Does Acadian Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Acadian Medical Center. In a medical emergency, call 911.

Where is Acadian Medical Center?

3501 Highway 190 East, Eunice, LA 70535, in St. Landry Parish, Louisiana.

What is the phone number of Acadian Medical Center?

(337) 580-7903, as listed by Medicare (CMS).

What is the Medicare star rating of Acadian Medical Center?

3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).

Does Medicare reduce its payments to Acadian Medical Center for hospital-acquired conditions?

Yes. For fiscal year 2026, CMS applies a 1-percent reduction to Medicare payments to Acadian Medical Center under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.5523; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Acadian Medical Center — Phone, Address & ER

Quick answers

Does Acadian Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Acadian Medical Center. In a medical emergency, call 911.
Where is Acadian Medical Center?: 3501 Highway 190 East, Eunice, LA 70535, in St. Landry Parish, Louisiana.
What is the phone number of Acadian Medical Center?: (337) 580-7903, as listed by Medicare (CMS).
What is the Medicare star rating of Acadian Medical Center?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Acadian Medical Center for hospital-acquired conditions?: Yes. For fiscal year 2026, CMS applies a 1-percent reduction to Medicare payments to Acadian Medical Center under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.5523; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas^{[4][5][7][10][14][17]}

Conditions treated^[9]

Treatments^{[4][10][13][18]}

Advanced wound care
Cardiac rehabilitation
Counseling
Outpatient rehabilitation
Speech therapy
Cardiac catheterization
Peripheral intervention using angiography
Hemodynamic support (IABP, Impella, ECMO)
Aspiration and rheolytic thrombectomy
Renal artery angioplasty
Pacemaker and defibrillator placement
Aortic balloon valvuloplasty
Cardiac stenting
Limb salvage
Balance training
Hand therapy
Spine rehabilitation
Sports physical therapy
Vestibular rehabilitation
Breast cancer rehabilitation
Shoulder rehabilitation
Functional dry needling
Biofeedback

Procedures^{[4][7][14][16][17]}

Robot-assisted surgery
Robotic-assisted surgery (Da Vinci, MAKO)
Endoscopy (gastroscopy, colonoscopy)
3D mammography
CT scan (64 slice)
MRI
Nuclear medicine
Ultrasound
Low-dose CT lung cancer screening
Surgical procedures (3 operating rooms, 2 procedure rooms)

Programs and centers^{[4][5][7][8][9][10][11][12][13][14][16]}

Intensive Care Unit
Laboratory services
Cardiac rehabilitation
Outpatient rehabilitation
Emergency services
Case management
Patient portal (Your Care Everywhere)
Advanced wound care
Sleep lab
Pediatric care
Robot-assisted surgical services
Lung cancer screening

Emergency care (hospital website)^[5]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Patient portal	Patient Portal

Doctors and clinicians (103)

103 doctors and other clinicians list Acadian Medical Center 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

Doctors with a page on this site (103)

Alexis G. Lambert, PAPhysician Assistant
Amer Raza, MDPulmonary Disease
Ashley Arnaud, MDDiagnostic Radiology
Bahman Sabbaghian, MDGeneral Surgery
Bernard Boka, MDFamily Practice
Blake McDonald Jr., MDEmergency Medicine
Brad A. Boudreaux, MDEmergency Medicine
Brayson Lantz, CNACertified Registered Nurse Anesthetist (CRNA)
Brent C. Ardoin, MDInternal Medicine
Brent J. Rochon, MDInterventional Cardiology
Brian N. Heinen Sr., MDFamily Practice
Chad W. Rossitter, MDInternal Medicine
Charles H. Bowie, MDUrology
Charles M. Johnson Jr., PAPhysician Assistant
Charles R. Bowie, MDNeurosurgery
Charles S. Monier, MDCardiovascular Disease (Cardiology)
David A. Johnson, MDDiagnostic Radiology
David B. Clause, MDOrthopedic Surgery
David B. Ware, MDFamily Practice
Donald Barnes, MDObstetrics/Gynecology
Douglas M. Casey, MDDiagnostic Radiology
Edugie V. Omoregbee, DPMPodiatry
Eric P. Amy, MDGeneral Surgery
Eric Reish, MDOphthalmology

And 79 more: the button below opens the full list.

Other emergency rooms nearby

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

Savoy Medical Center10 mi · Mamou, LA · Acute Care Hospital
Acadia St Landry12 mi · Church Point, LA · Critical Access Hospital
Mercy Regional Medical Center15 mi · Ville Platte, LA · Acute Care Hospital
Acadia General Hospital19 mi · Crowley, LA · Acute Care Hospital
Opelousas General Health System19 mi · Opelousas, LA · Acute Care Hospital

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

Other hospitals near Eunice

Oceans Behavioral Hospital of Opelousas19 mi · Opelousas, LA · Psychiatric Hospital

Hospitals in St. Landry 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

Eunice Manor0.7 mi · Eunice, LA · 4 of 5 stars
Oak Lane Wellness & Rehabilitative Center2.6 mi · Eunice, LA · 2 of 5 stars
Savoy Care Center10 mi · Mamou, LA · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Allegiance Healthcare, LLC2.6 mi · Eunice, LA
Louisiana Hospice and Palliative Care17 mi · Opelousas, LA · 4 of 5 stars
Lamm Family Care Hospice20 mi · Crowley, LA · 5 of 5 stars

All hospice providers in the state →

Home health agencies

Allegiance Home Health of South Louisiana2.6 mi · Eunice, LA · 5 of 5 stars
Eunice Community Home Health2.6 mi · Eunice, LA · 3.5 of 5 stars
Vitalcaring Group12 mi · Basile, LA · 4 of 5 stars

All home health agencies in the state →

Dialysis facilities

Fmcna - Eunice2.6 mi · Eunice, LA · 4 of 5 stars
Fmcna - Ville Platte16 mi · Ville Platte, LA · 3 of 5 stars
DCI - Opelousas17 mi · Opelousas, LA · 2 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.

Ambulatory Surgery Center of Opelousas17 mi · Opelousas, LA
Lahaye Center for Advanced Eye Care at Opelousas17 mi · Opelousas, 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

Eunice Junior High School2.3 mi · Eunice, LA · Community health center
SWLPHC - J.S. Clark Academy School Based Site12 mi · Opelousas, LA · Community health center
Evangeline Parish Site16 mi · Ville Platte, LA · Community health center

Clinics and urgent care

Acadian Physician Specialties2.6 mi · Eunice, LA · Rural health clinic
Heinen Medical Eunice2.6 mi · Eunice, LA · Rural health clinic
Louisiana Family Practice2.6 mi · Eunice, LA · Rural health clinic

Pharmacies

Picou's Drug Store Inc2.6 mi · Eunice, LA · Community/retail pharmacy
Wal-Mart Stores East LP2.6 mi · Eunice, LA · Community/retail pharmacy
Walgreen Co2.6 mi · Eunice, LA · 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 Acadian Medical Center 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.

Summary star rating (all survey topics)	3 of 5 stars
Overall rating of the hospital	3 of 5 stars
Would recommend the hospital	3 of 5 stars
Nurses communicated well	2 of 5 stars
Doctors communicated well	3 of 5 stars
Patients got help quickly from staff	3 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Restfulness of Environment	4 of 5 stars
Care Coordination	3 of 5 stars
Symptoms After Stay	4 of 5 stars
Rated the hospital 9 or 10 out of 10	66%National average: 72%
Would definitely recommend the hospital	71%National average: 71%
Nurses “always” communicated well	73%National average: 80%
Doctors “always” communicated well	79%National average: 80%
“Always” got help as soon as they wanted	62%National average: 64%
Staff “always” explained medicines before giving them	57%National average: 62%
Were given information about recovery at home	84%National average: 86%
Room and bathroom “always” clean	71%National average: 73%
Completed surveys	131Response rate: 15%

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

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Clostridioides difficile (C. diff) intestinal infections	2.611No different from the national benchmark
Not reported to Medicare	Central line bloodstream infections (CLABSI); Catheter-associated urinary tract infections (CAUTI); Surgical site infections after colon surgery; Surgical site infections after abdominal hysterectomy; MRSA bloodstream infections

Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from 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: heart failure patients	10.8%
Deaths within 30 days: pneumonia patients	15%
Deaths within 30 days: COPD patients	7.2%
Serious complications (patient safety indicator PSI-90)	0.96No different from the national rate
Not reported to Medicare	Deaths within 30 days: coronary bypass surgery (CABG)
Too few cases to report	Deaths within 30 days: heart attack patients; Deaths within 30 days: stroke patients; Complications after hip or knee replacement

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)	17.3%
Readmitted within 30 days: heart failure	22.2%
Readmitted within 30 days: pneumonia	16.3%
Readmitted within 30 days: COPD	19.9%
Not reported to Medicare	Readmitted within 30 days: coronary bypass surgery
Too few cases to report	Readmitted within 30 days: heart attack; Readmitted within 30 days: hip or knee replacement

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)	114 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	81%National average: 66%

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

See every measure on Medicare Care Compare →

Medicare payment programs

Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Acadian Medical Center, fiscal year 2026 (October 2025 to September 2026).

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.

CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.

Medicare payment reduction, fiscal year 2026	YesCMS applies a 1-percent payment reduction to this hospital.
Total HAC Score	0.5523Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.

Hospital Readmissions Reduction Program

What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.

CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).

Heart failure	1.0250More readmissions than expected
Pneumonia	0.9077Fewer readmissions than expected
COPD (chronic lung disease)	0.9555Fewer readmissions than expected
No result published	Heart attack; Hip or knee replacement; Coronary bypass surgery (CABG) (not reported, or too few cases)

Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.

Hospital Value-Based Purchasing Program

What this means: Medicare scores hospitals in four areas, each from 0 to 100, and combines them into a Total Performance Score from 0 to 100. A higher score means better results on these measures. Medicare uses the score to adjust what it pays the hospital.

CMS says: This program adjusts payments to hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver.

Total Performance Score	33.25 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)	10.00 out of 100
Person and community engagement (patient survey)	38.00 out of 100
Safety (infections and sepsis care)	65.00 out of 100
Efficiency and cost reduction (Medicare spending)	20.00 out of 100

Source: Hospital Value-Based Purchasing (HVBP) - Total Performance Score — CMS, released January 26, 2026, fiscal year 2026. Program description: The Hospital Value-Based Purchasing (VBP) Program — CMS, page last modified September 10, 2024.

Medicare spending per patient (MSPB)

What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.

CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.

Medicare spending per patient, ratio	1.16Above the national median hospital (1.00): Medicare spent more

Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

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 54 common services exactly as Acadian Medical Center 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 →

$ 6 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Show the prices of 54 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: ER LEVEL 3	$1,430	$429	$64.34 – $1,430
Emergency room visit (moderate): 10 of 120 insurance plan rates AMERICAN POSTAL WORKERS — DEACTIVATE CIGNA GWH: $909.48 AUTO INSURANCE — DEACTIVATE MISC COMM OP: $1,430 BANKERS FIDELITY — BANKERS FIDELITY IP: $1,430 BANKERS FIDELITY — BANKERS FIDELITY OP: $1,430 CHARITY/MAP — CRIME VICTIM: $1,430 CHARITY/MAP — SELF PAY IP: $429 CHARITY/MAP — SELF PAY OP: $429 COMMERICAL — PHYSICIANS MUTUAL IP: $1,430 COMMERICAL — PHYSICIANS MUTUAL OP: $1,430 COMMERICAL — STATE FARM IP: $1,430
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: EMERGENCY DEPT VISIT LOW MDM	$1,430	$429	$64.34 – $1,430
Emergency room visit (moderate): 10 of 25 insurance plan rates AMERICAN POSTAL WORKERS — DEACTIVATE CIGNA GWH: $850 BLUE CROSS — BLUE CROSS IP: $419.75 BLUE CROSS — BLUE CROSS OP: $419.75 BLUE CROSS — DEACTIVATE BC FEDERAL: $419.75 BLUE CROSS — DEACTIVATE BC LA SECONDAR: $419.75 BLUE CROSS — DEACTIVATE BC OUT OF STAT: $419.75 PP0/MANGED CARE — ACUITY GROUP IP: $485 PP0/MANGED CARE — ACUITY GROUP OP: $485 PP0/MANGED CARE — AETNA IP: $64.34 PP0/MANGED CARE — AETNA OP: $64.34
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: ER LEVEL 4	$2,090	$627	$118.55 – $2,090
Emergency room visit (moderately high): 10 of 120 insurance plan rates AMERICAN POSTAL WORKERS — DEACTIVATE CIGNA GWH: $1,329.24 AUTO INSURANCE — DEACTIVATE MISC COMM OP: $2,090 BANKERS FIDELITY — BANKERS FIDELITY IP: $2,090 BANKERS FIDELITY — BANKERS FIDELITY OP: $2,090 CHARITY/MAP — CRIME VICTIM: $2,090 CHARITY/MAP — SELF PAY IP: $627 CHARITY/MAP — SELF PAY OP: $627 COMMERICAL — PHYSICIANS MUTUAL IP: $2,090 COMMERICAL — PHYSICIANS MUTUAL OP: $2,090 COMMERICAL — STATE FARM IP: $2,090
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: EMERGENCY DEPT VISIT MOD MDM	$2,090	$627	$118.55 – $2,090
Emergency room visit (moderately high): 10 of 25 insurance plan rates AMERICAN POSTAL WORKERS — DEACTIVATE CIGNA GWH: $1,329.24 BLUE CROSS — BLUE CROSS IP: $661.15 BLUE CROSS — BLUE CROSS OP: $661.15 BLUE CROSS — DEACTIVATE BC FEDERAL: $661.15 BLUE CROSS — DEACTIVATE BC LA SECONDAR: $661.15 BLUE CROSS — DEACTIVATE BC OUT OF STAT: $661.15 PP0/MANGED CARE — ACUITY GROUP IP: $1,150 PP0/MANGED CARE — ACUITY GROUP OP: $1,150 PP0/MANGED CARE — AETNA IP: $118.55 PP0/MANGED CARE — AETNA OP: $118.55
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: ER LEVEL 5(TRANSFER)	$3,190	$957	$172.42 – $3,190
Emergency room visit (high): 10 of 120 insurance plan rates AMERICAN POSTAL WORKERS — DEACTIVATE CIGNA GWH: $2,028.84 AUTO INSURANCE — DEACTIVATE MISC COMM OP: $3,190 BANKERS FIDELITY — BANKERS FIDELITY IP: $3,190 BANKERS FIDELITY — BANKERS FIDELITY OP: $3,190 CHARITY/MAP — CRIME VICTIM: $3,190 CHARITY/MAP — SELF PAY IP: $957 CHARITY/MAP — SELF PAY OP: $957 COMMERICAL — PHYSICIANS MUTUAL IP: $3,190 COMMERICAL — PHYSICIANS MUTUAL OP: $3,190 COMMERICAL — STATE FARM IP: $3,190
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: EMERGENCY DEPT VISIT HI MDM	$3,190	$957	$172.42 – $3,190
Emergency room visit (high): 10 of 25 insurance plan rates AMERICAN POSTAL WORKERS — DEACTIVATE CIGNA GWH: $2,028.84 BLUE CROSS — BLUE CROSS IP: $948.18 BLUE CROSS — BLUE CROSS OP: $948.18 BLUE CROSS — DEACTIVATE BC FEDERAL: $948.18 BLUE CROSS — DEACTIVATE BC LA SECONDAR: $948.18 BLUE CROSS — DEACTIVATE BC OUT OF STAT: $948.18 PP0/MANGED CARE — ACUITY GROUP IP: $1,489 PP0/MANGED CARE — ACUITY GROUP OP: $1,489 PP0/MANGED CARE — AETNA IP: $172.42 PP0/MANGED CARE — AETNA OP: $172.42

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: PANEL BASIC METABOLIC	$349.50	$104.85	$6.77 – $349.50
Basic metabolic panel (blood test): 10 of 120 insurance plan rates AMERICAN POSTAL WORKERS — DEACTIVATE CIGNA GWH: $222.28 AUTO INSURANCE — DEACTIVATE MISC COMM OP: $349.50 BANKERS FIDELITY — BANKERS FIDELITY IP: $349.50 BANKERS FIDELITY — BANKERS FIDELITY OP: $349.50 CHARITY/MAP — CRIME VICTIM: $349.50 CHARITY/MAP — SELF PAY IP: $104.85 CHARITY/MAP — SELF PAY OP: $104.85 COMMERICAL — PHYSICIANS MUTUAL IP: $349.50 COMMERICAL — PHYSICIANS MUTUAL OP: $349.50 COMMERICAL — STATE FARM IP: $349.50
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: METABOLIC PANEL TOTAL CA	$349.50	$104.85	$6.77 – $349.50
Basic metabolic panel (blood test): 10 of 101 insurance plan rates BLUE CROSS — BLUE CROSS IP: $15.90 BLUE CROSS — BLUE CROSS OP: $15.90 BLUE CROSS — DEACTIVATE BC FEDERAL: $15.90 BLUE CROSS — DEACTIVATE BC LA SECONDAR: $15.90 BLUE CROSS — DEACTIVATE BC OUT OF STAT: $15.90 LOCAL STATE NON-MEDICAID — CORRECT CARE OP: $8.46 LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE IP: $8.46 LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE OP: $8.46 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE IP: $8.46 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE OP: $8.46
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · modifier QW In the file: METABOLIC PANEL TOTAL CA	$349.50	$104.85	$6.77 – $23.27
Basic metabolic panel (blood test): 10 of 67 insurance plan rates LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE IP: $8.46 LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE OP: $8.46 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE IP: $8.46 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE OP: $8.46 LOCAL STATE NON-MEDICAID — HOS HOPE HOSPICE IP: $8.46 LOCAL STATE NON-MEDICAID — HOS HOPE HOSPICE OP: $8.46 LOCAL STATE NON-MEDICAID — HOS LOUISIANA HOSPICE IP: $8.46 LOCAL STATE NON-MEDICAID — HOS LOUISIANA HOSPICE OP: $8.46 LOCAL STATE NON-MEDICAID — HOS SOUTHERN GRACE IP: $8.46 LOCAL STATE NON-MEDICAID — HOS SOUTHERN GRACE OP: $8.46
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: PANEL COMP METABOLIC	$524	$157.20	$8.45 – $524
Comprehensive metabolic panel (blood test): 10 of 120 insurance plan rates AMERICAN POSTAL WORKERS — DEACTIVATE CIGNA GWH: $333.26 AUTO INSURANCE — DEACTIVATE MISC COMM OP: $524 BANKERS FIDELITY — BANKERS FIDELITY IP: $524 BANKERS FIDELITY — BANKERS FIDELITY OP: $524 CHARITY/MAP — CRIME VICTIM: $524 CHARITY/MAP — SELF PAY IP: $157.20 CHARITY/MAP — SELF PAY OP: $157.20 COMMERICAL — PHYSICIANS MUTUAL IP: $524 COMMERICAL — PHYSICIANS MUTUAL OP: $524 COMMERICAL — STATE FARM IP: $524
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: COMPREHEN METABOLIC PANEL	$524	$157.20	$8.45 – $524
Comprehensive metabolic panel (blood test): 10 of 101 insurance plan rates BLUE CROSS — BLUE CROSS IP: $19.85 BLUE CROSS — BLUE CROSS OP: $19.85 BLUE CROSS — DEACTIVATE BC FEDERAL: $19.85 BLUE CROSS — DEACTIVATE BC LA SECONDAR: $19.85 BLUE CROSS — DEACTIVATE BC OUT OF STAT: $19.85 LOCAL STATE NON-MEDICAID — CORRECT CARE OP: $10.56 LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE IP: $10.56 LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE OP: $10.56 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE IP: $10.56 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE OP: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · modifier QW In the file: COMPREHEN METABOLIC PANEL	$524	$157.20	$8.45 – $29.04
Comprehensive metabolic panel (blood test): 10 of 67 insurance plan rates LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE IP: $10.56 LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE OP: $10.56 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE IP: $10.56 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE OP: $10.56 LOCAL STATE NON-MEDICAID — HOS HOPE HOSPICE IP: $10.56 LOCAL STATE NON-MEDICAID — HOS HOPE HOSPICE OP: $10.56 LOCAL STATE NON-MEDICAID — HOS LOUISIANA HOSPICE IP: $10.56 LOCAL STATE NON-MEDICAID — HOS LOUISIANA HOSPICE OP: $10.56 LOCAL STATE NON-MEDICAID — HOS SOUTHERN GRACE IP: $10.56 LOCAL STATE NON-MEDICAID — HOS SOUTHERN GRACE OP: $10.56
Obstetric blood test panel CPT 80055 · Inpatient or outpatient In the file: PANEL OB	$622	$186.60	$24.01 – $622
Obstetric blood test panel: 10 of 120 insurance plan rates AMERICAN POSTAL WORKERS — DEACTIVATE CIGNA GWH: $395.59 AUTO INSURANCE — DEACTIVATE MISC COMM OP: $622 BANKERS FIDELITY — BANKERS FIDELITY IP: $622 BANKERS FIDELITY — BANKERS FIDELITY OP: $622 CHARITY/MAP — CRIME VICTIM: $622 CHARITY/MAP — SELF PAY IP: $186.60 CHARITY/MAP — SELF PAY OP: $186.60 COMMERICAL — PHYSICIANS MUTUAL IP: $622 COMMERICAL — PHYSICIANS MUTUAL OP: $622 COMMERICAL — STATE FARM IP: $622
Obstetric blood test panel CPT 80055 · Inpatient or outpatient In the file: OBSTETRIC PANEL	$622	$186.60	$24.01 – $622
Obstetric blood test panel: 10 of 101 insurance plan rates BLUE CROSS — BLUE CROSS IP: $89.85 BLUE CROSS — BLUE CROSS OP: $89.85 BLUE CROSS — DEACTIVATE BC FEDERAL: $89.85 BLUE CROSS — DEACTIVATE BC LA SECONDAR: $89.85 BLUE CROSS — DEACTIVATE BC OUT OF STAT: $89.85 LOCAL STATE NON-MEDICAID — CORRECT CARE OP: $24.01 LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE IP: $47.81 LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE OP: $47.81 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE IP: $47.81 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE OP: $47.81
Obstetric blood test panel CPT 80055 · Inpatient or outpatient · modifier TC In the file: OBSTETRIC PANEL	$622	$186.60	$45.75
Obstetric blood test panel: rates for 4 insurance plans PP0/MANGED CARE — ACUITY GROUP IP: $45.75 PP0/MANGED CARE — ACUITY GROUP OP: $45.75 PPO/MANGED CARE — WEB TPA IP: $45.75 PPO/MANGED CARE — WEB TPA OP: $45.75
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: LIPID PANEL	$390.50	$117.15	$10.71 – $390.50
Cholesterol panel (lipid panel): 10 of 196 insurance plan rates AMERICAN POSTAL WORKERS — DEACTIVATE CIGNA GWH: $248.35 AUTO INSURANCE — DEACTIVATE MISC COMM OP: $390.50 BANKERS FIDELITY — BANKERS FIDELITY IP: $390.50 BANKERS FIDELITY — BANKERS FIDELITY OP: $390.50 BLUE CROSS — BLUE CROSS IP: $25.17 BLUE CROSS — BLUE CROSS OP: $25.17 BLUE CROSS — DEACTIVATE BC FEDERAL: $25.17 BLUE CROSS — DEACTIVATE BC LA SECONDAR: $25.17 BLUE CROSS — DEACTIVATE BC OUT OF STAT: $25.17 CHARITY/MAP — CRIME VICTIM: $390.50
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · modifier QW In the file: LIPID PANEL	$390.50	$117.15	$10.71 – $36.82
Cholesterol panel (lipid panel): 10 of 67 insurance plan rates LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE IP: $13.39 LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE OP: $13.39 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE IP: $13.39 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE OP: $13.39 LOCAL STATE NON-MEDICAID — HOS HOPE HOSPICE IP: $13.39 LOCAL STATE NON-MEDICAID — HOS HOPE HOSPICE OP: $13.39 LOCAL STATE NON-MEDICAID — HOS LOUISIANA HOSPICE IP: $13.39 LOCAL STATE NON-MEDICAID — HOS LOUISIANA HOSPICE OP: $13.39 LOCAL STATE NON-MEDICAID — HOS SOUTHERN GRACE IP: $13.39 LOCAL STATE NON-MEDICAID — HOS SOUTHERN GRACE OP: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · modifier TC In the file: LIPID PANEL	$390.50	$117.15	$12.94
Cholesterol panel (lipid panel): rates for 4 insurance plans PP0/MANGED CARE — ACUITY GROUP IP: $12.94 PP0/MANGED CARE — ACUITY GROUP OP: $12.94 PPO/MANGED CARE — WEB TPA IP: $12.94 PPO/MANGED CARE — WEB TPA OP: $12.94
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: RENAL FUNCTION PANEL	$305.50	$91.65	$6.94 – $305.50
Kidney function panel: 10 of 196 insurance plan rates AMERICAN POSTAL WORKERS — DEACTIVATE CIGNA GWH: $194.29 AUTO INSURANCE — DEACTIVATE MISC COMM OP: $305.50 BANKERS FIDELITY — BANKERS FIDELITY IP: $305.50 BANKERS FIDELITY — BANKERS FIDELITY OP: $305.50 BLUE CROSS — BLUE CROSS IP: $16.31 BLUE CROSS — BLUE CROSS OP: $16.31 BLUE CROSS — DEACTIVATE BC FEDERAL: $16.31 BLUE CROSS — DEACTIVATE BC LA SECONDAR: $16.31 BLUE CROSS — DEACTIVATE BC OUT OF STAT: $16.31 CHARITY/MAP — CRIME VICTIM: $305.50
Kidney function panel CPT 80069 · Inpatient or outpatient · modifier QW In the file: RENAL FUNCTION PANEL	$305.50	$91.65	$6.94 – $23.87
Kidney function panel: 10 of 67 insurance plan rates LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE IP: $8.68 LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE OP: $8.68 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE IP: $8.68 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE OP: $8.68 LOCAL STATE NON-MEDICAID — HOS HOPE HOSPICE IP: $8.68 LOCAL STATE NON-MEDICAID — HOS HOPE HOSPICE OP: $8.68 LOCAL STATE NON-MEDICAID — HOS LOUISIANA HOSPICE IP: $8.68 LOCAL STATE NON-MEDICAID — HOS LOUISIANA HOSPICE OP: $8.68 LOCAL STATE NON-MEDICAID — HOS SOUTHERN GRACE IP: $8.68 LOCAL STATE NON-MEDICAID — HOS SOUTHERN GRACE OP: $8.68
Kidney function panel CPT 80069 · Inpatient or outpatient · modifier TC In the file: RENAL FUNCTION PANEL	$305.50	$91.65	$8.20
Kidney function panel: rates for 4 insurance plans PP0/MANGED CARE — ACUITY GROUP IP: $8.20 PP0/MANGED CARE — ACUITY GROUP OP: $8.20 PPO/MANGED CARE — WEB TPA IP: $8.20 PPO/MANGED CARE — WEB TPA OP: $8.20
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HEPATIC FUNCTION PANEL	$412.50	$123.75	$6.54 – $412.50
Liver function panel: 10 of 196 insurance plan rates AMERICAN POSTAL WORKERS — DEACTIVATE CIGNA GWH: $262.35 AUTO INSURANCE — DEACTIVATE MISC COMM OP: $412.50 BANKERS FIDELITY — BANKERS FIDELITY IP: $412.50 BANKERS FIDELITY — BANKERS FIDELITY OP: $412.50 BLUE CROSS — BLUE CROSS IP: $15.35 BLUE CROSS — BLUE CROSS OP: $15.35 BLUE CROSS — DEACTIVATE BC FEDERAL: $15.35 BLUE CROSS — DEACTIVATE BC LA SECONDAR: $15.35 BLUE CROSS — DEACTIVATE BC OUT OF STAT: $15.35 CHARITY/MAP — CRIME VICTIM: $412.50
Liver function panel CPT 80076 · Inpatient or outpatient · modifier TC In the file: HEPATIC FUNCTION PANEL	$412.50	$123.75	$7.89
Liver function panel: rates for 4 insurance plans PP0/MANGED CARE — ACUITY GROUP IP: $7.89 PP0/MANGED CARE — ACUITY GROUP OP: $7.89 PPO/MANGED CARE — WEB TPA IP: $7.89 PPO/MANGED CARE — WEB TPA OP: $7.89
Liver function panel CPT 80076 · Inpatient or outpatient · modifier 26 In the file: HEPATIC FUNCTION PANEL	$412.50	$123.75	$5.42
Liver function panel: rates for 4 insurance plans PP0/MANGED CARE — ACUITY GROUP IP: $5.42 PP0/MANGED CARE — ACUITY GROUP OP: $5.42 PPO/MANGED CARE — WEB TPA IP: $5.42 PPO/MANGED CARE — WEB TPA OP: $5.42
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: UA W MICROSCOPIC AUTO	$179.50	$53.85	$2.54 – $179.50
Urine test (automated, with microscope): 10 of 120 insurance plan rates AMERICAN POSTAL WORKERS — DEACTIVATE CIGNA GWH: $114.16 AUTO INSURANCE — DEACTIVATE MISC COMM OP: $179.50 BANKERS FIDELITY — BANKERS FIDELITY IP: $179.50 BANKERS FIDELITY — BANKERS FIDELITY OP: $179.50 CHARITY/MAP — CRIME VICTIM: $179.50 CHARITY/MAP — SELF PAY IP: $53.85 CHARITY/MAP — SELF PAY OP: $53.85 COMMERICAL — PHYSICIANS MUTUAL IP: $179.50 COMMERICAL — PHYSICIANS MUTUAL OP: $179.50 COMMERICAL — STATE FARM IP: $179.50
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: URINALYSIS AUTO W/SCOPE	$179.50	$53.85	$2.54 – $179.50
Urine test (automated, with microscope): 10 of 101 insurance plan rates BLUE CROSS — BLUE CROSS IP: $5.96 BLUE CROSS — BLUE CROSS OP: $5.96 BLUE CROSS — DEACTIVATE BC FEDERAL: $5.96 BLUE CROSS — DEACTIVATE BC LA SECONDAR: $5.96 BLUE CROSS — DEACTIVATE BC OUT OF STAT: $5.96 LOCAL STATE NON-MEDICAID — CORRECT CARE OP: $3.17 LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE IP: $3.17 LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE OP: $3.17 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE IP: $3.17 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE OP: $3.17
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · modifier TC In the file: URINALYSIS AUTO W/SCOPE	$179.50	$53.85	$3.15
Urine test (automated, with microscope): rates for 4 insurance plans PP0/MANGED CARE — ACUITY GROUP IP: $3.15 PP0/MANGED CARE — ACUITY GROUP OP: $3.15 PPO/MANGED CARE — WEB TPA IP: $3.15 PPO/MANGED CARE — WEB TPA OP: $3.15
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: UA W O MICRO AUTO	$156.50	$46.95	$1.80 – $156.50
Urine test (automated, without microscope): 10 of 120 insurance plan rates AMERICAN POSTAL WORKERS — DEACTIVATE CIGNA GWH: $99.53 AUTO INSURANCE — DEACTIVATE MISC COMM OP: $156.50 BANKERS FIDELITY — BANKERS FIDELITY IP: $156.50 BANKERS FIDELITY — BANKERS FIDELITY OP: $156.50 CHARITY/MAP — CRIME VICTIM: $156.50 CHARITY/MAP — SELF PAY IP: $46.95 CHARITY/MAP — SELF PAY OP: $46.95 COMMERICAL — PHYSICIANS MUTUAL IP: $156.50 COMMERICAL — PHYSICIANS MUTUAL OP: $156.50 COMMERICAL — STATE FARM IP: $156.50
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: URINALYSIS AUTO W/O SCOPE	$156.50	$46.95	$1.80 – $156.50
Urine test (automated, without microscope): 10 of 101 insurance plan rates BLUE CROSS — BLUE CROSS IP: $4.23 BLUE CROSS — BLUE CROSS OP: $4.23 BLUE CROSS — DEACTIVATE BC FEDERAL: $4.23 BLUE CROSS — DEACTIVATE BC LA SECONDAR: $4.23 BLUE CROSS — DEACTIVATE BC OUT OF STAT: $4.23 LOCAL STATE NON-MEDICAID — CORRECT CARE OP: $2.25 LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE IP: $2.25 LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE OP: $2.25 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE IP: $2.25 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE OP: $2.25
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · modifier QW In the file: URINALYSIS AUTO W/O SCOPE	$156.50	$46.95	$1.80 – $6.19
Urine test (automated, without microscope): 10 of 67 insurance plan rates LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE IP: $2.25 LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE OP: $2.25 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE IP: $2.25 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE OP: $2.25 LOCAL STATE NON-MEDICAID — HOS HOPE HOSPICE IP: $2.25 LOCAL STATE NON-MEDICAID — HOS HOPE HOSPICE OP: $2.25 LOCAL STATE NON-MEDICAID — HOS LOUISIANA HOSPICE IP: $2.25 LOCAL STATE NON-MEDICAID — HOS LOUISIANA HOSPICE OP: $2.25 LOCAL STATE NON-MEDICAID — HOS SOUTHERN GRACE IP: $2.25 LOCAL STATE NON-MEDICAID — HOS SOUTHERN GRACE OP: $2.25
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PROS SPEC AG (PSA)	$314	$94.20	$14.71 – $314
PSA (prostate specific antigen) blood test: 10 of 120 insurance plan rates AMERICAN POSTAL WORKERS — DEACTIVATE CIGNA GWH: $199.70 AUTO INSURANCE — DEACTIVATE MISC COMM OP: $314 BANKERS FIDELITY — BANKERS FIDELITY IP: $314 BANKERS FIDELITY — BANKERS FIDELITY OP: $314 CHARITY/MAP — CRIME VICTIM: $314 CHARITY/MAP — SELF PAY IP: $94.20 CHARITY/MAP — SELF PAY OP: $94.20 COMMERICAL — PHYSICIANS MUTUAL IP: $314 COMMERICAL — PHYSICIANS MUTUAL OP: $314 COMMERICAL — STATE FARM IP: $314
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: ASSAY OF PSA TOTAL	$314	$94.20	$14.71 – $314
PSA (prostate specific antigen) blood test: 10 of 101 insurance plan rates BLUE CROSS — BLUE CROSS IP: $34.56 BLUE CROSS — BLUE CROSS OP: $34.56 BLUE CROSS — DEACTIVATE BC FEDERAL: $34.56 BLUE CROSS — DEACTIVATE BC LA SECONDAR: $34.56 BLUE CROSS — DEACTIVATE BC OUT OF STAT: $34.56 LOCAL STATE NON-MEDICAID — CORRECT CARE OP: $18.39 LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE IP: $18.39 LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE OP: $18.39 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE IP: $18.39 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE OP: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · modifier TC In the file: ASSAY OF PSA TOTAL	$314	$94.20	$17.67
PSA (prostate specific antigen) blood test: rates for 4 insurance plans PP0/MANGED CARE — ACUITY GROUP IP: $17.67 PP0/MANGED CARE — ACUITY GROUP OP: $17.67 PPO/MANGED CARE — WEB TPA IP: $17.67 PPO/MANGED CARE — WEB TPA OP: $17.67
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: TSH	$379.50	$113.85	$13.44 – $379.50
Thyroid stimulating hormone (TSH) test: 10 of 120 insurance plan rates AMERICAN POSTAL WORKERS — DEACTIVATE CIGNA GWH: $241.36 AUTO INSURANCE — DEACTIVATE MISC COMM OP: $379.50 BANKERS FIDELITY — BANKERS FIDELITY IP: $379.50 BANKERS FIDELITY — BANKERS FIDELITY OP: $379.50 CHARITY/MAP — CRIME VICTIM: $379.50 CHARITY/MAP — SELF PAY IP: $113.85 CHARITY/MAP — SELF PAY OP: $113.85 COMMERICAL — PHYSICIANS MUTUAL IP: $379.50 COMMERICAL — PHYSICIANS MUTUAL OP: $379.50 COMMERICAL — STATE FARM IP: $379.50
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: ASSAY THYROID STIM HORMONE	$379.50	$113.85	$13.44 – $379.50
Thyroid stimulating hormone (TSH) test: 10 of 101 insurance plan rates BLUE CROSS — BLUE CROSS IP: $31.57 BLUE CROSS — BLUE CROSS OP: $31.57 BLUE CROSS — DEACTIVATE BC FEDERAL: $31.57 BLUE CROSS — DEACTIVATE BC LA SECONDAR: $31.57 BLUE CROSS — DEACTIVATE BC OUT OF STAT: $31.57 LOCAL STATE NON-MEDICAID — CORRECT CARE OP: $16.80 LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE IP: $16.80 LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE OP: $16.80 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE IP: $16.80 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE OP: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · modifier QW In the file: ASSAY THYROID STIM HORMONE	$379.50	$113.85	$13.44 – $46.20
Thyroid stimulating hormone (TSH) test: 10 of 67 insurance plan rates LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE IP: $16.80 LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE OP: $16.80 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE IP: $16.80 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE OP: $16.80 LOCAL STATE NON-MEDICAID — HOS HOPE HOSPICE IP: $16.80 LOCAL STATE NON-MEDICAID — HOS HOPE HOSPICE OP: $16.80 LOCAL STATE NON-MEDICAID — HOS LOUISIANA HOSPICE IP: $16.80 LOCAL STATE NON-MEDICAID — HOS LOUISIANA HOSPICE OP: $16.80 LOCAL STATE NON-MEDICAID — HOS SOUTHERN GRACE IP: $16.80 LOCAL STATE NON-MEDICAID — HOS SOUTHERN GRACE OP: $16.80
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC AUTO DIFF	$236.50	$70.95	$6.22 – $236.50
Complete blood count (CBC) with differential: 10 of 120 insurance plan rates AMERICAN POSTAL WORKERS — DEACTIVATE CIGNA GWH: $150.41 AUTO INSURANCE — DEACTIVATE MISC COMM OP: $236.50 BANKERS FIDELITY — BANKERS FIDELITY IP: $236.50 BANKERS FIDELITY — BANKERS FIDELITY OP: $236.50 CHARITY/MAP — CRIME VICTIM: $236.50 CHARITY/MAP — SELF PAY IP: $70.95 CHARITY/MAP — SELF PAY OP: $70.95 COMMERICAL — PHYSICIANS MUTUAL IP: $236.50 COMMERICAL — PHYSICIANS MUTUAL OP: $236.50 COMMERICAL — STATE FARM IP: $236.50
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: COMPLETE CBC W/AUTO DIFF WBC	$236.50	$70.95	$6.22 – $236.50
Complete blood count (CBC) with differential: 10 of 101 insurance plan rates BLUE CROSS — BLUE CROSS IP: $11.92 BLUE CROSS — BLUE CROSS OP: $11.92 BLUE CROSS — DEACTIVATE BC FEDERAL: $11.92 BLUE CROSS — DEACTIVATE BC LA SECONDAR: $11.92 BLUE CROSS — DEACTIVATE BC OUT OF STAT: $11.92 LOCAL STATE NON-MEDICAID — CORRECT CARE OP: $7.77 LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE IP: $7.77 LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE OP: $7.77 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE IP: $7.77 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE OP: $7.77
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · modifier QW In the file: COMPLETE CBC W/AUTO DIFF WBC	$236.50	$70.95	$6.22 – $21.37
Complete blood count (CBC) with differential: 10 of 67 insurance plan rates LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE IP: $7.77 LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE OP: $7.77 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE IP: $7.77 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE OP: $7.77 LOCAL STATE NON-MEDICAID — HOS HOPE HOSPICE IP: $7.77 LOCAL STATE NON-MEDICAID — HOS HOPE HOSPICE OP: $7.77 LOCAL STATE NON-MEDICAID — HOS LOUISIANA HOSPICE IP: $7.77 LOCAL STATE NON-MEDICAID — HOS LOUISIANA HOSPICE OP: $7.77 LOCAL STATE NON-MEDICAID — HOS SOUTHERN GRACE IP: $7.77 LOCAL STATE NON-MEDICAID — HOS SOUTHERN GRACE OP: $7.77
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: CBC HEMOGRAM	$257	$77.10	$5.18 – $514
Complete blood count (CBC), automated: 10 of 120 insurance plan rates AMERICAN POSTAL WORKERS — DEACTIVATE CIGNA GWH: $163.45 AUTO INSURANCE — DEACTIVATE MISC COMM OP: $257 BANKERS FIDELITY — BANKERS FIDELITY IP: $257 BANKERS FIDELITY — BANKERS FIDELITY OP: $257 CHARITY/MAP — CRIME VICTIM: $257 CHARITY/MAP — SELF PAY IP: $77.10 CHARITY/MAP — SELF PAY OP: $77.10 COMMERICAL — PHYSICIANS MUTUAL IP: $257 COMMERICAL — PHYSICIANS MUTUAL OP: $257 COMMERICAL — STATE FARM IP: $257
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: CBC NO DIFF	$257	$77.10	$5.18 – $514
Complete blood count (CBC), automated: 10 of 120 insurance plan rates AMERICAN POSTAL WORKERS — DEACTIVATE CIGNA GWH: $163.45 AUTO INSURANCE — DEACTIVATE MISC COMM OP: $257 BANKERS FIDELITY — BANKERS FIDELITY IP: $257 BANKERS FIDELITY — BANKERS FIDELITY OP: $257 CHARITY/MAP — CRIME VICTIM: $257 CHARITY/MAP — SELF PAY IP: $77.10 CHARITY/MAP — SELF PAY OP: $77.10 COMMERICAL — PHYSICIANS MUTUAL IP: $257 COMMERICAL — PHYSICIANS MUTUAL OP: $257 COMMERICAL — STATE FARM IP: $257
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: COMPLETE CBC AUTOMATED	$257	$77.10	$5.18 – $514
Complete blood count (CBC), automated: 10 of 101 insurance plan rates BLUE CROSS — BLUE CROSS IP: $12.16 BLUE CROSS — BLUE CROSS OP: $12.16 BLUE CROSS — DEACTIVATE BC FEDERAL: $12.16 BLUE CROSS — DEACTIVATE BC LA SECONDAR: $12.16 BLUE CROSS — DEACTIVATE BC OUT OF STAT: $12.16 LOCAL STATE NON-MEDICAID — CORRECT CARE OP: $6.47 LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE IP: $6.47 LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE OP: $6.47 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE IP: $6.47 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE OP: $6.47
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PROTIME	$115	$34.50	$3.43 – $115
Blood clotting time test (prothrombin time, PT): 10 of 120 insurance plan rates AMERICAN POSTAL WORKERS — DEACTIVATE CIGNA GWH: $73.14 AUTO INSURANCE — DEACTIVATE MISC COMM OP: $115 BANKERS FIDELITY — BANKERS FIDELITY IP: $115 BANKERS FIDELITY — BANKERS FIDELITY OP: $115 CHARITY/MAP — CRIME VICTIM: $115 CHARITY/MAP — SELF PAY IP: $34.50 CHARITY/MAP — SELF PAY OP: $34.50 COMMERICAL — PHYSICIANS MUTUAL IP: $115 COMMERICAL — PHYSICIANS MUTUAL OP: $115 COMMERICAL — STATE FARM IP: $115
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PROTHROMBIN TIME	$115	$34.50	$3.43 – $115
Blood clotting time test (prothrombin time, PT): 10 of 101 insurance plan rates BLUE CROSS — BLUE CROSS IP: $8.06 BLUE CROSS — BLUE CROSS OP: $8.06 BLUE CROSS — DEACTIVATE BC FEDERAL: $8.06 BLUE CROSS — DEACTIVATE BC LA SECONDAR: $8.06 BLUE CROSS — DEACTIVATE BC OUT OF STAT: $8.06 LOCAL STATE NON-MEDICAID — CORRECT CARE OP: $4.29 LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE IP: $4.29 LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE OP: $4.29 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE IP: $4.29 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE OP: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · modifier QW In the file: PROTHROMBIN TIME	$115	$34.50	$3.43 – $11.80
Blood clotting time test (prothrombin time, PT): 10 of 67 insurance plan rates LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE IP: $4.29 LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE OP: $4.29 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE IP: $4.29 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE OP: $4.29 LOCAL STATE NON-MEDICAID — HOS HOPE HOSPICE IP: $4.29 LOCAL STATE NON-MEDICAID — HOS HOPE HOSPICE OP: $4.29 LOCAL STATE NON-MEDICAID — HOS LOUISIANA HOSPICE IP: $4.29 LOCAL STATE NON-MEDICAID — HOS LOUISIANA HOSPICE OP: $4.29 LOCAL STATE NON-MEDICAID — HOS SOUTHERN GRACE IP: $4.29 LOCAL STATE NON-MEDICAID — HOS SOUTHERN GRACE OP: $4.29
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: PTT	$115	$34.50	$4.81 – $115
Blood clotting test (partial thromboplastin time, PTT): 10 of 120 insurance plan rates AMERICAN POSTAL WORKERS — DEACTIVATE CIGNA GWH: $73.14 AUTO INSURANCE — DEACTIVATE MISC COMM OP: $115 BANKERS FIDELITY — BANKERS FIDELITY IP: $115 BANKERS FIDELITY — BANKERS FIDELITY OP: $115 CHARITY/MAP — CRIME VICTIM: $115 CHARITY/MAP — SELF PAY IP: $34.50 CHARITY/MAP — SELF PAY OP: $34.50 COMMERICAL — PHYSICIANS MUTUAL IP: $115 COMMERICAL — PHYSICIANS MUTUAL OP: $115 COMMERICAL — STATE FARM IP: $115
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: THROMBOPLASTIN TIME PARTIAL	$115	$34.50	$4.81 – $115
Blood clotting test (partial thromboplastin time, PTT): 10 of 101 insurance plan rates BLUE CROSS — BLUE CROSS IP: $11.30 BLUE CROSS — BLUE CROSS OP: $11.30 BLUE CROSS — DEACTIVATE BC FEDERAL: $11.30 BLUE CROSS — DEACTIVATE BC LA SECONDAR: $11.30 BLUE CROSS — DEACTIVATE BC OUT OF STAT: $11.30 LOCAL STATE NON-MEDICAID — CORRECT CARE OP: $6.01 LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE IP: $6.01 LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE OP: $6.01 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE IP: $6.01 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE OP: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · modifier TC In the file: THROMBOPLASTIN TIME PARTIAL	$115	$34.50	$5.68
Blood clotting test (partial thromboplastin time, PTT): rates for 4 insurance plans PP0/MANGED CARE — ACUITY GROUP IP: $5.68 PP0/MANGED CARE — ACUITY GROUP OP: $5.68 PPO/MANGED CARE — WEB TPA IP: $5.68 PPO/MANGED CARE — WEB TPA OP: $5.68

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 · Inpatient or outpatient In the file: CT HEAD/BRAIN W/O CONT	$2,541	$762.30	$178.78 – $2,541
CT scan of the head or brain, without contrast: 10 of 120 insurance plan rates AMERICAN POSTAL WORKERS — DEACTIVATE CIGNA GWH: $1,616.07 AUTO INSURANCE — DEACTIVATE MISC COMM OP: $2,541 BANKERS FIDELITY — BANKERS FIDELITY IP: $2,541 BANKERS FIDELITY — BANKERS FIDELITY OP: $2,541 CHARITY/MAP — CRIME VICTIM: $2,541 CHARITY/MAP — SELF PAY IP: $762.30 CHARITY/MAP — SELF PAY OP: $762.30 COMMERICAL — PHYSICIANS MUTUAL IP: $2,541 COMMERICAL — PHYSICIANS MUTUAL OP: $2,541 COMMERICAL — STATE FARM IP: $2,541
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT HEAD/BRAIN W/O DYE	$2,541	$762.30	$178.78 – $2,541
CT scan of the head or brain, without contrast: 10 of 14 insurance plan rates BLUE CROSS — BLUE CROSS IP: $210.64 BLUE CROSS — BLUE CROSS OP: $210.64 BLUE CROSS — DEACTIVATE BC FEDERAL: $210.64 BLUE CROSS — DEACTIVATE BC LA SECONDAR: $210.64 BLUE CROSS — DEACTIVATE BC OUT OF STAT: $210.64 PP0/MANGED CARE — ACUITY GROUP IP: $178.78 PP0/MANGED CARE — ACUITY GROUP OP: $178.78 PP0/MANGED CARE — AETNA IP: $336 PP0/MANGED CARE — AETNA OP: $336 PP0/MANGED CARE — MERITAIN OP: $336
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · modifier TC In the file: CT HEAD/BRAIN W/O DYE	$2,541	$762.30	$108.31 – $336
CT scan of the head or brain, without contrast: rates for 9 insurance plans PP0/MANGED CARE — ACUITY GROUP IP: $108.31 PP0/MANGED CARE — ACUITY GROUP OP: $108.31 PP0/MANGED CARE — AETNA IP: $336 PP0/MANGED CARE — AETNA OP: $336 PP0/MANGED CARE — MERITAIN OP: $336 PPO/MANGED CARE — PHCS IP: $336 PPO/MANGED CARE — PHCS OP: $336 PPO/MANGED CARE — WEB TPA IP: $108.31 PPO/MANGED CARE — WEB TPA OP: $108.31
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI BRAIN/IAC W/W/O CONTRAST	$5,315.50	$1,594.65	$569.35 – $11,434.50
MRI of the brain, before and after contrast: 10 of 120 insurance plan rates AMERICAN POSTAL WORKERS — DEACTIVATE CIGNA GWH: $3,380.65 AUTO INSURANCE — DEACTIVATE MISC COMM OP: $5,315.50 BANKERS FIDELITY — BANKERS FIDELITY IP: $5,315.50 BANKERS FIDELITY — BANKERS FIDELITY OP: $5,315.50 CHARITY/MAP — CRIME VICTIM: $5,315.50 CHARITY/MAP — SELF PAY IP: $1,594.65 CHARITY/MAP — SELF PAY OP: $1,594.65 COMMERICAL — PHYSICIANS MUTUAL IP: $5,315.50 COMMERICAL — PHYSICIANS MUTUAL OP: $5,315.50 COMMERICAL — STATE FARM IP: $5,315.50
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI PITUITARY WITH/WITHOUT CON	$6,119	$1,835.70	$569.35 – $11,434.50
MRI of the brain, before and after contrast: 10 of 120 insurance plan rates AMERICAN POSTAL WORKERS — DEACTIVATE CIGNA GWH: $3,891.68 AUTO INSURANCE — DEACTIVATE MISC COMM OP: $6,119 BANKERS FIDELITY — BANKERS FIDELITY IP: $6,119 BANKERS FIDELITY — BANKERS FIDELITY OP: $6,119 CHARITY/MAP — CRIME VICTIM: $6,119 CHARITY/MAP — SELF PAY IP: $1,835.70 CHARITY/MAP — SELF PAY OP: $1,835.70 COMMERICAL — PHYSICIANS MUTUAL IP: $6,119 COMMERICAL — PHYSICIANS MUTUAL OP: $6,119 COMMERICAL — STATE FARM IP: $6,119
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI BRAIN STEM W/O & W/DYE	$5,315.50	$1,594.65	$569.35 – $11,434.50
MRI of the brain, before and after contrast: 10 of 14 insurance plan rates BLUE CROSS — BLUE CROSS IP: $717.65 BLUE CROSS — BLUE CROSS OP: $717.65 BLUE CROSS — DEACTIVATE BC FEDERAL: $717.65 BLUE CROSS — DEACTIVATE BC LA SECONDAR: $717.65 BLUE CROSS — DEACTIVATE BC OUT OF STAT: $717.65 PP0/MANGED CARE — ACUITY GROUP IP: $569.35 PP0/MANGED CARE — ACUITY GROUP OP: $569.35 PP0/MANGED CARE — AETNA IP: $616 PP0/MANGED CARE — AETNA OP: $616 PP0/MANGED CARE — MERITAIN OP: $616
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: XR CHEST 2 VIEWS	$457	$137.10	$29.82 – $914
Chest X-ray, 2 views: 10 of 120 insurance plan rates AMERICAN POSTAL WORKERS — DEACTIVATE CIGNA GWH: $290.65 AUTO INSURANCE — DEACTIVATE MISC COMM OP: $457 BANKERS FIDELITY — BANKERS FIDELITY IP: $457 BANKERS FIDELITY — BANKERS FIDELITY OP: $457 CHARITY/MAP — CRIME VICTIM: $457 CHARITY/MAP — SELF PAY IP: $137.10 CHARITY/MAP — SELF PAY OP: $137.10 COMMERICAL — PHYSICIANS MUTUAL IP: $457 COMMERICAL — PHYSICIANS MUTUAL OP: $457 COMMERICAL — STATE FARM IP: $457
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: XR CHEST 2VIEW(ANY)	$457	$137.10	$29.82 – $914
Chest X-ray, 2 views: 10 of 120 insurance plan rates AMERICAN POSTAL WORKERS — DEACTIVATE CIGNA GWH: $290.65 AUTO INSURANCE — DEACTIVATE MISC COMM OP: $457 BANKERS FIDELITY — BANKERS FIDELITY IP: $457 BANKERS FIDELITY — BANKERS FIDELITY OP: $457 CHARITY/MAP — CRIME VICTIM: $457 CHARITY/MAP — SELF PAY IP: $137.10 CHARITY/MAP — SELF PAY OP: $137.10 COMMERICAL — PHYSICIANS MUTUAL IP: $457 COMMERICAL — PHYSICIANS MUTUAL OP: $457 COMMERICAL — STATE FARM IP: $457
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: X-RAY EXAM CHEST 2 VIEWS	$457	$137.10	$29.82 – $914
Chest X-ray, 2 views: 10 of 14 insurance plan rates BLUE CROSS — BLUE CROSS IP: $149.99 BLUE CROSS — BLUE CROSS OP: $149.99 BLUE CROSS — DEACTIVATE BC FEDERAL: $149.99 BLUE CROSS — DEACTIVATE BC LA SECONDAR: $149.99 BLUE CROSS — DEACTIVATE BC OUT OF STAT: $149.99 PP0/MANGED CARE — ACUITY GROUP IP: $29.82 PP0/MANGED CARE — ACUITY GROUP OP: $29.82 PP0/MANGED CARE — AETNA IP: $33.56 PP0/MANGED CARE — AETNA OP: $33.56 PP0/MANGED CARE — MERITAIN OP: $33.56
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: LUMBOSACRAL MIN 4 VIEW	$725	$217.50	$45.99 – $725
X-ray of the lower spine, at least 4 views: 10 of 120 insurance plan rates AMERICAN POSTAL WORKERS — DEACTIVATE CIGNA GWH: $461.10 AUTO INSURANCE — DEACTIVATE MISC COMM OP: $725 BANKERS FIDELITY — BANKERS FIDELITY IP: $725 BANKERS FIDELITY — BANKERS FIDELITY OP: $725 CHARITY/MAP — CRIME VICTIM: $725 CHARITY/MAP — SELF PAY IP: $217.50 CHARITY/MAP — SELF PAY OP: $217.50 COMMERICAL — PHYSICIANS MUTUAL IP: $725 COMMERICAL — PHYSICIANS MUTUAL OP: $725 COMMERICAL — STATE FARM IP: $725
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: X-RAY EXAM L-2 SPINE 4/>VWS	$725	$217.50	$45.99 – $725
X-ray of the lower spine, at least 4 views: 10 of 14 insurance plan rates BLUE CROSS — BLUE CROSS IP: $210.64 BLUE CROSS — BLUE CROSS OP: $210.64 BLUE CROSS — DEACTIVATE BC FEDERAL: $210.64 BLUE CROSS — DEACTIVATE BC LA SECONDAR: $210.64 BLUE CROSS — DEACTIVATE BC OUT OF STAT: $210.64 PP0/MANGED CARE — ACUITY GROUP IP: $45.99 PP0/MANGED CARE — ACUITY GROUP OP: $45.99 PP0/MANGED CARE — AETNA IP: $54.31 PP0/MANGED CARE — AETNA OP: $54.31 PP0/MANGED CARE — MERITAIN OP: $54.31
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · modifier TC In the file: X-RAY EXAM L-2 SPINE 4/>VWS	$725	$217.50	$30.05 – $54.31
X-ray of the lower spine, at least 4 views: rates for 9 insurance plans PP0/MANGED CARE — ACUITY GROUP IP: $30.05 PP0/MANGED CARE — ACUITY GROUP OP: $30.05 PP0/MANGED CARE — AETNA IP: $54.31 PP0/MANGED CARE — AETNA OP: $54.31 PP0/MANGED CARE — MERITAIN OP: $54.31 PPO/MANGED CARE — PHCS IP: $54.31 PPO/MANGED CARE — PHCS OP: $54.31 PPO/MANGED CARE — WEB TPA IP: $30.05 PPO/MANGED CARE — WEB TPA OP: $30.05
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MRI LUMBAR SPINE W/O CON	$4,266.50	$1,279.95	$340.40 – $4,266.50
MRI of the lower back (lumbar spine), without contrast: 10 of 120 insurance plan rates AMERICAN POSTAL WORKERS — DEACTIVATE CIGNA GWH: $2,713.49 AUTO INSURANCE — DEACTIVATE MISC COMM OP: $4,266.50 BANKERS FIDELITY — BANKERS FIDELITY IP: $4,266.50 BANKERS FIDELITY — BANKERS FIDELITY OP: $4,266.50 CHARITY/MAP — CRIME VICTIM: $4,266.50 CHARITY/MAP — SELF PAY IP: $1,279.95 CHARITY/MAP — SELF PAY OP: $1,279.95 COMMERICAL — PHYSICIANS MUTUAL IP: $4,266.50 COMMERICAL — PHYSICIANS MUTUAL OP: $4,266.50 COMMERICAL — STATE FARM IP: $4,266.50
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MRI LUMBAR SPINE W/O DYE	$4,266.50	$1,279.95	$340.40 – $4,266.50
MRI of the lower back (lumbar spine), without contrast: 10 of 14 insurance plan rates BLUE CROSS — BLUE CROSS IP: $437.98 BLUE CROSS — BLUE CROSS OP: $437.98 BLUE CROSS — DEACTIVATE BC FEDERAL: $437.98 BLUE CROSS — DEACTIVATE BC LA SECONDAR: $437.98 BLUE CROSS — DEACTIVATE BC OUT OF STAT: $437.98 PP0/MANGED CARE — ACUITY GROUP IP: $340.40 PP0/MANGED CARE — ACUITY GROUP OP: $340.40 PP0/MANGED CARE — AETNA IP: $616 PP0/MANGED CARE — AETNA OP: $616 PP0/MANGED CARE — MERITAIN OP: $616
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · modifier TC In the file: MRI LUMBAR SPINE W/O DYE	$4,266.50	$1,279.95	$216.98 – $616
MRI of the lower back (lumbar spine), without contrast: rates for 9 insurance plans PP0/MANGED CARE — ACUITY GROUP IP: $216.98 PP0/MANGED CARE — ACUITY GROUP OP: $216.98 PP0/MANGED CARE — AETNA IP: $616 PP0/MANGED CARE — AETNA OP: $616 PP0/MANGED CARE — MERITAIN OP: $616 PPO/MANGED CARE — PHCS IP: $616 PPO/MANGED CARE — PHCS OP: $616 PPO/MANGED CARE — WEB TPA IP: $216.98 PPO/MANGED CARE — WEB TPA OP: $216.98
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT PELVIS WITH CONTRAST	$3,667.50	$1,100.25	$214.97 – $3,667.50
CT scan of the pelvis, with contrast: 10 of 120 insurance plan rates AMERICAN POSTAL WORKERS — DEACTIVATE CIGNA GWH: $2,332.53 AUTO INSURANCE — DEACTIVATE MISC COMM OP: $3,667.50 BANKERS FIDELITY — BANKERS FIDELITY IP: $3,667.50 BANKERS FIDELITY — BANKERS FIDELITY OP: $3,667.50 CHARITY/MAP — CRIME VICTIM: $3,667.50 CHARITY/MAP — SELF PAY IP: $1,100.25 CHARITY/MAP — SELF PAY OP: $1,100.25 COMMERICAL — PHYSICIANS MUTUAL IP: $3,667.50 COMMERICAL — PHYSICIANS MUTUAL OP: $3,667.50 COMMERICAL — STATE FARM IP: $3,667.50
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT PELVIS W/DYE	$3,667.50	$1,100.25	$214.97 – $3,667.50
CT scan of the pelvis, with contrast: 10 of 14 insurance plan rates BLUE CROSS — BLUE CROSS IP: $342.46 BLUE CROSS — BLUE CROSS OP: $342.46 BLUE CROSS — DEACTIVATE BC FEDERAL: $342.46 BLUE CROSS — DEACTIVATE BC LA SECONDAR: $342.46 BLUE CROSS — DEACTIVATE BC OUT OF STAT: $342.46 PP0/MANGED CARE — ACUITY GROUP IP: $214.97 PP0/MANGED CARE — ACUITY GROUP OP: $214.97 PP0/MANGED CARE — AETNA IP: $336 PP0/MANGED CARE — AETNA OP: $336 PP0/MANGED CARE — MERITAIN OP: $336
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · modifier TC In the file: CT PELVIS W/DYE	$3,667.50	$1,100.25	$157.38 – $336
CT scan of the pelvis, with contrast: rates for 9 insurance plans PP0/MANGED CARE — ACUITY GROUP IP: $157.38 PP0/MANGED CARE — ACUITY GROUP OP: $157.38 PP0/MANGED CARE — AETNA IP: $336 PP0/MANGED CARE — AETNA OP: $336 PP0/MANGED CARE — MERITAIN OP: $336 PPO/MANGED CARE — PHCS IP: $336 PPO/MANGED CARE — PHCS OP: $336 PPO/MANGED CARE — WEB TPA IP: $157.38 PPO/MANGED CARE — WEB TPA OP: $157.38
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: MRI LOW EX JNT WO CST LT	$3,877	$1,163.10	$357.46 – $7,754
MRI of a leg joint (such as the knee), without contrast: 10 of 120 insurance plan rates AMERICAN POSTAL WORKERS — DEACTIVATE CIGNA GWH: $2,465.77 AUTO INSURANCE — DEACTIVATE MISC COMM OP: $3,877 BANKERS FIDELITY — BANKERS FIDELITY IP: $3,877 BANKERS FIDELITY — BANKERS FIDELITY OP: $3,877 CHARITY/MAP — CRIME VICTIM: $3,877 CHARITY/MAP — SELF PAY IP: $1,163.10 CHARITY/MAP — SELF PAY OP: $1,163.10 COMMERICAL — PHYSICIANS MUTUAL IP: $3,877 COMMERICAL — PHYSICIANS MUTUAL OP: $3,877 COMMERICAL — STATE FARM IP: $3,877
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: MRI LOW EX JOINT WO RT	$3,877	$1,163.10	$357.46 – $7,754
MRI of a leg joint (such as the knee), without contrast: 10 of 120 insurance plan rates AMERICAN POSTAL WORKERS — DEACTIVATE CIGNA GWH: $2,465.77 AUTO INSURANCE — DEACTIVATE MISC COMM OP: $3,877 BANKERS FIDELITY — BANKERS FIDELITY IP: $3,877 BANKERS FIDELITY — BANKERS FIDELITY OP: $3,877 CHARITY/MAP — CRIME VICTIM: $3,877 CHARITY/MAP — SELF PAY IP: $1,163.10 CHARITY/MAP — SELF PAY OP: $1,163.10 COMMERICAL — PHYSICIANS MUTUAL IP: $3,877 COMMERICAL — PHYSICIANS MUTUAL OP: $3,877 COMMERICAL — STATE FARM IP: $3,877
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: MRI JNT OF LWR EXTRE W/O DYE	$3,877	$1,163.10	$357.46 – $7,754
MRI of a leg joint (such as the knee), without contrast: 10 of 14 insurance plan rates BLUE CROSS — BLUE CROSS IP: $437.98 BLUE CROSS — BLUE CROSS OP: $437.98 BLUE CROSS — DEACTIVATE BC FEDERAL: $437.98 BLUE CROSS — DEACTIVATE BC LA SECONDAR: $437.98 BLUE CROSS — DEACTIVATE BC OUT OF STAT: $437.98 PP0/MANGED CARE — ACUITY GROUP IP: $357.46 PP0/MANGED CARE — ACUITY GROUP OP: $357.46 PP0/MANGED CARE — AETNA IP: $616 PP0/MANGED CARE — AETNA OP: $616 PP0/MANGED CARE — MERITAIN OP: $616
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT ABD&PEL W CONTRAST	$7,339	$2,201.70	$296.84 – $7,339
CT scan of the abdomen and pelvis, with contrast: 10 of 120 insurance plan rates AMERICAN POSTAL WORKERS — DEACTIVATE CIGNA GWH: $4,667.60 AUTO INSURANCE — DEACTIVATE MISC COMM OP: $7,339 BANKERS FIDELITY — BANKERS FIDELITY IP: $7,339 BANKERS FIDELITY — BANKERS FIDELITY OP: $7,339 CHARITY/MAP — CRIME VICTIM: $7,339 CHARITY/MAP — SELF PAY IP: $2,201.70 CHARITY/MAP — SELF PAY OP: $2,201.70 COMMERICAL — PHYSICIANS MUTUAL IP: $7,339 COMMERICAL — PHYSICIANS MUTUAL OP: $7,339 COMMERICAL — STATE FARM IP: $7,339
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT ABD & PELVIS W/CONTRAST	$7,339	$2,201.70	$296.84 – $7,339
CT scan of the abdomen and pelvis, with contrast: 10 of 14 insurance plan rates BLUE CROSS — BLUE CROSS IP: $717.65 BLUE CROSS — BLUE CROSS OP: $717.65 BLUE CROSS — DEACTIVATE BC FEDERAL: $717.65 BLUE CROSS — DEACTIVATE BC LA SECONDAR: $717.65 BLUE CROSS — DEACTIVATE BC OUT OF STAT: $717.65 PP0/MANGED CARE — ACUITY GROUP IP: $296.84 PP0/MANGED CARE — ACUITY GROUP OP: $296.84 PP0/MANGED CARE — AETNA IP: $336 PP0/MANGED CARE — AETNA OP: $336 PP0/MANGED CARE — MERITAIN OP: $336
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · modifier TC In the file: CT ABD & PELVIS W/CONTRAST	$7,339	$2,201.70	$206.99 – $336
CT scan of the abdomen and pelvis, with contrast: rates for 9 insurance plans PP0/MANGED CARE — ACUITY GROUP IP: $206.99 PP0/MANGED CARE — ACUITY GROUP OP: $206.99 PP0/MANGED CARE — AETNA IP: $336 PP0/MANGED CARE — AETNA OP: $336 PP0/MANGED CARE — MERITAIN OP: $336 PPO/MANGED CARE — PHCS IP: $336 PPO/MANGED CARE — PHCS OP: $336 PPO/MANGED CARE — WEB TPA IP: $206.99 PPO/MANGED CARE — WEB TPA OP: $206.99
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US ABDOMEN COMPLETE	$1,840	$552	$126.42 – $1,840
Ultrasound of the abdomen, complete: 10 of 120 insurance plan rates AMERICAN POSTAL WORKERS — DEACTIVATE CIGNA GWH: $1,170.24 AUTO INSURANCE — DEACTIVATE MISC COMM OP: $1,840 BANKERS FIDELITY — BANKERS FIDELITY IP: $1,840 BANKERS FIDELITY — BANKERS FIDELITY OP: $1,840 CHARITY/MAP — CRIME VICTIM: $1,840 CHARITY/MAP — SELF PAY IP: $552 CHARITY/MAP — SELF PAY OP: $552 COMMERICAL — PHYSICIANS MUTUAL IP: $1,840 COMMERICAL — PHYSICIANS MUTUAL OP: $1,840 COMMERICAL — STATE FARM IP: $1,840
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US EXAM ABDOM COMPLETE	$1,840	$552	$126.42 – $1,840
Ultrasound of the abdomen, complete: 10 of 14 insurance plan rates BLUE CROSS — BLUE CROSS IP: $210.64 BLUE CROSS — BLUE CROSS OP: $210.64 BLUE CROSS — DEACTIVATE BC FEDERAL: $210.64 BLUE CROSS — DEACTIVATE BC LA SECONDAR: $210.64 BLUE CROSS — DEACTIVATE BC OUT OF STAT: $210.64 PP0/MANGED CARE — ACUITY GROUP IP: $129.66 PP0/MANGED CARE — ACUITY GROUP OP: $129.66 PP0/MANGED CARE — AETNA IP: $126.42 PP0/MANGED CARE — AETNA OP: $126.42 PP0/MANGED CARE — MERITAIN OP: $126.42
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · modifier TC In the file: US EXAM ABDOM COMPLETE	$1,840	$552	$89.77 – $126.42
Ultrasound of the abdomen, complete: rates for 9 insurance plans PP0/MANGED CARE — ACUITY GROUP IP: $89.77 PP0/MANGED CARE — ACUITY GROUP OP: $89.77 PP0/MANGED CARE — AETNA IP: $126.42 PP0/MANGED CARE — AETNA OP: $126.42 PP0/MANGED CARE — MERITAIN OP: $126.42 PPO/MANGED CARE — PHCS IP: $126.42 PPO/MANGED CARE — PHCS OP: $126.42 PPO/MANGED CARE — WEB TPA IP: $89.77 PPO/MANGED CARE — WEB TPA OP: $89.77
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: U S OB >14 WKS 1ST GEST	$1,496	$448.80	$134.81 – $1,496
Pregnancy ultrasound (after the first trimester): 10 of 120 insurance plan rates AMERICAN POSTAL WORKERS — DEACTIVATE CIGNA GWH: $951.45 AUTO INSURANCE — DEACTIVATE MISC COMM OP: $1,496 BANKERS FIDELITY — BANKERS FIDELITY IP: $1,496 BANKERS FIDELITY — BANKERS FIDELITY OP: $1,496 CHARITY/MAP — CRIME VICTIM: $1,496 CHARITY/MAP — SELF PAY IP: $448.80 CHARITY/MAP — SELF PAY OP: $448.80 COMMERICAL — PHYSICIANS MUTUAL IP: $1,496 COMMERICAL — PHYSICIANS MUTUAL OP: $1,496 COMMERICAL — STATE FARM IP: $1,496
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: OB US >= 14 WKS SNGL FETUS	$1,496	$448.80	$134.81 – $1,496
Pregnancy ultrasound (after the first trimester): 10 of 14 insurance plan rates BLUE CROSS — BLUE CROSS IP: $210.64 BLUE CROSS — BLUE CROSS OP: $210.64 BLUE CROSS — DEACTIVATE BC FEDERAL: $210.64 BLUE CROSS — DEACTIVATE BC LA SECONDAR: $210.64 BLUE CROSS — DEACTIVATE BC OUT OF STAT: $210.64 PP0/MANGED CARE — ACUITY GROUP IP: $134.81 PP0/MANGED CARE — ACUITY GROUP OP: $134.81 PP0/MANGED CARE — AETNA IP: $138.98 PP0/MANGED CARE — AETNA OP: $138.98 PP0/MANGED CARE — MERITAIN OP: $138.98
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · modifier TC In the file: OB US >= 14 WKS SNGL FETUS	$1,496	$448.80	$86.29 – $138.98
Pregnancy ultrasound (after the first trimester): rates for 9 insurance plans PP0/MANGED CARE — ACUITY GROUP IP: $86.29 PP0/MANGED CARE — ACUITY GROUP OP: $86.29 PP0/MANGED CARE — AETNA IP: $138.98 PP0/MANGED CARE — AETNA OP: $138.98 PP0/MANGED CARE — MERITAIN OP: $138.98 PPO/MANGED CARE — PHCS IP: $138.98 PPO/MANGED CARE — PHCS OP: $138.98 PPO/MANGED CARE — WEB TPA IP: $86.29 PPO/MANGED CARE — WEB TPA OP: $86.29
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: US TRANSVAGINAL	$1,180.50	$354.15	$115.85 – $1,180.50
Transvaginal ultrasound: 10 of 120 insurance plan rates AMERICAN POSTAL WORKERS — DEACTIVATE CIGNA GWH: $750.79 AUTO INSURANCE — DEACTIVATE MISC COMM OP: $1,180.50 BANKERS FIDELITY — BANKERS FIDELITY IP: $1,180.50 BANKERS FIDELITY — BANKERS FIDELITY OP: $1,180.50 CHARITY/MAP — CRIME VICTIM: $1,180.50 CHARITY/MAP — SELF PAY IP: $354.15 CHARITY/MAP — SELF PAY OP: $354.15 COMMERICAL — PHYSICIANS MUTUAL IP: $1,180.50 COMMERICAL — PHYSICIANS MUTUAL OP: $1,180.50 COMMERICAL — STATE FARM IP: $1,180.50
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: TRANSVAGINAL US NON-OB	$1,180.50	$354.15	$115.85 – $1,180.50
Transvaginal ultrasound: 10 of 14 insurance plan rates BLUE CROSS — BLUE CROSS IP: $210.64 BLUE CROSS — BLUE CROSS OP: $210.64 BLUE CROSS — DEACTIVATE BC FEDERAL: $210.64 BLUE CROSS — DEACTIVATE BC LA SECONDAR: $210.64 BLUE CROSS — DEACTIVATE BC OUT OF STAT: $210.64 PP0/MANGED CARE — ACUITY GROUP IP: $115.85 PP0/MANGED CARE — ACUITY GROUP OP: $115.85 PP0/MANGED CARE — AETNA IP: $136.25 PP0/MANGED CARE — AETNA OP: $136.25 PP0/MANGED CARE — MERITAIN OP: $136.25
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · modifier TC In the file: TRANSVAGINAL US NON-OB	$1,180.50	$354.15	$81.87 – $136.25
Transvaginal ultrasound: rates for 9 insurance plans PP0/MANGED CARE — ACUITY GROUP IP: $81.87 PP0/MANGED CARE — ACUITY GROUP OP: $81.87 PP0/MANGED CARE — AETNA IP: $136.25 PP0/MANGED CARE — AETNA OP: $136.25 PP0/MANGED CARE — MERITAIN OP: $136.25 PPO/MANGED CARE — PHCS IP: $136.25 PPO/MANGED CARE — PHCS OP: $136.25 PPO/MANGED CARE — WEB TPA IP: $81.87 PPO/MANGED CARE — WEB TPA OP: $81.87
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: DIAG MAMMO W CAD LT DX	$433	$129.90	$61.34 – $1,732
Diagnostic mammogram, one breast: 10 of 120 insurance plan rates AMERICAN POSTAL WORKERS — DEACTIVATE CIGNA GWH: $275.38 AUTO INSURANCE — DEACTIVATE MISC COMM OP: $433 BANKERS FIDELITY — BANKERS FIDELITY IP: $433 BANKERS FIDELITY — BANKERS FIDELITY OP: $433 CHARITY/MAP — CRIME VICTIM: $433 CHARITY/MAP — SELF PAY IP: $129.90 CHARITY/MAP — SELF PAY OP: $129.90 COMMERICAL — PHYSICIANS MUTUAL IP: $433 COMMERICAL — PHYSICIANS MUTUAL OP: $433 COMMERICAL — STATE FARM IP: $433
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: DIAG MAMMO W CAD RT DX	$433	$129.90	$61.34 – $1,732
Diagnostic mammogram, one breast: 10 of 120 insurance plan rates AMERICAN POSTAL WORKERS — DEACTIVATE CIGNA GWH: $275.38 AUTO INSURANCE — DEACTIVATE MISC COMM OP: $433 BANKERS FIDELITY — BANKERS FIDELITY IP: $433 BANKERS FIDELITY — BANKERS FIDELITY OP: $433 CHARITY/MAP — CRIME VICTIM: $433 CHARITY/MAP — SELF PAY IP: $129.90 CHARITY/MAP — SELF PAY OP: $129.90 COMMERICAL — PHYSICIANS MUTUAL IP: $433 COMMERICAL — PHYSICIANS MUTUAL OP: $433 COMMERICAL — STATE FARM IP: $433
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: 3D DIAG MAMMO RT	$433	$129.90	$61.34 – $1,732
Diagnostic mammogram, one breast: 10 of 120 insurance plan rates AMERICAN POSTAL WORKERS — DEACTIVATE CIGNA GWH: $275.38 AUTO INSURANCE — DEACTIVATE MISC COMM OP: $433 BANKERS FIDELITY — BANKERS FIDELITY IP: $433 BANKERS FIDELITY — BANKERS FIDELITY OP: $433 CHARITY/MAP — CRIME VICTIM: $433 CHARITY/MAP — SELF PAY IP: $129.90 CHARITY/MAP — SELF PAY OP: $129.90 COMMERICAL — PHYSICIANS MUTUAL IP: $433 COMMERICAL — PHYSICIANS MUTUAL OP: $433 COMMERICAL — STATE FARM IP: $433
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: DIAG MAMMO W CAD BILAT	$501	$150.30	$78.70 – $1,506.50
Diagnostic mammogram, both breasts: 10 of 120 insurance plan rates AMERICAN POSTAL WORKERS — DEACTIVATE CIGNA GWH: $318.63 AUTO INSURANCE — DEACTIVATE MISC COMM OP: $501 BANKERS FIDELITY — BANKERS FIDELITY IP: $501 BANKERS FIDELITY — BANKERS FIDELITY OP: $501 CHARITY/MAP — CRIME VICTIM: $501 CHARITY/MAP — SELF PAY IP: $150.30 CHARITY/MAP — SELF PAY OP: $150.30 COMMERICAL — PHYSICIANS MUTUAL IP: $501 COMMERICAL — PHYSICIANS MUTUAL OP: $501 COMMERICAL — STATE FARM IP: $501
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: 3D MAMMOGRAM IMPLANTS DIAG BILAT	$504.50	$151.35	$78.70 – $1,506.50
Diagnostic mammogram, both breasts: 10 of 120 insurance plan rates AMERICAN POSTAL WORKERS — DEACTIVATE CIGNA GWH: $320.86 AUTO INSURANCE — DEACTIVATE MISC COMM OP: $504.50 BANKERS FIDELITY — BANKERS FIDELITY IP: $504.50 BANKERS FIDELITY — BANKERS FIDELITY OP: $504.50 CHARITY/MAP — CRIME VICTIM: $504.50 CHARITY/MAP — SELF PAY IP: $151.35 CHARITY/MAP — SELF PAY OP: $151.35 COMMERICAL — PHYSICIANS MUTUAL IP: $504.50 COMMERICAL — PHYSICIANS MUTUAL OP: $504.50 COMMERICAL — STATE FARM IP: $504.50
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: 3D DIAG MAMMO BILATERAL	$501	$150.30	$78.70 – $1,506.50
Diagnostic mammogram, both breasts: 10 of 120 insurance plan rates AMERICAN POSTAL WORKERS — DEACTIVATE CIGNA GWH: $318.63 AUTO INSURANCE — DEACTIVATE MISC COMM OP: $501 BANKERS FIDELITY — BANKERS FIDELITY IP: $501 BANKERS FIDELITY — BANKERS FIDELITY OP: $501 CHARITY/MAP — CRIME VICTIM: $501 CHARITY/MAP — SELF PAY IP: $150.30 CHARITY/MAP — SELF PAY OP: $150.30 COMMERICAL — PHYSICIANS MUTUAL IP: $501 COMMERICAL — PHYSICIANS MUTUAL OP: $501 COMMERICAL — STATE FARM IP: $501
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: MAMMO SCRN IMPLANT BILAT	$504.50	$151.35	$64.90 – $2,081
Screening mammogram, both breasts: 10 of 120 insurance plan rates AMERICAN POSTAL WORKERS — DEACTIVATE CIGNA GWH: $320.86 AUTO INSURANCE — DEACTIVATE MISC COMM OP: $504.50 BANKERS FIDELITY — BANKERS FIDELITY IP: $504.50 BANKERS FIDELITY — BANKERS FIDELITY OP: $504.50 CHARITY/MAP — CRIME VICTIM: $504.50 CHARITY/MAP — SELF PAY IP: $151.35 CHARITY/MAP — SELF PAY OP: $151.35 COMMERICAL — PHYSICIANS MUTUAL IP: $504.50 COMMERICAL — PHYSICIANS MUTUAL OP: $504.50 COMMERICAL — STATE FARM IP: $504.50
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: 3D MAMMO SCREEN LEFT	$536	$160.80	$64.90 – $2,081
Screening mammogram, both breasts: 10 of 120 insurance plan rates AMERICAN POSTAL WORKERS — DEACTIVATE CIGNA GWH: $340.89 AUTO INSURANCE — DEACTIVATE MISC COMM OP: $536 BANKERS FIDELITY — BANKERS FIDELITY IP: $536 BANKERS FIDELITY — BANKERS FIDELITY OP: $536 CHARITY/MAP — CRIME VICTIM: $536 CHARITY/MAP — SELF PAY IP: $160.80 CHARITY/MAP — SELF PAY OP: $160.80 COMMERICAL — PHYSICIANS MUTUAL IP: $536 COMMERICAL — PHYSICIANS MUTUAL OP: $536 COMMERICAL — STATE FARM IP: $536
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: 3D MAMMOGRAPHY SCREENING RT	$536	$160.80	$64.90 – $2,081
Screening mammogram, both breasts: 10 of 120 insurance plan rates AMERICAN POSTAL WORKERS — DEACTIVATE CIGNA GWH: $340.89 AUTO INSURANCE — DEACTIVATE MISC COMM OP: $536 BANKERS FIDELITY — BANKERS FIDELITY IP: $536 BANKERS FIDELITY — BANKERS FIDELITY OP: $536 CHARITY/MAP — CRIME VICTIM: $536 CHARITY/MAP — SELF PAY IP: $160.80 CHARITY/MAP — SELF PAY OP: $160.80 COMMERICAL — PHYSICIANS MUTUAL IP: $536 COMMERICAL — PHYSICIANS MUTUAL OP: $536 COMMERICAL — STATE FARM IP: $536

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: POLYSOMNOGRAPHY	$7,911.50	$2,373.45	$543.11 – $7,911.50
Sleep study (overnight, in a sleep lab): 10 of 120 insurance plan rates AMERICAN POSTAL WORKERS — DEACTIVATE CIGNA GWH: $5,031.71 AUTO INSURANCE — DEACTIVATE MISC COMM OP: $7,911.50 BANKERS FIDELITY — BANKERS FIDELITY IP: $7,911.50 BANKERS FIDELITY — BANKERS FIDELITY OP: $7,911.50 CHARITY/MAP — CRIME VICTIM: $7,911.50 CHARITY/MAP — SELF PAY IP: $2,373.45 CHARITY/MAP — SELF PAY OP: $2,373.45 COMMERICAL — PHYSICIANS MUTUAL IP: $7,911.50 COMMERICAL — PHYSICIANS MUTUAL OP: $7,911.50 COMMERICAL — STATE FARM IP: $7,911.50
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: POLYSOM 6/> YRS 4/> PARAM	$7,911.50	$2,373.45	$543.11 – $7,911.50
Sleep study (overnight, in a sleep lab): 10 of 14 insurance plan rates BLUE CROSS — BLUE CROSS IP: $1,708.28 BLUE CROSS — BLUE CROSS OP: $1,708.28 BLUE CROSS — DEACTIVATE BC FEDERAL: $1,708.28 BLUE CROSS — DEACTIVATE BC LA SECONDAR: $1,708.28 BLUE CROSS — DEACTIVATE BC OUT OF STAT: $1,708.28 PP0/MANGED CARE — ACUITY GROUP IP: $587.10 PP0/MANGED CARE — ACUITY GROUP OP: $587.10 PP0/MANGED CARE — AETNA IP: $543.11 PP0/MANGED CARE — AETNA OP: $543.11 PP0/MANGED CARE — MERITAIN OP: $543.11
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · modifier TC In the file: POLYSOM 6/> YRS 4/> PARAM	$7,911.50	$2,373.45	$460.86 – $543.11
Sleep study (overnight, in a sleep lab): rates for 9 insurance plans PP0/MANGED CARE — ACUITY GROUP IP: $460.86 PP0/MANGED CARE — ACUITY GROUP OP: $460.86 PP0/MANGED CARE — AETNA IP: $543.11 PP0/MANGED CARE — AETNA OP: $543.11 PP0/MANGED CARE — MERITAIN OP: $543.11 PPO/MANGED CARE — PHCS IP: $543.11 PPO/MANGED CARE — PHCS OP: $543.11 PPO/MANGED CARE — WEB TPA IP: $460.86 PPO/MANGED CARE — WEB TPA OP: $460.86

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: PT THERAPEUTIC EXERCISE	$201.50	$60.45	$10.96 – $403
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 120 insurance plan rates AMERICAN POSTAL WORKERS — DEACTIVATE CIGNA GWH: $128.15 AUTO INSURANCE — DEACTIVATE MISC COMM OP: $201.50 BANKERS FIDELITY — BANKERS FIDELITY IP: $201.50 BANKERS FIDELITY — BANKERS FIDELITY OP: $201.50 CHARITY/MAP — CRIME VICTIM: $201.50 CHARITY/MAP — SELF PAY IP: $60.45 CHARITY/MAP — SELF PAY OP: $60.45 COMMERICAL — PHYSICIANS MUTUAL IP: $201.50 COMMERICAL — PHYSICIANS MUTUAL OP: $201.50 COMMERICAL — STATE FARM IP: $201.50
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: OT THERAPEUTIC EXERCISE	$201.50	$60.45	$10.96 – $403
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 120 insurance plan rates AMERICAN POSTAL WORKERS — DEACTIVATE CIGNA GWH: $128.15 AUTO INSURANCE — DEACTIVATE MISC COMM OP: $201.50 BANKERS FIDELITY — BANKERS FIDELITY IP: $201.50 BANKERS FIDELITY — BANKERS FIDELITY OP: $201.50 CHARITY/MAP — CRIME VICTIM: $201.50 CHARITY/MAP — SELF PAY IP: $60.45 CHARITY/MAP — SELF PAY OP: $60.45 COMMERICAL — PHYSICIANS MUTUAL IP: $201.50 COMMERICAL — PHYSICIANS MUTUAL OP: $201.50 COMMERICAL — STATE FARM IP: $201.50
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: THERAPEUTIC EXERCISES	$201.50	$60.45	$10.96 – $403
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 93 insurance plan rates BLUE CROSS — BLUE CROSS IP: $56.06 BLUE CROSS — BLUE CROSS OP: $56.06 BLUE CROSS — DEACTIVATE BC FEDERAL: $56.06 BLUE CROSS — DEACTIVATE BC LA SECONDAR: $56.06 BLUE CROSS — DEACTIVATE BC OUT OF STAT: $56.06 LOCAL STATE NON-MEDICAID — CORRECT CARE OP: $10.96 LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE IP: $27.61 LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE OP: $27.61 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE IP: $27.61 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE OP: $27.61
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: PT EVALUATION INITIAL - LOW	$379	$113.70	$71.63 – $379
Physical therapy evaluation (low complexity): 10 of 120 insurance plan rates AMERICAN POSTAL WORKERS — DEACTIVATE CIGNA GWH: $241.04 AUTO INSURANCE — DEACTIVATE MISC COMM OP: $379 BANKERS FIDELITY — BANKERS FIDELITY IP: $379 BANKERS FIDELITY — BANKERS FIDELITY OP: $379 CHARITY/MAP — CRIME VICTIM: $379 CHARITY/MAP — SELF PAY IP: $113.70 CHARITY/MAP — SELF PAY OP: $113.70 COMMERICAL — PHYSICIANS MUTUAL IP: $379 COMMERICAL — PHYSICIANS MUTUAL OP: $379 COMMERICAL — STATE FARM IP: $379
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: PT EVAL LOW COMPLEX 20 MIN	$379	$113.70	$71.63 – $379
Physical therapy evaluation (low complexity): 10 of 93 insurance plan rates BLUE CROSS — BLUE CROSS IP: $155.99 BLUE CROSS — BLUE CROSS OP: $155.99 BLUE CROSS — DEACTIVATE BC FEDERAL: $155.99 BLUE CROSS — DEACTIVATE BC LA SECONDAR: $155.99 BLUE CROSS — DEACTIVATE BC OUT OF STAT: $155.99 LOCAL STATE NON-MEDICAID — CORRECT CARE OP: $74.48 LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE IP: $93.01 LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE OP: $93.01 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE IP: $93.01 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE OP: $93.01
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: PT EVALUATION INITIAL - MOD	$487	$146.10	$74.41 – $487
Physical therapy evaluation (moderate complexity): 10 of 120 insurance plan rates AMERICAN POSTAL WORKERS — DEACTIVATE CIGNA GWH: $309.73 AUTO INSURANCE — DEACTIVATE MISC COMM OP: $487 BANKERS FIDELITY — BANKERS FIDELITY IP: $487 BANKERS FIDELITY — BANKERS FIDELITY OP: $487 CHARITY/MAP — CRIME VICTIM: $487 CHARITY/MAP — SELF PAY IP: $146.10 CHARITY/MAP — SELF PAY OP: $146.10 COMMERICAL — PHYSICIANS MUTUAL IP: $487 COMMERICAL — PHYSICIANS MUTUAL OP: $487 COMMERICAL — STATE FARM IP: $487
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: PT EVAL MOD COMPLEX 30 MIN	$487	$146.10	$74.41 – $487
Physical therapy evaluation (moderate complexity): 10 of 93 insurance plan rates BLUE CROSS — BLUE CROSS IP: $155.99 BLUE CROSS — BLUE CROSS OP: $155.99 BLUE CROSS — DEACTIVATE BC FEDERAL: $155.99 BLUE CROSS — DEACTIVATE BC LA SECONDAR: $155.99 BLUE CROSS — DEACTIVATE BC OUT OF STAT: $155.99 LOCAL STATE NON-MEDICAID — CORRECT CARE OP: $74.48 LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE IP: $93.01 LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE OP: $93.01 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE IP: $93.01 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE OP: $93.01
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: PT EVALUATION INITIAL - HIGH	$595	$178.50	$74.41 – $595
Physical therapy evaluation (high complexity): 10 of 120 insurance plan rates AMERICAN POSTAL WORKERS — DEACTIVATE CIGNA GWH: $378.42 AUTO INSURANCE — DEACTIVATE MISC COMM OP: $595 BANKERS FIDELITY — BANKERS FIDELITY IP: $595 BANKERS FIDELITY — BANKERS FIDELITY OP: $595 CHARITY/MAP — CRIME VICTIM: $595 CHARITY/MAP — SELF PAY IP: $178.50 CHARITY/MAP — SELF PAY OP: $178.50 COMMERICAL — PHYSICIANS MUTUAL IP: $595 COMMERICAL — PHYSICIANS MUTUAL OP: $595 COMMERICAL — STATE FARM IP: $595
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: PT EVAL HIGH COMPLEX 45 MIN	$595	$178.50	$74.41 – $595
Physical therapy evaluation (high complexity): 10 of 93 insurance plan rates BLUE CROSS — BLUE CROSS IP: $155.99 BLUE CROSS — BLUE CROSS OP: $155.99 BLUE CROSS — DEACTIVATE BC FEDERAL: $155.99 BLUE CROSS — DEACTIVATE BC LA SECONDAR: $155.99 BLUE CROSS — DEACTIVATE BC OUT OF STAT: $155.99 LOCAL STATE NON-MEDICAID — CORRECT CARE OP: $74.48 LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE IP: $93.01 LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE OP: $93.01 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE IP: $93.01 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE OP: $93.01

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient In the file: REMOVAL OF BREAST LESION	$1,366.50	$409.95	$450.80 – $5,693.74
Removal of breast growth (open surgery): 10 of 38 insurance plan rates BLUE CROSS — BLUE CROSS IP: $5,693.74 BLUE CROSS — BLUE CROSS OP: $5,693.74 BLUE CROSS — DEACTIVATE BC FEDERAL: $5,693.74 BLUE CROSS — DEACTIVATE BC LA SECONDAR: $5,693.74 BLUE CROSS — DEACTIVATE BC OUT OF STAT: $5,693.74 LOCAL STATE NON-MEDICAID — CORRECT CARE OP: $552.64 MCD HMO AMERIGROUP — MCD HEALTHY BLUE IP: $552.64 MCD HMO AMERIGROUP — MCD HEALTHY BLUE OP: $552.64 MCD HMO COM HLTH SOLUTION — MCD HUMANA IP: $607.90 MCD HMO COM HLTH SOLUTION — MCD HUMANA OP: $607.90
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient In the file: KNEE ARTHROSCOPY/SURGERY	$1,767	$530.10	$554.24 – $5,144.76
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 38 insurance plan rates BLUE CROSS — BLUE CROSS IP: $5,144.76 BLUE CROSS — BLUE CROSS OP: $5,144.76 BLUE CROSS — DEACTIVATE BC FEDERAL: $5,144.76 BLUE CROSS — DEACTIVATE BC LA SECONDAR: $5,144.76 BLUE CROSS — DEACTIVATE BC OUT OF STAT: $5,144.76 LOCAL STATE NON-MEDICAID — CORRECT CARE OP: $682.67 MCD HMO AMERIGROUP — MCD HEALTHY BLUE IP: $682.67 MCD HMO AMERIGROUP — MCD HEALTHY BLUE OP: $682.67 MCD HMO COM HLTH SOLUTION — MCD HUMANA IP: $750.94 MCD HMO COM HLTH SOLUTION — MCD HUMANA OP: $750.94
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient In the file: REMOVE TONSILS AND ADENOIDS	$1,767	$530.10	$302.38 – $9,116.09
Removal of tonsils and adenoids (under age 12): 10 of 38 insurance plan rates BLUE CROSS — BLUE CROSS IP: $9,116.09 BLUE CROSS — BLUE CROSS OP: $9,116.09 BLUE CROSS — DEACTIVATE BC FEDERAL: $9,116.09 BLUE CROSS — DEACTIVATE BC LA SECONDAR: $9,116.09 BLUE CROSS — DEACTIVATE BC OUT OF STAT: $9,116.09 LOCAL STATE NON-MEDICAID — CORRECT CARE OP: $552.64 MCD HMO AMERIGROUP — MCD HEALTHY BLUE IP: $552.64 MCD HMO AMERIGROUP — MCD HEALTHY BLUE OP: $552.64 MCD HMO COM HLTH SOLUTION — MCD HUMANA IP: $607.90 MCD HMO COM HLTH SOLUTION — MCD HUMANA OP: $607.90
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: EGD DIAGNOSTIC BRUSH WASH	$1,523	$456.90	$196.15 – $1,477.06
Upper GI endoscopy (diagnostic): 10 of 38 insurance plan rates BLUE CROSS — BLUE CROSS IP: $1,477.06 BLUE CROSS — BLUE CROSS OP: $1,477.06 BLUE CROSS — DEACTIVATE BC FEDERAL: $1,477.06 BLUE CROSS — DEACTIVATE BC LA SECONDAR: $1,477.06 BLUE CROSS — DEACTIVATE BC OUT OF STAT: $1,477.06 LOCAL STATE NON-MEDICAID — CORRECT CARE OP: $360.84 MCD HMO AMERIGROUP — MCD HEALTHY BLUE IP: $360.84 MCD HMO AMERIGROUP — MCD HEALTHY BLUE OP: $360.84 MCD HMO COM HLTH SOLUTION — MCD HUMANA IP: $396.92 MCD HMO COM HLTH SOLUTION — MCD HUMANA OP: $396.92
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: EGD BIOPSY SINGLE/MULTIPLE	$1,523	$456.90	$221.04 – $1,520
Upper GI endoscopy with biopsy: 10 of 38 insurance plan rates BLUE CROSS — BLUE CROSS IP: $1,477.06 BLUE CROSS — BLUE CROSS OP: $1,477.06 BLUE CROSS — DEACTIVATE BC FEDERAL: $1,477.06 BLUE CROSS — DEACTIVATE BC LA SECONDAR: $1,477.06 BLUE CROSS — DEACTIVATE BC OUT OF STAT: $1,477.06 LOCAL STATE NON-MEDICAID — CORRECT CARE OP: $483.29 MCD HMO AMERIGROUP — MCD HEALTHY BLUE IP: $483.29 MCD HMO AMERIGROUP — MCD HEALTHY BLUE OP: $483.29 MCD HMO COM HLTH SOLUTION — MCD HUMANA IP: $531.62 MCD HMO COM HLTH SOLUTION — MCD HUMANA OP: $531.62
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: DIAGNOSTIC COLONOSCOPY	$1,523	$456.90	$297.49 – $1,520
Colonoscopy (diagnostic): 10 of 38 insurance plan rates BLUE CROSS — BLUE CROSS IP: $1,435.64 BLUE CROSS — BLUE CROSS OP: $1,435.64 BLUE CROSS — DEACTIVATE BC FEDERAL: $1,435.64 BLUE CROSS — DEACTIVATE BC LA SECONDAR: $1,435.64 BLUE CROSS — DEACTIVATE BC OUT OF STAT: $1,435.64 LOCAL STATE NON-MEDICAID — CORRECT CARE OP: $483.29 MCD HMO AMERIGROUP — MCD HEALTHY BLUE IP: $483.29 MCD HMO AMERIGROUP — MCD HEALTHY BLUE OP: $483.29 MCD HMO COM HLTH SOLUTION — MCD HUMANA IP: $531.62 MCD HMO COM HLTH SOLUTION — MCD HUMANA OP: $531.62
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: COLONOSCOPY AND BIOPSY	$1,523	$456.90	$321.46 – $1,887.33
Colonoscopy with biopsy: 10 of 38 insurance plan rates BLUE CROSS — BLUE CROSS IP: $1,887.33 BLUE CROSS — BLUE CROSS OP: $1,887.33 BLUE CROSS — DEACTIVATE BC FEDERAL: $1,887.33 BLUE CROSS — DEACTIVATE BC LA SECONDAR: $1,887.33 BLUE CROSS — DEACTIVATE BC OUT OF STAT: $1,887.33 LOCAL STATE NON-MEDICAID — CORRECT CARE OP: $483.29 MCD HMO AMERIGROUP — MCD HEALTHY BLUE IP: $483.29 MCD HMO AMERIGROUP — MCD HEALTHY BLUE OP: $483.29 MCD HMO COM HLTH SOLUTION — MCD HUMANA IP: $531.62 MCD HMO COM HLTH SOLUTION — MCD HUMANA OP: $531.62
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: COLONOSCOPY W/LESION REMOVAL	$1,523	$456.90	$408.42 – $1,887.33
Colonoscopy with removal of polyps (snare): 10 of 38 insurance plan rates BLUE CROSS — BLUE CROSS IP: $1,887.33 BLUE CROSS — BLUE CROSS OP: $1,887.33 BLUE CROSS — DEACTIVATE BC FEDERAL: $1,887.33 BLUE CROSS — DEACTIVATE BC LA SECONDAR: $1,887.33 BLUE CROSS — DEACTIVATE BC OUT OF STAT: $1,887.33 LOCAL STATE NON-MEDICAID — CORRECT CARE OP: $483.29 MCD HMO AMERIGROUP — MCD HEALTHY BLUE IP: $483.29 MCD HMO AMERIGROUP — MCD HEALTHY BLUE OP: $483.29 MCD HMO COM HLTH SOLUTION — MCD HUMANA IP: $531.62 MCD HMO COM HLTH SOLUTION — MCD HUMANA OP: $531.62
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient In the file: LAPAROSCOPIC CHOLECYSTECTOMY	$1,767	$530.10	$552.64 – $9,084.47
Gallbladder removal by laparoscope: 10 of 38 insurance plan rates BLUE CROSS — BLUE CROSS IP: $9,084.47 BLUE CROSS — BLUE CROSS OP: $9,084.47 BLUE CROSS — DEACTIVATE BC FEDERAL: $9,084.47 BLUE CROSS — DEACTIVATE BC LA SECONDAR: $9,084.47 BLUE CROSS — DEACTIVATE BC OUT OF STAT: $9,084.47 LOCAL STATE NON-MEDICAID — CORRECT CARE OP: $552.64 MCD HMO AMERIGROUP — MCD HEALTHY BLUE IP: $552.64 MCD HMO AMERIGROUP — MCD HEALTHY BLUE OP: $552.64 MCD HMO COM HLTH SOLUTION — MCD HUMANA IP: $607.90 MCD HMO COM HLTH SOLUTION — MCD HUMANA OP: $607.90
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient In the file: ING HERNIA MESH	$7,013.50	$2,104.05	$535.95 – $7,013.50
Groin (inguinal) hernia repair, age 5 or older: 10 of 120 insurance plan rates AMERICAN POSTAL WORKERS — DEACTIVATE CIGNA GWH: $4,460.58 AUTO INSURANCE — DEACTIVATE MISC COMM OP: $7,013.50 BANKERS FIDELITY — BANKERS FIDELITY IP: $7,013.50 BANKERS FIDELITY — BANKERS FIDELITY OP: $7,013.50 CHARITY/MAP — CRIME VICTIM: $7,013.50 CHARITY/MAP — SELF PAY IP: $2,104.05 CHARITY/MAP — SELF PAY OP: $2,104.05 COMMERICAL — PHYSICIANS MUTUAL IP: $7,013.50 COMMERICAL — PHYSICIANS MUTUAL OP: $7,013.50 COMMERICAL — STATE FARM IP: $7,013.50
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient In the file: PRP I/HERN INIT REDUC >5 YR	$1,767	$530.10	$535.95 – $7,013.50
Groin (inguinal) hernia repair, age 5 or older: 10 of 38 insurance plan rates BLUE CROSS — BLUE CROSS IP: $5,843.69 BLUE CROSS — BLUE CROSS OP: $5,843.69 BLUE CROSS — DEACTIVATE BC FEDERAL: $5,843.69 BLUE CROSS — DEACTIVATE BC LA SECONDAR: $5,843.69 BLUE CROSS — DEACTIVATE BC OUT OF STAT: $5,843.69 LOCAL STATE NON-MEDICAID — CORRECT CARE OP: $682.67 MCD HMO AMERIGROUP — MCD HEALTHY BLUE IP: $682.67 MCD HMO AMERIGROUP — MCD HEALTHY BLUE OP: $682.67 MCD HMO COM HLTH SOLUTION — MCD HUMANA IP: $750.94 MCD HMO COM HLTH SOLUTION — MCD HUMANA OP: $750.94
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient In the file: AFTER CATARACT LASER SURGERY	$3,906.50	$1,171.95	$318.21 – $1,520
Laser treatment of clouding after cataract surgery: 10 of 38 insurance plan rates BLUE CROSS — BLUE CROSS IP: $952.72 BLUE CROSS — BLUE CROSS OP: $952.72 BLUE CROSS — DEACTIVATE BC FEDERAL: $952.72 BLUE CROSS — DEACTIVATE BC LA SECONDAR: $952.72 BLUE CROSS — DEACTIVATE BC OUT OF STAT: $952.72 LOCAL STATE NON-MEDICAID — CORRECT CARE OP: $483.29 MCD HMO AMERIGROUP — MCD HEALTHY BLUE IP: $483.29 MCD HMO AMERIGROUP — MCD HEALTHY BLUE OP: $483.29 MCD HMO COM HLTH SOLUTION — MCD HUMANA IP: $531.62 MCD HMO COM HLTH SOLUTION — MCD HUMANA OP: $531.62
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient In the file: XCAPSL CTRC RMVL W/O ECP	$1,767	$530.10	$633.96 – $4,600
Cataract removal with lens implant: 10 of 38 insurance plan rates BLUE CROSS — BLUE CROSS IP: $3,799.88 BLUE CROSS — BLUE CROSS OP: $3,799.88 BLUE CROSS — DEACTIVATE BC FEDERAL: $3,799.88 BLUE CROSS — DEACTIVATE BC LA SECONDAR: $3,799.88 BLUE CROSS — DEACTIVATE BC OUT OF STAT: $3,799.88 LOCAL STATE NON-MEDICAID — CORRECT CARE OP: $891.80 MCD HMO AMERIGROUP — MCD HEALTHY BLUE IP: $891.80 MCD HMO AMERIGROUP — MCD HEALTHY BLUE OP: $891.80 MCD HMO COM HLTH SOLUTION — MCD HUMANA IP: $980.98 MCD HMO COM HLTH SOLUTION — MCD HUMANA OP: $980.98

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient In the file: CESAREAN DELIVERY	$1,767	$530.10	$0.02 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $2,297.41
Cesarean delivery (C-section), with care before and after: 10 of 30 insurance plan rates BLUE CROSS — BLUE CROSS IP: $0.02 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS — BLUE CROSS OP: $0.02 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS — DEACTIVATE BC FEDERAL: $0.02 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS — DEACTIVATE BC LA SECONDAR: $0.02 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS — DEACTIVATE BC OUT OF STAT: $0.02 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) LOCAL STATE NON-MEDICAID — CORRECT CARE OP: $946.51 MCD HMO AMERIGROUP — MCD HEALTHY BLUE IP: $333.96 MCD HMO AMERIGROUP — MCD HEALTHY BLUE OP: $946.51 MCD HMO COM HLTH SOLUTION — MCD HUMANA IP: $367.35 MCD HMO COM HLTH SOLUTION — MCD HUMANA OP: $367.35

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 or outpatient In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE	Not listed in the file	Not listed in the file	$49,137.91 – $168,911.57
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 73 insurance plan rates BLUE CROSS — BLUE CROSS IP: $117,646.91 BLUE CROSS — BLUE CROSS OP: $117,646.91 BLUE CROSS — DEACTIVATE BC FEDERAL: $117,646.91 BLUE CROSS — DEACTIVATE BC LA SECONDAR: $117,646.91 BLUE CROSS — DEACTIVATE BC OUT OF STAT: $117,646.91 LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE IP: $60,808.16 LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE OP: $60,808.16 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE IP: $60,808.16 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE OP: $60,808.16 LOCAL STATE NON-MEDICAID — HOS HOPE HOSPICE IP: $60,808.16
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient or outpatient In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	Not listed in the file	Not listed in the file	$18,623.94 – $64,019.80
Spinal fusion (not neck), without major complications: 10 of 63 insurance plan rates LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE IP: $23,047.13 LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE OP: $23,047.13 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE IP: $23,047.13 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE OP: $23,047.13 LOCAL STATE NON-MEDICAID — HOS HOPE HOSPICE IP: $23,047.13 LOCAL STATE NON-MEDICAID — HOS HOPE HOSPICE OP: $23,047.13 LOCAL STATE NON-MEDICAID — HOS LOUISIANA HOSPICE IP: $23,047.13 LOCAL STATE NON-MEDICAID — HOS LOUISIANA HOSPICE OP: $23,047.13 LOCAL STATE NON-MEDICAID — HOS SOUTHERN GRACE IP: $23,047.13 LOCAL STATE NON-MEDICAID — HOS SOUTHERN GRACE OP: $23,047.13
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient or outpatient In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHME	Not listed in the file	Not listed in the file	$9,599.88 – $32,999.61
Hip or knee replacement (major joint of the leg), without major complications: 10 of 73 insurance plan rates BLUE CROSS — BLUE CROSS IP: $22,984.25 BLUE CROSS — BLUE CROSS OP: $22,984.25 BLUE CROSS — DEACTIVATE BC FEDERAL: $22,984.25 BLUE CROSS — DEACTIVATE BC LA SECONDAR: $22,984.25 BLUE CROSS — DEACTIVATE BC OUT OF STAT: $22,984.25 LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE IP: $11,879.86 LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE OP: $11,879.86 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE IP: $11,879.86 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE OP: $11,879.86 LOCAL STATE NON-MEDICAID — HOS HOPE HOSPICE IP: $11,879.86
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient or outpatient In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$12,053.45 – $41,433.75
Neck (cervical) spinal fusion, without complications: 10 of 73 insurance plan rates BLUE CROSS — BLUE CROSS IP: $28,858.61 BLUE CROSS — BLUE CROSS OP: $28,858.61 BLUE CROSS — DEACTIVATE BC FEDERAL: $28,858.61 BLUE CROSS — DEACTIVATE BC LA SECONDAR: $28,858.61 BLUE CROSS — DEACTIVATE BC OUT OF STAT: $28,858.61 LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE IP: $14,916.15 LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE OP: $14,916.15 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE IP: $14,916.15 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE OP: $14,916.15 LOCAL STATE NON-MEDICAID — HOS HOPE HOSPICE IP: $14,916.15
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient or outpatient In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY W	Not listed in the file	Not listed in the file	$6,103.09 – $20,979.39
Uterus and ovary surgery (not for cancer), without complications: 10 of 73 insurance plan rates BLUE CROSS — BLUE CROSS IP: $14,612.15 BLUE CROSS — BLUE CROSS OP: $14,612.15 BLUE CROSS — DEACTIVATE BC FEDERAL: $14,612.15 BLUE CROSS — DEACTIVATE BC LA SECONDAR: $14,612.15 BLUE CROSS — DEACTIVATE BC OUT OF STAT: $14,612.15 LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE IP: $7,552.58 LOCAL STATE NON-MEDICAID — HOS ALLEGIANCE HOSPICE OP: $7,552.58 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE IP: $7,552.58 LOCAL STATE NON-MEDICAID — HOS HEART OF HOSPICE OP: $7,552.58 LOCAL STATE NON-MEDICAID — HOS HOPE HOSPICE IP: $7,552.58

Source: Acadian Medical Center’s standard charges file (acadianmedicalcenter.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on June 9, 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	Acute Care Hospital
Address	3501 Highway 190 East, Eunice, LA 70535
Parish	St. Landry Parish
State	Louisiana
Phone	(337) 580‑7903
Emergency services	Yes
Ownership	Proprietary
Medicare overall rating	3 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	190318
Name in Medicare records	ACADIAN MEDICAL CENTER
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(337) 580‑7500^[4][5]
Official website	acadianmedicalcenter.com
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.

Acadian Medical Center — acadianmedicalcenter.com
Emergency Services - Acadian Medical Center — acadianmedicalcenter.com
Acadian Medical Center | Eunice, LA | Hospital, Medical Center, Emergency Room | — acadianmedicalcenter.com
Case Management | Acadian Medical Center | Eunice, LA | Hospital, Medical Center, Emergency Room — acadianmedicalcenter.com
Cardiac Rehabilitation | Acadian Medical Center | Eunice, LA | Hospital, Medical Center, Emergency Room — acadianmedicalcenter.com
Outpatient Rehabilitation Services | Acadian Medical Center | Eunice, LA | Hospital, Medical Center, Emergency Room — acadianmedicalcenter.com
Patient Portal | Acadian Medical Center | Eunice, LA | Hospital, Medical Center, Emergency Room — acadianmedicalcenter.com
Contact Us | Acadian Medical Center | Eunice, LA | Hospital, Medical Center, Emergency Room — acadianmedicalcenter.com
Cardiology | Acadian Medical Center | Eunice, LA | Hospital, Medical Center, Emergency Room — acadianmedicalcenter.com
Diagnostic Imaging | Acadian Medical Center | Eunice, LA | Hospital, Medical Center, Emergency Room — acadianmedicalcenter.com
Robot Assisted Surgical Services | Acadian Medical Center | Eunice, LA | Hospital, Medical Center, Emergency Room — acadianmedicalcenter.com
Surgical Services | Acadian Medical Center | Eunice, LA | Hospital, Medical Center, Emergency Room — acadianmedicalcenter.com
Interventional Cardiologist, DR. KIAN EHSAN | Acadian Medical Center | Eunice, LA | Hospital, Medical Center, Emergency — acadianmedicalcenter.com

Acadian Medical Center

Summary

Profile from official sources

At a glance