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Acute Care Hospital

Ochsner LSU Health Shreveport-St Mary Medical Cent…

Shreveport, Louisiana · Caddo Parish

Summary

Ochsner LSU Health Shreveport-St Mary Medical Cent… is an acute care hospital in Shreveport, Louisiana. Medicare data does not list emergency services. CMS overall star rating: 2 of 5 stars. Its official website lists 16 services, specialties and programs. Medicare lists 312 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

Compare

Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

Not listedEmergency services
2 of 5 stars2 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
16Services listed

Quick answers

Does Ochsner LSU Health Shreveport-St Mary Medical Cent… have an emergency room?
Medicare (CMS) data does not list emergency services at Ochsner LSU Health Shreveport-St Mary Medical Cent…. The closest hospitals that do: Ochsner LSU Health Shreveport (1.0 mi), Overton Brooks VA Medical Center (Shreveport) (1.7 mi) and Willis Knighton Medical Center (1.8 mi). In a medical emergency, call 911.
Where is Ochsner LSU Health Shreveport-St Mary Medical Cent…?
1 St Mary Place, Shreveport, LA 71101, in Caddo Parish, Louisiana.
What is the phone number of Ochsner LSU Health Shreveport-St Mary Medical Cent…?
(318) 626-4300, as listed by Medicare (CMS).
What is the Medicare star rating of Ochsner LSU Health Shreveport-St Mary Medical Cent…?
2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4]

Procedures[4]

  • Diagnostic imaging
  • Breast imaging

Programs and centers[4][5]

  • Perinatal Care certification (Joint Commission)
  • Women's and children's center
  • Labor and delivery
  • Level III neonatal intensive care unit (NICU)
  • Pediatric intensive care unit (PICU)
  • Comprehensive Breast Imaging Center

Visiting and practical information

Patient portalMyOchsner

Recognition[4][5]

  • Leapfrog Hospital Safety Grade A (Spring 2026)
  • The Joint Commission Gold Seal of Approval for Advanced Certification in Perinatal Care (ACPC)
  • Louisiana Birth Ready+ designation

Doctors and clinicians (312)

312 doctors and other clinicians list Ochsner LSU Health Shreveport-St Mary Medical Cent… 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 (312)

And 288 more: the button below opens the full list.

Nearest emergency rooms

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

Other hospitals nearby

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

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

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

Clinics and urgent care

Pharmacies

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 Ochsner LSU Health Shreveport-St Mary Medical Cent… 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) 4 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well4 of 5 stars
Staff explained medicines3 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean4 of 5 stars
Quiet at night4 of 5 stars
Rated the hospital 9 or 10 out of 1075%National average: 72%
Would definitely recommend the hospital75%National average: 71%
Nurses “always” communicated well82%National average: 80%
Doctors “always” communicated well81%National average: 80%
Staff “always” explained medicines before giving them62%National average: 62%
Were given information about recovery at home87%National average: 86%
Room and bathroom “always” clean75%National average: 74%
Area around the room “always” quiet at night68%National average: 60%
Completed surveys279Response rate: 11%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 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.

Central line bloodstream infections (CLABSI)0.722No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)Not reported to Medicare
Surgical site infections after colon surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomy0No different from the national benchmark
MRSA bloodstream infections0.932No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0Better than the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 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 attack patientsNot reported to Medicare
Deaths within 30 days: heart failure patientsNot reported to Medicare
Deaths within 30 days: pneumonia patientsNot reported to Medicare
Deaths within 30 days: COPD patientsNot reported to Medicare
Deaths within 30 days: stroke patientsNot reported to Medicare
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)0.99No different from the national rate
Complications after hip or knee replacementToo few cases to report

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2024.

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)Not reported to Medicare
Readmitted within 30 days: heart attackNot reported to Medicare
Readmitted within 30 days: heart failureNot reported to Medicare
Readmitted within 30 days: pneumoniaNot reported to Medicare
Readmitted within 30 days: COPDNot reported to Medicare
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacementToo few cases to report

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026.

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.

Average (median) time patients spent in the emergency room before leaving (OP-18b)Not reported to Medicare
Patients who left the emergency room before being seen (OP-22)Not reported to Medicare
Sepsis patients who got all the recommended early care (SEP-1)Too few cases to report

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 75 common services exactly as Ochsner LSU Health Shreveport-St Mary Medical Cent… 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 →

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: HC OFFICE/OUTPT VISIT, NEW, LEVL III, 30-44 MIN $224 $62.72 $37.83 – $252.94
New patient office visit (about 30–44 minutes): 10 of 16 insurance plan rates
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $37.83
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $114.91
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $37.83
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $220.09
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $220.09
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $252.94
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $220.09
  • FIRST HEALTH NETWORK — ALL PAYOR: $114.91
  • HEALTHY BLUE (FORMERLY AMERIGROUP LOUISIANA INC.) — ALL PAYOR: $37.83
  • HUMANA � MANAGED MEDICAID (HEALTHY LOUISIANA) — ALL PAYOR: $37.83
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) In the file: HC OFFICE/OUTPT VISIT, NEW, LEVL III, 30-44 MIN $224 $62.72 Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: HC OFFICE/OUTPT VISIT, NEW, LEVL IV, 45-59 MIN $236 $66.08 $56.77 – $368.04
New patient office visit (about 45–59 minutes): 10 of 16 insurance plan rates
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $56.77
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $121.07
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $56.77
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $320.23
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $320.23
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $368.04
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $320.23
  • FIRST HEALTH NETWORK — ALL PAYOR: $121.07
  • HEALTHY BLUE (FORMERLY AMERIGROUP LOUISIANA INC.) — ALL PAYOR: $56.77
  • HUMANA � MANAGED MEDICAID (HEALTHY LOUISIANA) — ALL PAYOR: $56.77
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) In the file: HC OFFICE/OUTPT VISIT, NEW, LEVL IV, 45-59 MIN $236 $66.08 Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: HC OFFICE/OUTPT VISIT, NEW, LEVL V, 60-74 MIN $248 $69.44 $56.77 – $368.04
New patient office visit (about 60–74 minutes): 10 of 16 insurance plan rates
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $56.77
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $127.22
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $56.77
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $320.23
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $320.23
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $368.04
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $320.23
  • FIRST HEALTH NETWORK — ALL PAYOR: $127.22
  • HEALTHY BLUE (FORMERLY AMERIGROUP LOUISIANA INC.) — ALL PAYOR: $56.77
  • HUMANA � MANAGED MEDICAID (HEALTHY LOUISIANA) — ALL PAYOR: $56.77
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) In the file: HC OFFICE/OUTPT VISIT, NEW, LEVL V, 60-74 MIN $248 $69.44 Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: HC OFFICE/OUTPT VISIT, EST, LEVL III, 20-29 MIN $203 $56.84 $37.83 – $252.94
Established patient office visit (about 20–29 minutes): 10 of 16 insurance plan rates
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $37.83
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $104.14
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $37.83
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $220.09
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $220.09
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $252.94
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $220.09
  • FIRST HEALTH NETWORK — ALL PAYOR: $104.14
  • HEALTHY BLUE (FORMERLY AMERIGROUP LOUISIANA INC.) — ALL PAYOR: $37.83
  • HUMANA � MANAGED MEDICAID (HEALTHY LOUISIANA) — ALL PAYOR: $37.83
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) In the file: HC OFFICE/OUTPT VISIT, EST, LEVL III, 20-29 MIN $203 $56.84 Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: HC OFFICE/OUTPT VISIT, EST, LEVL IV, 30-39 MIN $214 $59.92 $56.77 – $368.04
Established patient office visit (about 30–39 minutes): 10 of 16 insurance plan rates
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $56.77
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $109.78
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $56.77
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $320.23
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $320.23
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $368.04
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $320.23
  • FIRST HEALTH NETWORK — ALL PAYOR: $109.78
  • HEALTHY BLUE (FORMERLY AMERIGROUP LOUISIANA INC.) — ALL PAYOR: $56.77
  • HUMANA � MANAGED MEDICAID (HEALTHY LOUISIANA) — ALL PAYOR: $56.77
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) In the file: HC OFFICE/OUTPT VISIT, EST, LEVL IV, 30-39 MIN $214 $59.92 Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · modifier PBBFAC In the file: PR OFFICE/OUTPT VISIT, EST, LEVL IV, 30-39 MIN $214 $59.92 $56.77 – $368.04
Established patient office visit (about 30–39 minutes): 10 of 16 insurance plan rates
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $56.77
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $109.78
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $56.77
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $320.23
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $320.23
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $368.04
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $320.23
  • FIRST HEALTH NETWORK — ALL PAYOR: $109.78
  • HEALTHY BLUE (FORMERLY AMERIGROUP LOUISIANA INC.) — ALL PAYOR: $56.77
  • HUMANA � MANAGED MEDICAID (HEALTHY LOUISIANA) — ALL PAYOR: $56.77
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · modifier PBBFAC In the file: PR PREVENTIVE VISIT,NEW,18-39 $131 $36.68 $42.76 – $161
Preventive checkup, new patient, age 18–39: 10 of 11 insurance plan rates
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $67.20
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $65.50
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $65.50
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $65.50
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $65.50
  • FIRST HEALTH NETWORK — ALL PAYOR: $67.20
  • HUMANA MILITARY � TRICARE — ALL PAYOR: $85.06
  • MULTIPLAN/PHCS/AMERICAN LIFECARE — ALL PAYOR: $91.70
  • UNITED HEALTHCARE - COMMERCIAL HERITAGE — ALL PAYOR: $126
  • UNITED HEALTHCARE - COMMERCIAL HMO PPO — ALL PAYOR: $161
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · modifier PBBFAC In the file: PR PREVENTIVE VISIT,NEW,40-64 $131 $36.68 $42.76 – $161
Preventive checkup, new patient, age 40–64: 10 of 11 insurance plan rates
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $67.20
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $65.50
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $65.50
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $65.50
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $65.50
  • FIRST HEALTH NETWORK — ALL PAYOR: $67.20
  • HUMANA MILITARY � TRICARE — ALL PAYOR: $103.10
  • MULTIPLAN/PHCS/AMERICAN LIFECARE — ALL PAYOR: $91.70
  • UNITED HEALTHCARE - COMMERCIAL HERITAGE — ALL PAYOR: $126
  • UNITED HEALTHCARE - COMMERCIAL HMO PPO — ALL PAYOR: $161
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: HC EMER ROOM LEVEL III $1,166 $326.48 $235.18 – $1,196
Emergency room visit (moderate): 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $255.23
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $235.18
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $255.23
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $617
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $235.18
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $471.86
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $471.86
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $255.23
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $542.30
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $471.86
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) In the file: HC EMER ROOM LEVEL III $1,166 $326.48 Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: HC EMER ROOM LEVEL IV $2,029 $568.12 $378.77 – $2,467
Emergency room visit (moderately high): 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $392.50
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $409.25
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $392.50
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $617
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $409.25
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $821.06
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $821.06
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $392.50
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $943.63
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $821.06
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) In the file: HC EMER ROOM LEVEL IV $2,029 $568.12 Not listed in the file
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: HC EMER ROOM LEVEL V $2,232 $624.96 $387 – $4,636
Emergency room visit (high): 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $565.13
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $450.19
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $565.13
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $617
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $450.19
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $821.06
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $821.06
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $565.13
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $943.63
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $821.06
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) In the file: HC EMER ROOM LEVEL V $2,232 $624.96 Not listed in the file

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: HC BASIC METABOLIC PANEL(8 TESTS) $62 $17.36 $4.23 – $43.40
Basic metabolic panel (blood test): 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $8.46
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $8.46
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $8.46
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $20.64
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $8.46
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $19.11
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $19.11
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $4.23
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $22.16
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $19.11
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) In the file: HC BASIC METABOLIC PANEL(8 TESTS) $62 $17.36 Not listed in the file
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · modifier PBBFAC In the file: PR BASIC METABOLIC PANEL CALCIUM TOTAL $62 $17.36 $4.23 – $43.40
Basic metabolic panel (blood test): 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $8.46
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $8.46
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $8.46
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $20.64
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $8.46
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $19.11
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $19.11
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $4.23
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $22.16
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $19.11
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: HC COMPREHENSIVE METABOLIC PAN 14 $68 $19.04 $5.28 – $47.60
Comprehensive metabolic panel (blood test): 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $10.56
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $10.56
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $10.56
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $25.76
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $10.56
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $20.83
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $20.83
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $5.28
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $24.16
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $20.83
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) In the file: HC COMPREHENSIVE METABOLIC PAN 14 $68 $19.04 Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · modifier PBBFAC In the file: PR METABOLIC PANEL,COMPREHENSIVE $68 $19.04 $5.28 – $47.60
Comprehensive metabolic panel (blood test): 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $10.56
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $10.56
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $10.56
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $25.76
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $10.56
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $20.83
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $20.83
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $5.28
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $24.16
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $20.83
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: HC OBSTETRIC PANEL $234 $65.52 $23.91 – $174.63
Obstetric blood test panel: 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $47.81
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $24.01
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $47.81
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $116.66
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $24.01
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $72.24
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $72.24
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $23.91
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $83.80
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $72.24
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) In the file: HC OBSTETRIC PANEL $234 $65.52 Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: HC LIPID PROFILE $69 $19.32 $6.70 – $48.71
Cholesterol panel (lipid panel): 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $13.39
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $13.39
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $13.39
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $32.68
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $13.39
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $21.21
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $21.21
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $6.70
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $24.60
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $21.21
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: HC NMR LIPIDS $69 $19.32 $6.70 – $48.71
Cholesterol panel (lipid panel): 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $13.39
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $13.39
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $13.39
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $32.68
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $13.39
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $21.21
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $21.21
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $6.70
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $24.60
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $21.21
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) In the file: HC LIPID PROFILE $69 $19.32 Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: HC RENAL FUNCTION PANEL $59 $16.52 $4.34 – $41.30
Kidney function panel: 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $8.68
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $8.68
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $8.68
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $21.18
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $8.68
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $18.21
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $18.21
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $4.34
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $21.12
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $18.21
Kidney function panel CPT 80069 · Inpatient (hospital stay) In the file: HC RENAL FUNCTION PANEL $59 $16.52 Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · modifier PBBFAC In the file: PR RENAL FUNCTION PANEL $59 $16.52 $4.34 – $41.30
Kidney function panel: 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $8.68
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $8.68
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $8.68
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $21.18
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $8.68
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $18.21
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $18.21
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $4.34
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $21.12
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $18.21
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HC HEPATIC FUNCTION PANEL,7 TESTS $43 $12.04 $4.08 – $30.10
Liver function panel: 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $8.17
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $8.17
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $8.17
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $19.94
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $8.17
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $13.26
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $13.26
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $4.08
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $15.39
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $13.26
Liver function panel CPT 80076 · Inpatient (hospital stay) In the file: HC HEPATIC FUNCTION PANEL,7 TESTS $43 $12.04 Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · modifier PBBFAC In the file: PR HEPATIC FUNCTION PANEL $43 $12.04 $4.08 – $30.10
Liver function panel: 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $8.17
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $8.17
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $8.17
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $19.94
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $8.17
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $13.26
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $13.26
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $4.08
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $15.39
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $13.26
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: HC URINALYSIS, AUTO W/MICRO $17 $4.76 $1.58 – $11.90
Urine test (automated, with microscope): 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $3.17
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $3.17
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $3.17
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $7.74
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $3.17
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $4.99
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $4.99
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $1.58
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $5.79
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $4.99
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) In the file: HC URINALYSIS, AUTO W/MICRO $17 $4.76 Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · modifier PBBFAC In the file: PR URINALYSIS, AUTO, W/SCOPE $17 $4.76 $1.58 – $11.90
Urine test (automated, with microscope): 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $3.17
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $3.17
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $3.17
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $7.74
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $3.17
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $4.99
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $4.99
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $1.58
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $5.79
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $4.99
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: HC URINALYSIS W/O MICRO NON-AUTO $12 $3.36 $1.74 – $11.88
Urine test (manual, without microscope): 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $3.48
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $3.28
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $3.48
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $8.50
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $3.28
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $3.53
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $3.53
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $1.74
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $4.10
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $3.53
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) In the file: HC URINALYSIS W/O MICRO NON-AUTO $12 $3.36 Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · modifier PBBFAC In the file: PR URINALYSIS NONAUTO W/O SCOPE $12 $3.36 $1.74 – $11.88
Urine test (manual, without microscope): 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $3.48
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $3.28
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $3.48
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $8.50
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $3.28
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $3.53
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $3.53
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $1.74
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $4.10
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $3.53
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: HC URINE W/O MICRO, AUTO $14 $3.92 $1.12 – $9.80
Urine test (automated, without microscope): 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $2.25
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $2.25
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $2.25
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $5.50
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $2.25
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $4.14
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $4.14
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $1.12
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $4.81
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $4.14
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: HC POC URINE W/O MICRO, AUTO $14 $3.92 $1.12 – $9.80
Urine test (automated, without microscope): 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $2.25
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $2.25
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $2.25
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $5.50
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $2.25
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $4.14
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $4.14
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $1.12
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $4.81
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $4.14
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) In the file: HC URINE W/O MICRO, AUTO $14 $3.92 Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: HC PSA, DIAGNOSTIC $110 $30.80 $9.20 – $77
PSA (prostate specific antigen) blood test: 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $18.39
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $18.39
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $18.39
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $44.88
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $18.39
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $33.83
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $33.83
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $9.20
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $39.24
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $33.83
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: HC PSA, SCREENING $110 $30.80 $9.20 – $77
PSA (prostate specific antigen) blood test: 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $18.39
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $18.39
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $18.39
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $44.88
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $18.39
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $33.83
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $33.83
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $9.20
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $39.24
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $33.83
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: HC PSA, TOTAL $110 $30.80 $9.20 – $77
PSA (prostate specific antigen) blood test: 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $18.39
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $18.39
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $18.39
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $44.88
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $18.39
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $33.83
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $33.83
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $9.20
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $39.24
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $33.83
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: HC TSH $114 $31.92 $8.40 – $79.80
Thyroid stimulating hormone (TSH) test: 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $16.80
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $16.80
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $16.80
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $41
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $16.80
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $35.17
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $35.17
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $8.40
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $40.79
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $35.17
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: HC CU INDEX-TSH ASSAY $114 $31.92 $8.40 – $79.80
Thyroid stimulating hormone (TSH) test: 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $16.80
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $16.80
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $16.80
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $41
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $16.80
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $35.17
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $35.17
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $8.40
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $40.79
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $35.17
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: HC TSH - SENSITIVE, SERUM - RL $114 $31.92 $8.40 – $79.80
Thyroid stimulating hormone (TSH) test: 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $16.80
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $16.80
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $16.80
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $41
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $16.80
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $35.17
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $35.17
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $8.40
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $40.79
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $35.17
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: HC COMPL CBC W/PLT W/AUTOM DIFF $49 $13.72 $3.88 – $34.30
Complete blood count (CBC) with differential: 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $7.77
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $7.77
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $7.77
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $18.96
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $7.77
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $15.03
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $15.03
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $3.88
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $17.43
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $15.03
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) In the file: HC COMPL CBC W/PLT W/AUTOM DIFF $49 $13.72 Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: HC HEMATOLOGY PROFILE $39 $10.92 $3.23 – $27.30
Complete blood count (CBC), automated: 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $6.47
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $6.47
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $6.47
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $15.78
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $6.47
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $11.92
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $11.92
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $3.23
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $13.82
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $11.92
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) In the file: HC HEMATOLOGY PROFILE $39 $10.92 Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · modifier PBBFAC In the file: PR COMPLETE CBC $39 $10.92 $3.23 – $27.30
Complete blood count (CBC), automated: 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $6.47
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $6.47
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $6.47
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $15.78
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $6.47
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $11.92
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $11.92
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $3.23
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $13.82
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $11.92
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: HC PROTHROMBIN TIME $24 $6.72 $2.15 – $16.80
Blood clotting time test (prothrombin time, PT): 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $4.29
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $4.29
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $4.29
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $10.46
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $4.29
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $7.23
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $7.23
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $2.15
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $8.38
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $7.23
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: HC PROTHROMBIN TIME/INR $24 $6.72 $2.15 – $16.80
Blood clotting time test (prothrombin time, PT): 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $4.29
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $4.29
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $4.29
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $10.46
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $4.29
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $7.23
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $7.23
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $2.15
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $8.38
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $7.23
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: HC LUPUS PT - RL $24 $6.72 $2.15 – $16.80
Blood clotting time test (prothrombin time, PT): 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $4.29
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $4.29
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $4.29
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $10.46
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $4.29
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $7.23
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $7.23
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $2.15
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $8.38
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $7.23
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: HC PARTIAL THROMBOPLASTIN TIME $38 $10.64 $3 – $26.60
Blood clotting test (partial thromboplastin time, PTT): 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $6.01
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $6.01
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $6.01
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $14.66
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $6.01
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $11.59
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $11.59
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $3
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $13.45
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $11.59
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: HC LUPUS PTT - RL $38 $10.64 $3 – $26.60
Blood clotting test (partial thromboplastin time, PTT): 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $6.01
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $6.01
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $6.01
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $14.66
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $6.01
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $11.59
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $11.59
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $3
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $13.45
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $11.59
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) In the file: HC PARTIAL THROMBOPLASTIN TIME $38 $10.64 Not listed in the file

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: HC CT HEAD W/O CONTRAST $630 $176.40 $94.59 – $833
CT scan of the head or brain, without contrast: 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $98.02
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $127.07
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $98.02
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $686
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $127.07
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $292.61
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $292.61
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $98.02
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $339.11
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $292.61
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) In the file: HC CT HEAD W/O CONTRAST $630 $176.40 Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: HC MRI BRAIN W/WO CONTRAST $2,256 $631.68 $317.67 – $1,579.20
MRI of the brain, before and after contrast: 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $329.19
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $455.04
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $329.19
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,038
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $455.04
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $1,048.26
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $1,048.26
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $329.19
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $1,214.87
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $1,048.26
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) In the file: HC MRI BRAIN W/WO CONTRAST $2,256 $631.68 Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: HC XRAY, CHEST, 2 VIEWS $427 $119.56 $37.43 – $317
Chest X-ray, 2 views: 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $81.16
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $86.13
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $81.16
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $48.72
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $86.13
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $37.43
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $37.43
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $81.16
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $43.38
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $37.43
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) In the file: HC XRAY, CHEST, 2 VIEWS $427 $119.56 Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · modifier PBBFAC In the file: PR XRAY, CHEST, 2 VIEWS $427 $119.56 $37.43 – $317
Chest X-ray, 2 views: 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $81.16
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $86.13
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $81.16
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $48.72
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $86.13
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $37.43
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $37.43
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $81.16
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $43.38
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $37.43
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: HC SPINE LUMBAR COMP 5 VIEW $427 $119.56 $70.65 – $317
X-ray of the lower spine, at least 4 views: 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $98.02
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $86.13
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $98.02
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $78.86
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $86.13
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $70.65
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $70.65
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $98.02
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $81.88
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $70.65
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) In the file: HC SPINE LUMBAR COMP 5 VIEW $427 $119.56 Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · modifier PBBFAC In the file: PR X-RAY LUMBAR SPINE 4 VW $427 $119.56 $70.65 – $317
X-ray of the lower spine, at least 4 views: 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $98.02
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $86.13
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $98.02
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $78.86
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $86.13
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $70.65
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $70.65
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $98.02
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $81.88
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $70.65
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: HC MRI SPINE LUMBAR WITHOUT CONTRAST $1,473 $412.44 $215.01 – $1,544
MRI of the lower back (lumbar spine), without contrast: 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $222.81
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $297.10
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $222.81
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,038
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $297.10
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $684.21
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $684.21
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $222.81
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $792.96
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $684.21
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) In the file: HC MRI SPINE LUMBAR WITHOUT CONTRAST $1,473 $412.44 Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: HC CT PELVIS W CONTRAST $960 $268.80 $158.35 – $833
CT scan of the pelvis, with contrast: 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $164.09
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $193.63
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $164.09
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $686
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $193.63
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $446
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $446
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $164.09
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $516.88
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $446
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) In the file: HC CT PELVIS W CONTRAST $960 $268.80 Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: HC MRI LOW EXT JT W/O CONTR $1,473 $412.44 $215.01 – $1,544
MRI of a leg joint (such as the knee), without contrast: 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $222.81
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $297.10
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $222.81
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,038
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $297.10
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $684.21
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $684.21
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $222.81
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $792.96
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $684.21
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) In the file: HC MRI LOW EXT JT W/O CONTR $1,473 $412.44 Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier 50,PBBFAC In the file: PR MRI LOWER EXTREM JT, W/O CONTRAST $2,946 $824.88 $322.51 – $2,316
MRI of a leg joint (such as the knee), without contrast: 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $334.21
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $594.21
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $334.21
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,557
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $594.21
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $1,026.32
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $1,026.32
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $334.21
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $1,189.44
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $1,026.32
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: HC CT ABD PELVIS WITH CONTRAST $1,571 $439.88 $316.87 – $1,099.70
CT scan of the abdomen and pelvis, with contrast: 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $329.19
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $316.87
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $329.19
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $686
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $316.87
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $729.79
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $729.79
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $329.19
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $845.79
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $729.79
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) In the file: HC CT ABD PELVIS WITH CONTRAST $1,571 $439.88 Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: HC US, ABD, B-SCAN, COMPLETE $387 $108.36 $78.06 – $347
Ultrasound of the abdomen, complete: 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $98.02
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $78.06
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $98.02
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $183.54
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $78.06
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $179.50
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $179.50
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $98.02
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $208.03
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $179.50
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) In the file: HC US, ABD, B-SCAN, COMPLETE $387 $108.36 Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · modifier PBBFAC In the file: PR US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE $387 $108.36 $78.06 – $347
Ultrasound of the abdomen, complete: 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $98.02
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $78.06
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $98.02
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $183.54
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $78.06
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $179.50
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $179.50
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $98.02
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $208.03
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $179.50
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · modifier PBBFAC In the file: PR US, OB 14+WKS, TRANSABD, SINGLE GESTATION $388 $108.64 $78.26 – $347
Pregnancy ultrasound (after the first trimester): 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $98.02
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $78.26
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $98.02
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $201.78
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $78.26
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $180.21
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $180.21
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $98.02
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $208.85
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $180.21
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: HC US TRANSVAGINAL NON OB $347 $97.16 $69.99 – $347
Transvaginal ultrasound: 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $98.02
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $69.99
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $98.02
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $197.82
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $69.99
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $161.14
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $161.14
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $98.02
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $186.75
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $161.14
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) In the file: HC US TRANSVAGINAL NON OB $347 $97.16 Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · modifier PBBFAC In the file: PR ECHOGRAPHY,TRANSVAGINAL $347 $97.16 $69.99 – $347
Transvaginal ultrasound: 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $98.02
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $69.99
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $98.02
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $197.82
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $69.99
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $161.14
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $161.14
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $98.02
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $186.75
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $161.14
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: HC MAMMO W/WO CAD, DIAGNOSTIC, UNILAT $328 $91.84 $66.16 – $311.77
Diagnostic mammogram, one breast: 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $75.01
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $66.16
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $75.01
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $208.12
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $66.16
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $108.08
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $108.08
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $75.01
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $125.26
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $108.08
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) In the file: HC MAMMO W/WO CAD, DIAGNOSTIC, UNILAT $328 $91.84 Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier PBBFAC In the file: PR MAMMO, CAD, DIAGNOSTIC, UNILAT $328 $91.84 $66.16 – $311.77
Diagnostic mammogram, one breast: 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $75.01
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $66.16
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $75.01
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $208.12
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $66.16
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $108.08
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $108.08
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $75.01
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $125.26
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $108.08
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: HC MAMMO W/WO CAD, DIAGNOSTIC, BILAT $418 $117.04 $84.31 – $397.30
Diagnostic mammogram, both breasts: 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $95.53
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $84.31
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $95.53
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $265.22
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $84.31
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $135.65
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $135.65
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $95.53
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $157.22
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $135.65
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) In the file: HC MAMMO W/WO CAD, DIAGNOSTIC, BILAT $418 $117.04 Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · modifier PBBFAC In the file: PR MAMMO, CAD, DIAGNOSTIC, BILAT $418 $117.04 $84.31 – $397.30
Diagnostic mammogram, both breasts: 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $95.53
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $84.31
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $95.53
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $265.22
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $84.31
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $135.65
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $135.65
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $95.53
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $157.22
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $135.65
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: HC MAMMO W/WO CAD, SCREENING, BILAT $347 $97.16 $69.99 – $329.58
Screening mammogram, both breasts: 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $78.97
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $69.99
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $78.97
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $220.02
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $69.99
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $100.31
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $100.31
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $78.97
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $116.26
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $100.31
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) In the file: HC MAMMO W/WO CAD, SCREENING, BILAT $347 $97.16 Not listed in the file
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · modifier PBBFAC In the file: PR MAMMO, CAD, SCREENING, BILAT $347 $97.16 $69.99 – $329.58
Screening mammogram, both breasts: 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $78.97
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $69.99
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $78.97
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $220.02
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $69.99
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $100.31
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $100.31
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $78.97
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $116.26
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $100.31

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: HC INSERTION OF PARACHUTE DEVICE $20,840 $5,835.20 $939 – $14,588
Left heart catheterization (diagnostic): 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $2,964.76
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $4,203.43
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $2,964.76
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $6,586
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $4,203.43
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $12,372
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $12,372
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $2,964.76
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $14,218.95
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $12,372
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: HC LEFT HRT CATH W/VENTRCLGRPHY $20,840 $5,835.20 $2,860.99 – $14,588
Left heart catheterization (diagnostic): 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $2,964.76
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $4,203.43
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $2,964.76
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $6,586
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $4,203.43
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $12,372
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $12,372
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $2,964.76
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $14,218.95
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $12,372
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) In the file: HC INSERTION OF PARACHUTE DEVICE $20,840 $5,835.20 Not listed in the file
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: HC COMP EPS W/O ATTEMPT INDUCT $12,525 $3,507 $939 – $17,486.02
Heart rhythm study (electrophysiology evaluation): 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $6,994.41
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $2,526.29
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $6,994.41
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $3,787
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $2,526.29
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $7,435.54
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $7,435.54
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $6,994.41
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $8,545.55
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $7,435.54
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) In the file: HC COMP EPS W/O ATTEMPT INDUCT $12,525 $3,507 Not listed in the file
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: HC EP EVAL W/TRANSSEPTAL CATH, INS & REPS MULT ELECT CATHS, AND INTRACARD CATH ABLTJ OF ATR FIB INC 3D MAPPING, INTRACARD ECHO W/IMG SUP & I $68,579 $19,202.12 $939 – $56,532.23
Heart rhythm study with ablation for atrial fibrillation: 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $22,612.89
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $13,832.38
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $22,612.89
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $3,787
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $13,832.38
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $40,712.53
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $40,712.53
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $22,612.89
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $46,790.29
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $40,712.53
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) In the file: HC EP EVAL W/TRANSSEPTAL CATH, INS & REPS MULT ELECT CATHS, AND INTRACARD CATH ABLTJ OF ATR FIB INC 3D MAPPING, INTRACARD ECHO W/IMG SUP & I $68,579 $19,202.12 Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: HC POLYSOMNOGRAPHY, 4 OR MORE $4,759 $1,332.52 $904.97 – $3,331.30
Sleep study (overnight, in a sleep lab): 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $937.79
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $959.89
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $937.79
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,408.58
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $959.89
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $2,118.92
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $2,118.92
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $937.79
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $2,435.24
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $2,118.92
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) In the file: HC POLYSOMNOGRAPHY, 4 OR MORE $4,759 $1,332.52 Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · modifier PBBFAC In the file: PR POLYSOMNOGRAPHY, 4 OR MORE $4,759 $1,332.52 $904.97 – $3,331.30
Sleep study (overnight, in a sleep lab): 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $937.79
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $959.89
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $937.79
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,408.58
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $959.89
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $2,118.92
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $2,118.92
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $937.79
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $2,435.24
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $2,118.92

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: HC PT THERAPEUTIC EX EA 15MIN $120 $33.60 $10.96 – $317
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $27.13
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $10.96
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $27.13
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $58.80
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $10.96
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $53.33
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $53.33
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $27.13
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $61.29
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $53.33
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: HC OT THERAPEUTIC EX EA 15MIN $120 $33.60 $10.96 – $263
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $27.13
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $10.96
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $27.13
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $58.80
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $10.96
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $53.33
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $53.33
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $27.13
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $61.29
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $53.33
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) In the file: HC PT THERAPEUTIC EX EA 15MIN $120 $33.60 Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: HC PT EVAL LOW COMPLEXITY 20 MINS $298 $83.44 $74.48 – $317
Physical therapy evaluation (low complexity): 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $92.41
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $74.48
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $92.41
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $163.61
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $74.48
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $132.59
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $132.59
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $92.41
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $152.39
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $132.59
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) In the file: HC PT EVAL LOW COMPLEXITY 20 MINS $298 $83.44 Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: HC PT EVAL, MOD COMPLEXITY 30 MINS $298 $83.44 $74.48 – $317
Physical therapy evaluation (moderate complexity): 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $92.41
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $74.48
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $92.41
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $163.61
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $74.48
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $132.59
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $132.59
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $92.41
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $152.39
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $132.59
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) In the file: HC PT EVAL, MOD COMPLEXITY 30 MINS $298 $83.44 Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: HC PT EVAL HIGH COMPLEXITY 45 MINS $298 $83.44 $74.48 – $317
Physical therapy evaluation (high complexity): 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $92.41
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $74.48
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $92.41
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $163.61
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $74.48
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $132.59
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $132.59
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $92.41
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $152.39
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $132.59
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) In the file: HC PT EVAL HIGH COMPLEXITY 45 MINS $298 $83.44 Not listed in the file
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: HC FAMILY PSYCHOTHERAPY W/PATIENT, 50 MIN $205 $57.40 $66.91 – $370.25
Family psychotherapy, with the patient: 10 of 21 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $148.10
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $148.10
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $105.17
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $102.50
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $102.50
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $148.10
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $102.50
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $102.50
  • CIGNA HEALTHCARE — ALL PAYOR: $82.82
  • FIRST HEALTH NETWORK — ALL PAYOR: $105.17
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) In the file: HC FAMILY PSYCHOTHERAPY W/PATIENT, 50 MIN $205 $57.40 Not listed in the file

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · modifier 50,PBBFAC In the file: PR EXCISE BREAST CYST $17,680 $4,950.40 $825.48 – $13,236.29
Removal of breast growth (open surgery): 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $5,294.52
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $825.48
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $5,294.52
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $2,937
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $825.48
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $7,871.43
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $7,871.43
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $5,294.52
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $9,046.51
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $7,871.43
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · modifier PBBFAC In the file: PR EXCISE BREAST CYST $8,840 $2,475.20 $550.32 – $8,824.19
Removal of breast growth (open surgery): 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $3,529.68
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $550.32
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $3,529.68
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,958
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $550.32
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $5,247.62
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $5,247.62
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $3,529.68
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $6,031.01
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $5,247.62
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: TOTAL HIP ARTHROPLASTY $51,804.58 $14,505.28 $1,835 – $29,650.30
Total hip replacement: 10 of 23 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $11,860.12
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $11,860.12
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $3,162
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $8,968.40
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $8,968.40
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $11,860.12
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $10,307.25
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $8,968.40
  • CIGNA HEALTHCARE — ALL PAYOR: $1,835
  • FIRST HEALTH NETWORK — ALL PAYOR: $3,162
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: TOTAL KNEE ARTHROPLASTY $58,159.10 $16,284.55 $1,835 – $29,650.30
Total knee replacement: 10 of 23 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $11,860.12
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $11,860.12
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $3,162
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $14,268.62
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $14,268.62
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $11,860.12
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $16,398.71
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $14,268.62
  • CIGNA HEALTHCARE — ALL PAYOR: $1,835
  • FIRST HEALTH NETWORK — ALL PAYOR: $3,162
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS $51,190.48 $14,333.33 $550.32 – $4,235.39
Shoulder arthroscopy: shaving of shoulder bone: 10 of 17 insurance plan rates
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $550.32
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,958
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $550.32
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $3,685.24
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $3,685.24
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $4,235.39
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $3,685.24
  • CIGNA HEALTHCARE — ALL PAYOR: $1,701
  • FIRST HEALTH NETWORK — ALL PAYOR: $1,958
  • HEALTHY BLUE (FORMERLY AMERIGROUP LOUISIANA INC.) — ALL PAYOR: $550.32
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: KNEE ARTHROSCOPY/SURGERY $26,347.18 $7,377.21 $679.83 – $7,476.88
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $2,990.75
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $679.83
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $2,990.75
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $2,397
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $679.83
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $3,685.24
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $3,685.24
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $2,990.75
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $4,235.39
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $3,685.24
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: REMOVE TONSILS AND ADENOIDS $17,102.91 $4,788.81 $550.32 – $13,632.05
Removal of tonsils and adenoids (under age 12): 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $5,452.82
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $550.32
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $5,452.82
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,958
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $550.32
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $3,095.53
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $3,095.53
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $5,452.82
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $3,557.65
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $3,095.53
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: HC EGD DX (INCL BRUSH/WASH) $2,178 $609.84 $359.35 – $2,198
Upper GI endoscopy (diagnostic): 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $864.21
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $359.35
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $864.21
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,273
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $359.35
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $1,050.20
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $1,050.20
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $864.21
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $1,206.98
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $1,050.20
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) In the file: HC EGD DX (INCL BRUSH/WASH) $2,178 $609.84 Not listed in the file
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: HC EGD W/BX SGL OR MULT (BITE/COL $2,178 $609.84 $481.27 – $2,198
Upper GI endoscopy with biopsy: 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $864.21
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $481.27
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $864.21
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,698
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $481.27
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $1,050.20
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $1,050.20
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $864.21
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $1,206.98
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $1,050.20
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) In the file: HC EGD W/BX SGL OR MULT (BITE/COL $2,178 $609.84 Not listed in the file
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: HC COLON DX (INCL BRUSH/WASH) $2,178 $609.84 $481.27 – $2,198
Colonoscopy (diagnostic): 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $840.38
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $481.27
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $840.38
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,698
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $481.27
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $1,164.05
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $1,164.05
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $840.38
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $1,337.83
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $1,164.05
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) In the file: HC COLON DX (INCL BRUSH/WASH) $2,178 $609.84 Not listed in the file
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: HC COLON W/BX SGL OR MLT-BITE/CLD $2,178 $609.84 $481.27 – $2,717.07
Colonoscopy with biopsy: 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $1,086.83
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $481.27
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $1,086.83
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,698
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $481.27
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $1,164.05
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $1,164.05
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $1,086.83
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $1,337.83
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $1,164.05
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) In the file: HC COLON W/BX SGL OR MLT-BITE/CLD $2,178 $609.84 Not listed in the file
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: HC COLON W/REMOVAL BY SNARE TECH $2,178 $609.84 $481.27 – $2,717.07
Colonoscopy with removal of polyps (snare): 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $1,086.83
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $481.27
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $1,086.83
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,698
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $481.27
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $1,164.05
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $1,164.05
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $1,086.83
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $1,337.83
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $1,164.05
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) In the file: HC COLON W/REMOVAL BY SNARE TECH $2,178 $609.84 Not listed in the file
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: HC COLONOSCOPY W/EUS $2,178 $609.84 $481.27 – $2,717.07
Ultrasound of the lower bowel by endoscope: 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $1,086.83
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $481.27
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $1,086.83
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,698
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $481.27
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $1,164.05
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $1,164.05
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $1,086.83
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $1,337.83
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $1,164.05
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient (hospital stay) In the file: HC COLONOSCOPY W/EUS $2,178 $609.84 Not listed in the file
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: HC COLONOSCOPY - AVERAGE RISK $2,306 $645.68 $481.27 – $2,100.94
Screening colonoscopy (not high risk): 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $840.38
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $481.27
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $840.38
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,698
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $481.27
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $1,642.12
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $1,642.12
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $840.38
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $1,887.27
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $1,642.12
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) In the file: HC COLONOSCOPY - AVERAGE RISK $2,306 $645.68 Not listed in the file
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: HC CHOLECYSTECTOMY, LAPAROSCOPIC $10,325 $2,891 $550.32 – $13,444.70
Gallbladder removal by laparoscope: 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $5,377.88
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $550.32
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $5,377.88
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $2,726
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $550.32
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $5,965.59
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $5,965.59
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $5,377.88
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $6,856.17
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $5,965.59
Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) In the file: HC CHOLECYSTECTOMY, LAPAROSCOPIC $10,325 $2,891 Not listed in the file
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · modifier PBBFAC In the file: PR LAP,CHOLECYSTECTOMY $10,325 $2,891 $550.32 – $13,444.70
Gallbladder removal by laparoscope: 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $5,377.88
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $550.32
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $5,377.88
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $2,726
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $550.32
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $5,965.59
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $5,965.59
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $5,377.88
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $6,856.17
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $5,965.59
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: PRP I/HERN INIT REDUC >5 YR Not listed in the file Not listed in the file $679.83 – $9,243.97
Groin (inguinal) hernia repair, age 5 or older: 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $3,252.95
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $679.83
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $3,252.95
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $2,397
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $679.83
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $8,043.24
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $8,043.24
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $3,252.95
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $9,243.97
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $8,043.24
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: HC BIOPSY OF PROSTATE - NEEDLE OR PUNCH $2,102 $588.56 $481.27 – $4,720.59
Prostate biopsy: 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $1,888.23
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $481.27
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $1,888.23
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,698
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $481.27
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $1,247.68
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $1,247.68
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $1,888.23
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $1,433.94
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $1,247.68
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: HC PROSTATE NEEDLE BIOPSY $2,102 $588.56 $481.27 – $4,720.59
Prostate biopsy: 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $1,888.23
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $481.27
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $1,888.23
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,698
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $481.27
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $1,247.68
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $1,247.68
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $1,888.23
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $1,433.94
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $1,247.68
Prostate biopsy CPT 55700 · Inpatient (hospital stay) In the file: HC BIOPSY OF PROSTATE - NEEDLE OR PUNCH $2,102 $588.56 Not listed in the file
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: LAPARO RADICAL PROSTATECTOMY Not listed in the file Not listed in the file $1,835 – $23,991.62
Prostate removal by laparoscope (radical prostatectomy): 10 of 23 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $9,596.65
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $9,596.65
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $2,726
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $4,611.29
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $4,611.29
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $9,596.65
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $5,299.68
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $4,611.29
  • CIGNA HEALTHCARE — ALL PAYOR: $1,835
  • FIRST HEALTH NETWORK — ALL PAYOR: $2,726
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · modifier PBBFAC In the file: PR HYSTEROSCOPY,W/ENDO BX $8,246 $2,308.88 $550.32 – $7,326.91
Hysteroscopy with biopsy of the uterus lining: 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $2,930.76
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $550.32
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $2,930.76
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,958
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $550.32
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $5,874.45
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $5,874.45
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $2,930.76
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $6,751.41
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $5,874.45
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: HC INJ LUMBAR/SACRAL, W/IMAGING GUIDANCE $3,231 $904.68 $359.35 – $2,644.71
Spinal injection, lower back (epidural), with imaging guidance: 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $638.34
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $359.35
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $638.34
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,273
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $359.35
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $2,301.17
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $2,301.17
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $638.34
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $2,644.71
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $2,301.17
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) In the file: HC INJ LUMBAR/SACRAL, W/IMAGING GUIDANCE $3,231 $904.68 Not listed in the file
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · modifier PBBFAC In the file: PR INJ LUMBAR/SACRAL, W/IMAGING GUIDANCE $3,231 $904.68 $359.35 – $2,644.71
Spinal injection, lower back (epidural), with imaging guidance: 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $638.34
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $359.35
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $638.34
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,273
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $359.35
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $2,301.17
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $2,301.17
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $638.34
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $2,644.71
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $2,301.17
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: HC EPIDURAL INJ, ANES/STEROID, TRANSFORAMINAL, LUMB/SACR, SNGL LEVL $1,304 $365.12 $263.02 – $2,051.58
Nerve root injection, lower back, with imaging guidance: 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $820.63
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $263.02
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $820.63
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,273
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $263.02
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $928.80
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $928.80
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $820.63
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $1,067.45
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $928.80
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) In the file: HC EPIDURAL INJ, ANES/STEROID, TRANSFORAMINAL, LUMB/SACR, SNGL LEVL $1,304 $365.12 Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · modifier 50,PBBFAC In the file: PR EPIDURAL INJ, ANES/STEROID, TRANSFORAMINAL, LUMB/SACR, SNGL LEVL $2,608 $730.24 $526.03 – $3,077.38
Nerve root injection, lower back, with imaging guidance: 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $1,230.95
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $526.03
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $1,230.95
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,909.50
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $526.03
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $1,393.20
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $1,393.20
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $1,230.95
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $1,601.17
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $1,393.20
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · modifier 50,PBBFAC In the file: PR REVISE MEDIAN N/CARPAL TUNNEL SURG $6,588 $1,844.64 $721.90 – $6,749.94
Carpal tunnel release: 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $2,699.98
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $721.90
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $2,699.98
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $2,547
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $721.90
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $3,519.87
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $3,519.87
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $2,699.98
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $4,045.34
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $3,519.87
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · modifier PBBFAC In the file: PR REVISE MEDIAN N/CARPAL TUNNEL SURG $3,294 $922.32 $481.27 – $4,499.96
Carpal tunnel release: 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $1,799.99
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $481.27
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $1,799.99
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,698
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $481.27
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $2,346.58
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $2,346.58
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $1,799.99
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $2,696.89
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $2,346.58
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: HC CAPSULOTOMY LASER >=1 STAGES $944 $264.32 $308.12 – $1,909
Laser treatment of clouding after cataract surgery: 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $505.68
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $481.27
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $505.68
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,698
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $481.27
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $672.38
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $672.38
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $505.68
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $772.75
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $672.38
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient (hospital stay) In the file: HC CAPSULOTOMY LASER >=1 STAGES $944 $264.32 Not listed in the file
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · modifier 50,PBBFAC In the file: PR DISCISSION,2ND CATARACT,LASER $1,888 $528.64 $616.24 – $2,863.50
Laser treatment of clouding after cataract surgery: 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $758.52
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $721.90
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $758.52
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $2,547
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $721.90
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $1,008.57
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $1,008.57
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $758.52
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $1,159.12
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $1,008.57
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: HC REMOVAL, CATARACT, W/INSRT INTRAOC LENS, W/O ENDO CYCLO $4,166 $1,166.48 $888.07 – $5,255.71
Cataract removal with lens implant: 10 of 29 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $2,102.29
  • AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $888.07
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $2,102.29
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $2,726
  • AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $888.07
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $2,967.22
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $2,967.22
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $2,102.29
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $3,410.19
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $2,967.22
Cataract removal with lens implant CPT 66984 · Inpatient (hospital stay) In the file: HC REMOVAL, CATARACT, W/INSRT INTRAOC LENS, W/O ENDO CYCLO $4,166 $1,166.48 Not listed in the file

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file Not listed in the file $9,700 – $134,987.05
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 21 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $81,810
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $81,810
  • AETNA HEALTH INC. PPO/POS — ALL PAYOR: $55,631
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $119,470.97
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $119,470.97
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $61,899
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $126,342.55
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $119,470.97
  • FIRST HEALTH NETWORK — ALL PAYOR: $55,631
  • HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $81,810
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MS DRG -MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC;APR DRG- ELECTIVE KNEE JOINT REPLACEMENT;SOI -Mi $80,345.08 $22,496.62 $12,093 – $34,548.38
Hip or knee replacement (major joint of the leg), without major complications: 10 of 17 insurance plan rates
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $20,851
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $23,341
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $23,341
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $12,093
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $24,683
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $23,341
  • HEALTHCOMP PPO (FORMERLY GILSBAR 360 — ALL PAYOR: $34,548.38
  • HUMANA MILITARY � TRICARE — ALL PAYOR: $16,680
  • HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $20,851
  • MULTIPLAN/PHCS/AMERICAN LIFECARE — ALL PAYOR: $18,289.35
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $14,910 – $31,890
Neck (cervical) spinal fusion, without complications: 10 of 17 insurance plan rates
  • (HEALTHY LOUISIANA) AND HEALTHY BLUE DUAL ADVANTAGE (HMO-D-S — ALL PAYOR: $24,634
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $24,634
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $29,306.04
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $29,306.04
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $15,184
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $30,991.63
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $29,306.04
  • HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $24,634
  • MULTIPLAN/PHCS/AMERICAN LIFECARE — ALL PAYOR: $22,963.78
  • OPTUM VA CCN — ALL PAYOR: $24,634
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: MS DRG -UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC;APR DRG- UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA;SOI -Moderate $51,063.24 $14,297.71 $6,772 – $21,957.19
Uterus and ovary surgery (not for cancer), without complications: 10 of 15 insurance plan rates
  • AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $15,460
  • BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT — ALL PAYOR: $14,839
  • BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $14,839
  • BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $7,688
  • BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $15,692
  • BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $14,839
  • HEALTHCOMP PPO (FORMERLY GILSBAR 360 — ALL PAYOR: $21,957.19
  • HUMANA MILITARY � TRICARE — ALL PAYOR: $10,148
  • HUMANA � MEDICARE ADVANTAGE — ALL PAYOR: $15,460
  • MULTIPLAN/PHCS/AMERICAN LIFECARE — ALL PAYOR: $11,627.39

Source: Ochsner LSU Health Shreveport-St Mary Medical Cent…’s standard charges file (ochsner-craft.s3.amazonaws.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeAcute Care Hospital
Address1 St Mary Place, Shreveport, LA 71101
ParishCaddo Parish
StateLouisiana
Phone(318) 626‑4300
Emergency servicesNot listed
OwnershipVoluntary non-profit - Private
Medicare overall rating2 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number190317
Name in Medicare recordsOCHSNER LSU HEALTH SHREVEPORT-ST MARY MEDICAL CENT
Medicare’s file shortens long names to 50 characters, so the end of this name is missing.
Profile levelMedicare data + hospital website
Name on the hospital’s websiteOchsner LSU Health - St. Mary Medical Center
Official websiteochsnerlsuhs.org
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

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

  1. Ochsner LSU Health - St. Mary Medical Center — ochsnerlsuhs.org
  2. OB/GYN - Maternity and Pregnancy | Ochsner LSU Health — ochsnerlsuhs.org