.31
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) In the file: HC COMPL CBC W/PLT W/AUTOM DIFF	$51	$22.95	Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: HC CBC WITHOUT DIFF	$29	$13.05	$6.47 – $20.30
Complete blood count (CBC), automated: 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $6.47 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $13.05 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $18.21 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $13.44 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $6.47 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $12.93 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $14.05 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $13.05 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $14.05 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $12.93
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: HC HEMATOLOGY PROFILE	$20	$9	$6.47 – $14.05
Complete blood count (CBC), automated: 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $6.47 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $9 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $12.56 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $9.27 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $6.47 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $12.93 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $14.05 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $9 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $14.05 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $12.93
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) In the file: HC CBC WITHOUT DIFF	$29	$13.05	Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: HC PROTHROMBIN TIME	$40	$18	$4.29 – $28
Blood clotting time test (prothrombin time, PT): 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $4.29 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $18 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $25.12 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $18.54 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $4.29 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $7.84 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $8.52 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $18 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $8.52 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $7.84
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: HC PROTHROMBIN TIME/INR	$146	$65.70	$4.29 – $102.20
Blood clotting time test (prothrombin time, PT): 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $4.29 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $65.70 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $91.69 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $67.67 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $4.29 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $7.84 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $8.52 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $65.70 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $8.52 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $7.84
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: HC LUPUS PT - RL	$12	$5.40	$4.20 – $8.52
Blood clotting time test (prothrombin time, PT): 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $4.29 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $5.40 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $7.54 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $5.56 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $4.29 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $7.84 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $8.52 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $5.40 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $8.52 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $7.84
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: HC PARTIAL THROMBOPLASTIN TIME	$40	$18	$6.01 – $28
Blood clotting test (partial thromboplastin time, PTT): 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $6.01 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $18 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $25.12 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $18.54 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $6.01 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $12.58 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $13.67 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $18 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $13.67 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $12.58
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: HC LUPUS PTT - RL	$20	$9	$6.01 – $14
Blood clotting test (partial thromboplastin time, PTT): 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $6.01 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $9 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $12.56 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $9.27 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $6.01 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $12.58 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $13.67 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $9 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $13.67 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $12.58
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) In the file: HC PARTIAL THROMBOPLASTIN TIME	$40	$18	Not listed in the file

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: HC CT HEAD W/O CONTRAST	$1,587	$714.15	$326.39 – $1,233.89
CT scan of the head or brain, without contrast: 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $1,233.89 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $714.15 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $996.64 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $735.57 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $1,233.89 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $326.39 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $354.78 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $714.15 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $354.78 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $326.39
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) In the file: HC CT HEAD W/O CONTRAST	$1,587	$714.15	Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: HC MRI BRAIN W/WO CONTRAST	$5,022	$2,259.90	$1,169.28 – $3,904.61
MRI of the brain, before and after contrast: 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $3,904.61 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $2,259.90 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $3,153.82 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $2,327.70 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $3,904.61 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $1,169.28 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $1,270.97 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $2,259.90 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $1,270.97 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $1,169.28
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) In the file: HC MRI BRAIN W/WO CONTRAST	$5,022	$2,259.90	Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: HC XRAY, CHEST, 2 VIEWS	$266	$119.70	$41.75 – $206.81
Chest X-ray, 2 views: 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $206.81 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $119.70 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $167.05 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $123.29 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $206.81 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $41.75 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $45.38 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $119.70 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $45.38 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $41.75
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) In the file: HC XRAY, CHEST, 2 VIEWS	$266	$119.70	Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: HC SPINE LUMBAR COMP 5 VIEW	$370	$166.50	$78.81 – $287.68
X-ray of the lower spine, at least 4 views: 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $287.68 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $166.50 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $232.36 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $171.50 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $287.68 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $78.81 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $85.66 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $166.50 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $85.66 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $78.81
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) In the file: HC SPINE LUMBAR COMP 5 VIEW	$370	$166.50	Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: HC MRI SPINE LUMBAR WITHOUT CONTRAST	$2,671	$1,201.95	$763.20 – $2,076.70
MRI of the lower back (lumbar spine), without contrast: 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $2,076.70 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $1,201.95 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,677.39 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $1,238.01 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $2,076.70 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $763.20 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $829.58 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $1,201.95 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $829.58 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $763.20
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) In the file: HC MRI SPINE LUMBAR WITHOUT CONTRAST	$2,671	$1,201.95	Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: HC CT PELVIS W CONTRAST	$1,902	$855.90	$497.49 – $1,478.81
CT scan of the pelvis, with contrast: 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $1,478.81 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $855.90 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,194.46 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $881.58 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $1,478.81 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $497.49 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $540.75 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $855.90 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $540.75 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $497.49
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) In the file: HC CT PELVIS W CONTRAST	$1,902	$855.90	Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: HC MRI LOW EXT JT W/O CONTR	$2,765	$1,244.25	$763.20 – $2,149.79
MRI of a leg joint (such as the knee), without contrast: 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $2,149.79 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $1,244.25 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,736.42 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $1,281.58 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $2,149.79 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $763.20 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $829.58 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $1,244.25 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $829.58 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $763.20
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) In the file: HC MRI LOW EXT JT W/O CONTR	$2,765	$1,244.25	Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: HC CT ABD PELVIS WITH CONTRAST	$2,862	$1,287.90	$814.05 – $2,225.20
CT scan of the abdomen and pelvis, with contrast: 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $2,225.20 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $1,287.90 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,797.34 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $1,326.54 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $2,225.20 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $814.05 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $884.85 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $1,287.90 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $884.85 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $814.05
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) In the file: HC CT ABD PELVIS WITH CONTRAST	$2,862	$1,287.90	Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: HC US, ABD, B-SCAN, COMPLETE	$828	$372.60	$200.23 – $643.77
Ultrasound of the abdomen, complete: 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $643.77 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $372.60 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $519.98 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $383.78 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $643.77 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $200.23 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $217.64 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $372.60 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $217.64 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $200.23
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) In the file: HC US, ABD, B-SCAN, COMPLETE	$828	$372.60	Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: HC US, OB 14+WKS, TRANSABD, SINGLE GESTATION	$399	$179.55	$139.65 – $310.22
Pregnancy ultrasound (after the first trimester): 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $310.22 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $179.55 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $250.57 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $184.94 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $310.22 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $201.01 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $218.50 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $179.55 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $218.50 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $201.01
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) In the file: HC US, OB 14+WKS, TRANSABD, SINGLE GESTATION	$399	$179.55	Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: HC US TRANSVAGINAL NON OB	$709	$319.05	$179.75 – $551.25
Transvaginal ultrasound: 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $551.25 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $319.05 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $445.25 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $328.62 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $551.25 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $179.75 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $195.38 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $319.05 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $195.38 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $179.75
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) In the file: HC US TRANSVAGINAL NON OB	$709	$319.05	Not listed in the file
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: HC MAMMO W/WO CAD, SCREENING, BILAT	$409	$184.05	$78.97 – $318
Screening mammogram, both breasts: 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $318 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $78.97 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $256.85 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $81.34 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $318 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $111.89 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $121.63 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $78.97 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $121.63 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $111.89
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) In the file: HC MAMMO W/WO CAD, SCREENING, BILAT	$409	$184.05	Not listed in the file

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$2,564 – $12,188.59
Left heart catheterization (diagnostic): 10 of 20 insurance plan rates BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $11,210.41 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $12,188.59 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $12,188.59 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $11,210.41 UNITED HEALTHCARE - COMMERCIAL HMO PPO — ALL PAYOR: $2,564 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: 45% (a percentage in the contract, not a dollar amount) AETNA HEALTH INC. PPO/POS — ALL PAYOR: 62.8% (a percentage in the contract, not a dollar amount) AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: 46.35% (a percentage in the contract, not a dollar amount) BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: 45% (a percentage in the contract, not a dollar amount) CIGNA HEALTHCARE — ALL PAYOR: 70% (a percentage in the contract, not a dollar amount)
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: ELECTROPHYSIOLOGY EVALUATION	Not listed in the file	Not listed in the file	$3,030 – $7,325.31
Heart rhythm study (electrophysiology evaluation): 10 of 20 insurance plan rates BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $6,737.43 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $7,325.31 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $7,325.31 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $6,737.43 UNITED HEALTHCARE - COMMERCIAL HMO PPO — ALL PAYOR: $3,030 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: 45% (a percentage in the contract, not a dollar amount) AETNA HEALTH INC. PPO/POS — ALL PAYOR: 62.8% (a percentage in the contract, not a dollar amount) AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: 46.35% (a percentage in the contract, not a dollar amount) BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: 45% (a percentage in the contract, not a dollar amount) CIGNA HEALTHCARE — ALL PAYOR: 70% (a percentage in the contract, not a dollar amount)
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION	Not listed in the file	Not listed in the file	$9,061 – $40,108.99
Heart rhythm study with ablation for atrial fibrillation: 10 of 20 insurance plan rates BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $36,890.11 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $40,108.99 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $40,108.99 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $36,890.11 UNITED HEALTHCARE - COMMERCIAL HMO PPO — ALL PAYOR: $9,061 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: 45% (a percentage in the contract, not a dollar amount) AETNA HEALTH INC. PPO/POS — ALL PAYOR: 62.8% (a percentage in the contract, not a dollar amount) AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: 46.35% (a percentage in the contract, not a dollar amount) BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: 45% (a percentage in the contract, not a dollar amount) CIGNA HEALTHCARE — ALL PAYOR: 70% (a percentage in the contract, not a dollar amount)

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: HC PT THERAPEUTIC EX EA 15MIN	$79	$35.55	$11 – $145
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $11 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $35.55 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $49.61 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $36.62 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $11 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $48.32 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $52.54 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $35.55 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $52.54 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $48.32
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: HC OT THERAPEUTIC EX EA 15MIN	$79	$35.55	$11 – $145
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $11 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $35.55 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $49.61 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $36.62 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $11 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $48.32 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $52.54 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $35.55 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $52.54 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $48.32
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) In the file: HC PT THERAPEUTIC EX EA 15MIN	$79	$35.55	Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: HC PT EVAL LOW COMPLEXITY 20 MINS	$222	$99.90	$58.94 – $155.40
Physical therapy evaluation (low complexity): 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $58.94 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $99.90 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $139.42 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $102.90 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $58.94 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $120.15 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $130.63 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $99.90 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $130.63 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $120.15
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) In the file: HC PT EVAL LOW COMPLEXITY 20 MINS	$222	$99.90	Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: HC PT EVAL, MOD COMPLEXITY 30 MINS	$247	$111.15	$58.94 – $172.90
Physical therapy evaluation (moderate complexity): 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $58.94 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $111.15 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $155.12 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $114.48 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $58.94 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $120.15 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $130.63 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $111.15 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $130.63 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $120.15
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) In the file: HC PT EVAL, MOD COMPLEXITY 30 MINS	$247	$111.15	Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: HC PT EVAL HIGH COMPLEXITY 45 MINS	$283	$127.35	$58.94 – $198.10
Physical therapy evaluation (high complexity): 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $58.94 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $127.35 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $177.72 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $131.17 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $58.94 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $120.15 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $130.63 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $127.35 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $130.63 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $120.15
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) In the file: HC PT EVAL HIGH COMPLEXITY 45 MINS	$283	$127.35	Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: HC PHP-PSYTX W/PATIENT, 30 MIN	$121	$54.45	$42.35 – $84.70
Psychotherapy, 30 minutes: 10 of 19 insurance plan rates AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $54.45 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $75.99 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $56.08 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $60.50 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $60.50 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $54.45 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $60.50 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $60.50 CIGNA HEALTHCARE — ALL PAYOR: $84.70 HEALTHY BLUE DUAL ADVANTAGE (HMO-D-SNP) — ALL PAYOR: $54.45
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) In the file: HC PHP-PSYTX W/PATIENT, 30 MIN	$121	$54.45	Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: HC PHP-PSYTX W/PATIENT, 45 MIN	$161	$72.45	$56.35 – $112.70
Psychotherapy, 45 minutes: 10 of 19 insurance plan rates AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $72.45 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $101.11 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $74.62 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $80.50 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $80.50 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $72.45 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $80.50 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $80.50 CIGNA HEALTHCARE — ALL PAYOR: $112.70 HEALTHY BLUE DUAL ADVANTAGE (HMO-D-SNP) — ALL PAYOR: $72.45
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) In the file: HC PHP-PSYTX W/PATIENT, 45 MIN	$161	$72.45	Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: HC PHP-PSYTX W/PATIENT, 60 MIN	$262	$117.90	$91.70 – $248.80
Psychotherapy, 60 minutes: 10 of 19 insurance plan rates AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $117.90 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $164.54 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $121.44 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $228.83 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $248.80 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $117.90 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $248.80 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $228.83 CIGNA HEALTHCARE — ALL PAYOR: $183.40 HEALTHY BLUE DUAL ADVANTAGE (HMO-D-SNP) — ALL PAYOR: $117.90
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) In the file: HC PHP-PSYTX W/PATIENT, 60 MIN	$262	$117.90	Not listed in the file
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: HC PHP-FAMILY PSYTX W/O PATIENT, 50 MIN	$262	$117.90	$91.70 – $183.40
Family psychotherapy, without the patient: 10 of 19 insurance plan rates AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $117.90 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $164.54 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $121.44 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $131 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $131 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $117.90 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $131 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $131 CIGNA HEALTHCARE — ALL PAYOR: $183.40 HEALTHY BLUE DUAL ADVANTAGE (HMO-D-SNP) — ALL PAYOR: $117.90
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) In the file: HC PHP-FAMILY PSYTX W/O PATIENT, 50 MIN	$262	$117.90	Not listed in the file
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: HC PHP-FAMILY PSYTX W/ PATIENT, 50 MIN	$262	$117.90	$91.70 – $183.40
Family psychotherapy, with the patient: 10 of 19 insurance plan rates AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $117.90 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $164.54 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $121.44 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $131 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $131 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $117.90 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $131 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $131 CIGNA HEALTHCARE — ALL PAYOR: $183.40 HEALTHY BLUE DUAL ADVANTAGE (HMO-D-SNP) — ALL PAYOR: $117.90
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) In the file: HC PHP-FAMILY PSYTX W/ PATIENT, 50 MIN	$262	$117.90	Not listed in the file
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: HC GROUP THERAPY	$262	$117.90	$91.70 – $287.72
Group psychotherapy: 10 of 19 insurance plan rates AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $117.90 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $164.54 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $121.44 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $264.63 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $287.72 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $117.90 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $287.72 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $264.63 CIGNA HEALTHCARE — ALL PAYOR: $183.40 HEALTHY BLUE DUAL ADVANTAGE (HMO-D-SNP) — ALL PAYOR: $117.90
Group psychotherapy CPT 90853 · Inpatient (hospital stay) In the file: HC GROUP THERAPY	$262	$117.90	Not listed in the file

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: REMOVAL OF BREAST LESION	Not listed in the file	Not listed in the file	$535.50 – $5,169.82
Removal of breast growth (open surgery): 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $535.50 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $535.50 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $4,754.93 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $5,169.82 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $5,169.82 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $4,754.93 HEALTHY BLUE (HEALTHY LOUISIANA) — ALL PAYOR: $535.50 HUMANA � MANAGED MEDICAID (HEALTHY LOUISIANA) — ALL PAYOR: $535.50 LOUISIANA HEALTHCARE CONNECTIONS (HEALTHY LOUISIANA) — ALL PAYOR: $535.50 UNITED HEALTHCARE - COMMERCIAL HMO PPO — ALL PAYOR: $1,531
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$6,666 – $8,835.45
Total hip replacement: 10 of 20 insurance plan rates BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $8,126.38 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $8,835.45 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $8,835.45 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $8,126.38 UNITED HEALTHCARE - COMMERCIAL HMO PPO — ALL PAYOR: $6,666 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: 45% (a percentage in the contract, not a dollar amount) AETNA HEALTH INC. PPO/POS — ALL PAYOR: 62.8% (a percentage in the contract, not a dollar amount) AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: 46.35% (a percentage in the contract, not a dollar amount) BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: 45% (a percentage in the contract, not a dollar amount) CIGNA HEALTHCARE — ALL PAYOR: 70% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$6,666 – $14,057.10
Total knee replacement: 10 of 20 insurance plan rates BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $12,928.97 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $14,057.10 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $14,057.10 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $12,928.97 UNITED HEALTHCARE - COMMERCIAL HMO PPO — ALL PAYOR: $6,666 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: 45% (a percentage in the contract, not a dollar amount) AETNA HEALTH INC. PPO/POS — ALL PAYOR: 62.8% (a percentage in the contract, not a dollar amount) AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: 46.35% (a percentage in the contract, not a dollar amount) BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: 45% (a percentage in the contract, not a dollar amount) CIGNA HEALTHCARE — ALL PAYOR: 70% (a percentage in the contract, not a dollar amount)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS	Not listed in the file	Not listed in the file	$194 – $3,630.61
Shoulder arthroscopy: shaving of shoulder bone: 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $535.50 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $535.50 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $3,339.24 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $3,630.61 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $3,630.61 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $3,339.24 HEALTHY BLUE (HEALTHY LOUISIANA) — ALL PAYOR: $535.50 HUMANA � MANAGED MEDICAID (HEALTHY LOUISIANA) — ALL PAYOR: $535.50 LOUISIANA HEALTHCARE CONNECTIONS (HEALTHY LOUISIANA) — ALL PAYOR: $535.50 UNITED HEALTHCARE - COMMERCIAL HMO PPO — ALL PAYOR: $194
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: KNEE ARTHROSCOPY/SURGERY	Not listed in the file	Not listed in the file	$661.50 – $3,630.61
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $661.50 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $661.50 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $3,339.24 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $3,630.61 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $3,630.61 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $3,339.24 HEALTHY BLUE (HEALTHY LOUISIANA) — ALL PAYOR: $661.50 HUMANA � MANAGED MEDICAID (HEALTHY LOUISIANA) — ALL PAYOR: $661.50 LOUISIANA HEALTHCARE CONNECTIONS (HEALTHY LOUISIANA) — ALL PAYOR: $661.50 UNITED HEALTHCARE - COMMERCIAL HMO PPO — ALL PAYOR: $1,853
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: REMOVE TONSILS AND ADENOIDS	$8,899.26	Not listed in the file	$535.50 – $3,049.64
Removal of tonsils and adenoids (under age 12): 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $535.50 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $535.50 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $2,804.90 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $3,049.64 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $3,049.64 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $2,804.90 HEALTHY BLUE (HEALTHY LOUISIANA) — ALL PAYOR: $535.50 HUMANA � MANAGED MEDICAID (HEALTHY LOUISIANA) — ALL PAYOR: $535.50 LOUISIANA HEALTHCARE CONNECTIONS (HEALTHY LOUISIANA) — ALL PAYOR: $535.50 UNITED HEALTHCARE - COMMERCIAL HMO PPO — ALL PAYOR: $1,531
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: HC EGD DX (INCL BRUSH/WASH)	$2,587	$1,164.15	$349.65 – $1,810.90
Upper GI endoscopy (diagnostic): 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $349.65 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $1,164.15 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,624.64 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $1,199.07 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $349.65 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $951.60 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $1,034.64 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $1,164.15 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $1,034.64 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $951.60
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) In the file: HC EGD DX (INCL BRUSH/WASH)	$2,587	$1,164.15	Not listed in the file
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: HC EGD W/BX SGL OR MULT (BITE/COL	$2,587	$1,164.15	$468.30 – $1,810.90
Upper GI endoscopy with biopsy: 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $468.30 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $1,164.15 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,624.64 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $1,199.07 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $468.30 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $951.60 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $1,034.64 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $1,164.15 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $1,034.64 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $951.60
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) In the file: HC EGD W/BX SGL OR MULT (BITE/COL	$2,587	$1,164.15	Not listed in the file
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: HC COLON DX (INCL BRUSH/WASH)	$2,867	$1,290.15	$468.30 – $2,006.90
Colonoscopy (diagnostic): 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $468.30 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $1,290.15 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,800.48 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $1,328.85 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $468.30 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $1,054.76 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $1,146.80 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $1,290.15 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $1,146.80 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $1,054.76
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) In the file: HC COLON DX (INCL BRUSH/WASH)	$2,867	$1,290.15	Not listed in the file
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: HC COLON W/BX SGL OR MLT-BITE/CLD	$2,867	$1,290.15	$468.30 – $2,006.90
Colonoscopy with biopsy: 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $468.30 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $1,290.15 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,800.48 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $1,328.85 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $468.30 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $1,054.76 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $1,146.80 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $1,290.15 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $1,146.80 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $1,054.76
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) In the file: HC COLON W/BX SGL OR MLT-BITE/CLD	$2,867	$1,290.15	Not listed in the file
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: HC COLON W/REMOVAL BY SNARE TECH	$2,867	$1,290.15	$468.30 – $2,006.90
Colonoscopy with removal of polyps (snare): 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $468.30 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $1,290.15 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,800.48 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $1,328.85 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $468.30 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $1,054.76 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $1,146.80 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $1,290.15 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $1,146.80 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $1,054.76
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) In the file: HC COLON W/REMOVAL BY SNARE TECH	$2,867	$1,290.15	Not listed in the file
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	Not listed in the file	$468.30 – $1,146.80
Ultrasound of the lower bowel by endoscope: 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $468.30 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $468.30 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $1,054.76 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $1,146.80 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $1,146.80 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $1,054.76 HEALTHY BLUE (HEALTHY LOUISIANA) — ALL PAYOR: $468.30 HUMANA � MANAGED MEDICAID (HEALTHY LOUISIANA) — ALL PAYOR: $468.30 LOUISIANA HEALTHCARE CONNECTIONS (HEALTHY LOUISIANA) — ALL PAYOR: $468.30 UNITED HEALTHCARE - COMMERCIAL HMO PPO — ALL PAYOR: $834
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: HC COLONOSCOPY - AVERAGE RISK	$4,045	$1,820.25	$468.30 – $2,831.50
Screening colonoscopy (not high risk): 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $468.30 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $1,820.25 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $2,540.26 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $1,874.86 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $468.30 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $1,487.95 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $1,617.78 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $1,820.25 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $1,617.78 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $1,487.95
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) In the file: HC COLONOSCOPY - AVERAGE RISK	$4,045	$1,820.25	Not listed in the file
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: LAPAROSCOPIC CHOLECYSTECTOMY	$17,595.27	Not listed in the file	$535.50 – $5,877.16
Gallbladder removal by laparoscope: 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $535.50 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $535.50 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $5,405.50 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $5,877.16 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $5,877.16 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $5,405.50 HEALTHY BLUE (HEALTHY LOUISIANA) — ALL PAYOR: $535.50 HUMANA � MANAGED MEDICAID (HEALTHY LOUISIANA) — ALL PAYOR: $535.50 LOUISIANA HEALTHCARE CONNECTIONS (HEALTHY LOUISIANA) — ALL PAYOR: $535.50 UNITED HEALTHCARE - COMMERCIAL HMO PPO — ALL PAYOR: $3,030
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: PRP I/HERN INIT REDUC >5 YR	$12,358.14	Not listed in the file	$661.50 – $7,924
Groin (inguinal) hernia repair, age 5 or older: 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $661.50 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $661.50 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $7,288.08 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $7,924 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $7,924 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $7,288.08 HEALTHY BLUE (HEALTHY LOUISIANA) — ALL PAYOR: $661.50 HUMANA � MANAGED MEDICAID (HEALTHY LOUISIANA) — ALL PAYOR: $661.50 LOUISIANA HEALTHCARE CONNECTIONS (HEALTHY LOUISIANA) — ALL PAYOR: $661.50 UNITED HEALTHCARE - COMMERCIAL HMO PPO — ALL PAYOR: $1,853
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: HC PROSTATE NEEDLE BIOPSY	$5,029	$2,263.05	$468.30 – $3,520.30
Prostate biopsy: 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $468.30 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $2,263.05 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $3,158.21 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $2,330.94 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $468.30 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $1,130.54 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $1,229.19 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $2,263.05 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $1,229.19 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $1,130.54
Prostate biopsy CPT 55700 · Inpatient (hospital stay) In the file: HC PROSTATE NEEDLE BIOPSY	$5,029	$2,263.05	Not listed in the file
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: LAPARO RADICAL PROSTATECTOMY	Not listed in the file	Not listed in the file	$4,178.34 – $6,666
Prostate removal by laparoscope (radical prostatectomy): 10 of 20 insurance plan rates BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $4,178.34 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $4,542.93 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $4,542.93 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $4,178.34 UNITED HEALTHCARE - COMMERCIAL HMO PPO — ALL PAYOR: $6,666 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: 45% (a percentage in the contract, not a dollar amount) AETNA HEALTH INC. PPO/POS — ALL PAYOR: 62.8% (a percentage in the contract, not a dollar amount) AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: 46.35% (a percentage in the contract, not a dollar amount) BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: 45% (a percentage in the contract, not a dollar amount) CIGNA HEALTHCARE — ALL PAYOR: 70% (a percentage in the contract, not a dollar amount)
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$535.50 – $5,787.36
Hysteroscopy with biopsy of the uterus lining: 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $535.50 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $535.50 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $5,322.91 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $5,787.36 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $5,787.36 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $5,322.91 HEALTHY BLUE (HEALTHY LOUISIANA) — ALL PAYOR: $535.50 HUMANA � MANAGED MEDICAID (HEALTHY LOUISIANA) — ALL PAYOR: $535.50 LOUISIANA HEALTHCARE CONNECTIONS (HEALTHY LOUISIANA) — ALL PAYOR: $535.50 UNITED HEALTHCARE - COMMERCIAL HMO PPO — ALL PAYOR: $1,531
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: HC INJ LUMBAR/SACRAL, W/IMAGING GUIDANCE	$3,741	$1,683.45	$349.65 – $2,618.70
Spinal injection, lower back (epidural), with imaging guidance: 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $349.65 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $1,683.45 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $2,349.35 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $1,733.95 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $349.65 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $2,085.12 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $2,267.06 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $1,683.45 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $2,267.06 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $2,085.12
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) In the file: HC INJ LUMBAR/SACRAL, W/IMAGING GUIDANCE	$3,741	$1,683.45	Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: HC EPIDURAL INJ, ANES/STEROID, TRANSFORAMINAL, LUMB/SACR, SNGL LEVL	$1,510	$679.50	$522 – $1,174.03
Nerve root injection, lower back, with imaging guidance: 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $1,174.03 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $679.50 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $948.28 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $699.88 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $1,174.03 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $841.60 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $915.03 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $679.50 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $915.03 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $841.60
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) In the file: HC EPIDURAL INJ, ANES/STEROID, TRANSFORAMINAL, LUMB/SACR, SNGL LEVL	$1,510	$679.50	Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · modifier 50 In the file: HC EPIDURAL INJ, ANES/STEROID, TRANSFORAMINAL, LUMB/SACR, SNGL LEVL	$3,020	$1,359	$783 – $2,348.05
Nerve root injection, lower back, with imaging guidance: 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $2,348.05 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $1,359 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,896.56 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $1,399.77 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $2,348.05 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $1,262.40 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $1,372.55 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $1,359 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $1,372.55 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $1,262.40
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$468.30 – $2,311.80
Carpal tunnel release: 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $468.30 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $468.30 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $2,126.27 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $2,311.80 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $2,311.80 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $2,126.27 HEALTHY BLUE (HEALTHY LOUISIANA) — ALL PAYOR: $468.30 HUMANA � MANAGED MEDICAID (HEALTHY LOUISIANA) — ALL PAYOR: $468.30 LOUISIANA HEALTHCARE CONNECTIONS (HEALTHY LOUISIANA) — ALL PAYOR: $468.30 UNITED HEALTHCARE - COMMERCIAL HMO PPO — ALL PAYOR: $1,531
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$468.30 – $662.41
Laser treatment of clouding after cataract surgery: 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $468.30 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $468.30 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $609.25 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $662.41 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $662.41 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $609.25 HEALTHY BLUE (HEALTHY LOUISIANA) — ALL PAYOR: $468.30 HUMANA � MANAGED MEDICAID (HEALTHY LOUISIANA) — ALL PAYOR: $468.30 LOUISIANA HEALTHCARE CONNECTIONS (HEALTHY LOUISIANA) — ALL PAYOR: $468.30 UNITED HEALTHCARE - COMMERCIAL HMO PPO — ALL PAYOR: $522
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: CATARACT SURG W/IOL 1 STAGE	Not listed in the file	Not listed in the file	$864.15 – $2,923.24
Cataract removal with lens implant: 10 of 26 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $864.15 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $864.15 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $2,688.64 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $2,923.24 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $2,923.24 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $2,688.64 HEALTHY BLUE (HEALTHY LOUISIANA) — ALL PAYOR: $864.15 HUMANA � MANAGED MEDICAID (HEALTHY LOUISIANA) — ALL PAYOR: $864.15 LOUISIANA HEALTHCARE CONNECTIONS (HEALTHY LOUISIANA) — ALL PAYOR: $864.15 UNITED HEALTHCARE - COMMERCIAL HMO PPO — ALL PAYOR: $1,531

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$64,884 – $86,686
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 9 insurance plans UNITED HEALTHCARE - COMMERCIAL HMO PPO — ALL PAYOR: $64,884 VERITY COMMERCIAL AND FIRST CHOICE NETWORK — ALL PAYOR: $86,686 AETNA HEALTH INC. PPO/POS — ALL PAYOR: 62.8% (a percentage in the contract, not a dollar amount) BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: 79% (a percentage in the contract, not a dollar amount) BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: 86% (a percentage in the contract, not a dollar amount) BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: 86% (a percentage in the contract, not a dollar amount) BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: 79% (a percentage in the contract, not a dollar amount) CIGNA HEALTHCARE — ALL PAYOR: 70% (a percentage in the contract, not a dollar amount) ZELIS — ALL PAYOR: 70% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$12,676 – $19,239
Hip or knee replacement (major joint of the leg), without major complications: rates for 9 insurance plans UNITED HEALTHCARE - COMMERCIAL HMO PPO — ALL PAYOR: $12,676 VERITY COMMERCIAL AND FIRST CHOICE NETWORK — ALL PAYOR: $19,239 AETNA HEALTH INC. PPO/POS — ALL PAYOR: 62.8% (a percentage in the contract, not a dollar amount) BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: 79% (a percentage in the contract, not a dollar amount) BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: 86% (a percentage in the contract, not a dollar amount) BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: 86% (a percentage in the contract, not a dollar amount) BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: 79% (a percentage in the contract, not a dollar amount) CIGNA HEALTHCARE — ALL PAYOR: 70% (a percentage in the contract, not a dollar amount) ZELIS — ALL PAYOR: 70% (a percentage in the contract, not a dollar amount)
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$15,916 – $20,621
Neck (cervical) spinal fusion, without complications: rates for 9 insurance plans UNITED HEALTHCARE - COMMERCIAL HMO PPO — ALL PAYOR: $15,916 VERITY COMMERCIAL AND FIRST CHOICE NETWORK — ALL PAYOR: $20,621 AETNA HEALTH INC. PPO/POS — ALL PAYOR: 62.8% (a percentage in the contract, not a dollar amount) BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: 79% (a percentage in the contract, not a dollar amount) BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: 86% (a percentage in the contract, not a dollar amount) BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: 86% (a percentage in the contract, not a dollar amount) BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: 79% (a percentage in the contract, not a dollar amount) CIGNA HEALTHCARE — ALL PAYOR: 70% (a percentage in the contract, not a dollar amount) ZELIS — ALL PAYOR: 70% (a percentage in the contract, not a dollar amount)
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$8,059 – $9,060
Uterus and ovary surgery (not for cancer), without complications: rates for 9 insurance plans UNITED HEALTHCARE - COMMERCIAL HMO PPO — ALL PAYOR: $8,059 VERITY COMMERCIAL AND FIRST CHOICE NETWORK — ALL PAYOR: $9,060 AETNA HEALTH INC. PPO/POS — ALL PAYOR: 62.8% (a percentage in the contract, not a dollar amount) BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: 79% (a percentage in the contract, not a dollar amount) BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: 86% (a percentage in the contract, not a dollar amount) BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: 86% (a percentage in the contract, not a dollar amount) BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: 79% (a percentage in the contract, not a dollar amount) CIGNA HEALTHCARE — ALL PAYOR: 70% (a percentage in the contract, not a dollar amount) ZELIS — ALL PAYOR: 70% (a percentage in the contract, not a dollar amount)

Source: Abrom Kaplan Memorial Hospital’s standard charges file (ochsner-craft.s3.amazonaws.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital type	Critical Access Hospital
Address	1310 West Seventh Street, Kaplan, LA 70548
Parish	Vermilion Parish
State	Louisiana
Phone	(337) 643‑8300
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	Not rated by CMS
CMS Certification Number	191322
Name in Medicare records	ABROM KAPLAN MEMORIAL HOSPITAL
Profile level	Medicare data + hospital website
Name on the hospital’s website	Ochsner Abrom Kaplan Memorial Hospital
Official website	ochsner.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

Ochsner Abrom Kaplan Memorial Hospital — ochsner.org
Emergency Services - Ochsner — ochsner.org
Financial Resource Library | Ochsner Health — ochsner.org