Does Sabine Medical Center have an emergency room?

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

Where is Sabine Medical Center?

240 Highland Drive, Many, LA 71449, in Sabine Parish, Louisiana.

What is the phone number of Sabine Medical Center?

(318) 256-1232, as listed by Medicare (CMS).

What is the Medicare star rating of Sabine Medical Center?

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

Sabine Medical Center — Many, LA

Quick answers

Does Sabine Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Sabine Medical Center. In a medical emergency, call 911.
Where is Sabine Medical Center?: 240 Highland Drive, Many, LA 71449, in Sabine Parish, Louisiana.
What is the phone number of Sabine Medical Center?: (318) 256-1232, as listed by Medicare (CMS).
What is the Medicare star rating of Sabine Medical Center?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^[5][11][14]

Heart Care
Ophthalmology
Diagnostic Imaging
Cardiology
General surgery
ENT surgery
Orthopedic surgery
Pediatric gastroenterology

Treatments^[10][14]

Procedures^{[4][9][10][11][14]}

General surgery
ENT surgery
Orthopedic surgery
Endoscopic surgery
CT scans
X-rays
Mammography
Ultrasounds
Echocardiography
Vascular imaging
Laboratory services
Minor surgeries
Endoscopic procedures

Programs and centers^[4][5][12]

Emergency Services
Surgical Services
Outpatient Services
Eligibility services (help applying for health coverage programs)

Emergency care (hospital website)^{[4][5][8][16]}

Emergency room	Yes

Visiting and practical information

Interpreters and languages	Interpreting and translation services at no cost^[15]
Patient portal	Patient Portal

Doctors and clinicians (78)

78 doctors and other clinicians list Sabine Medical Center as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 54 more: the button below opens the full list.

Other emergency rooms nearby

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

Sabine County Hospital24 mi · Hemphill, TX · Critical Access Hospital
Natchitoches Regional Medical Center27 mi · Natchitoches, LA · Acute Care Hospital
Byrd Regional Hospital32 mi · Leesville, LA · Acute Care Hospital
CHRISTUS Coushatta Health Care Center33 mi · Coushatta, LA · Critical Access Hospital
Desoto Regional Health System36 mi · Mansfield, LA · Acute Care Hospital

Other hospitals nearby

Louisiana Extended Care Hospital of Natchitoches27 mi · Natchitoches, LA · Long-Term Acute Care Hospital
Freedom Behavioral Hospital of Leesville32 mi · Leesville, LA · Psychiatric Hospital
Leesville Rehabilitation Hospital32 mi · Leesville, LA · Inpatient Rehabilitation Hospital

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

Many Healthcare and Rehabilitation Center0.6 mi · Many, LA · 2 of 5 stars
Sabine Retirement and Rehab Center1.2 mi · Many, LA · 3 of 5 stars

All nursing homes in the state →

Dialysis facilities

Fmcna - Many4.9 mi · Many, LA · 3 of 5 stars

All dialysis facilities 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

Sabine Comprehensive Health Clinic0.7 mi · Many, LA · Community health center
Marthaville Elementary SBHC13 mi · Marthaville, LA · Community health center
Provencal Elementary SBHC17 mi · Robeline, LA · Community health center

Clinics and urgent care

Hulin Urgent Care Services, LLC4.9 mi · Many, LA · Urgent care center
Many Express Care4.9 mi · Many, LA · Rural health clinic
Sabine Medical Associates, Inc4.9 mi · Many, LA · Rural health clinic

Pharmacies

Bartley Enterprises4.9 mi · Many, LA · Community/retail pharmacy
LTC Specialty LLC4.9 mi · Many, LA · Community/retail pharmacy
Robby Lang Enterprises Inc4.9 mi · Many, LA · Community/retail pharmacy

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	Not reported to Medicare
Overall rating of the hospital	Not reported to Medicare
Would recommend the hospital	Not reported to Medicare
Nurses communicated well	Not reported to Medicare
Doctors communicated well	Not reported to Medicare
Staff explained medicines	Not reported to Medicare
Information about recovery at home	Not reported to Medicare
Room and bathroom kept clean	Not reported to Medicare
Quiet at night	Not reported to Medicare
Rated the hospital 9 or 10 out of 10	55%National average: 72%
Would definitely recommend the hospital	59%National average: 71%
Nurses “always” communicated well	78%National average: 80%
Doctors “always” communicated well	73%National average: 80%
Staff “always” explained medicines before giving them	46%National average: 62%
Were given information about recovery at home	87%National average: 86%
Room and bathroom “always” clean	82%National average: 74%
Area around the room “always” quiet at night	70%National average: 60%
Completed surveys	30Response rate: 15%

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)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	Not reported to Medicare

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026.

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 patients	Too few cases to report
Deaths within 30 days: heart failure patients	Too few cases to report
Deaths within 30 days: pneumonia patients	21%
Deaths within 30 days: COPD patients	Too few cases to report
Deaths within 30 days: stroke patients	Too few cases to report
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 replacement	Not reported to Medicare

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	Too few cases to report
Readmitted within 30 days: heart failure	Too few cases to report
Readmitted within 30 days: pneumonia	16.8%
Readmitted within 30 days: COPD	Too few cases to report
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Not reported to Medicare

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	129 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	0%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	Too few cases to report

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Louisiana Best hospitals in Louisiana

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 48 common services exactly as Sabine Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

$ 1 amount is marked with “!”: it is more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. It is shown exactly as listed; ask the hospital before relying on it.

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: LEVEL 3 NP	$154.30	$46.29	$38 – $465.30
New patient office visit (about 30–44 minutes): 10 of 99 insurance plan rates COMMERICAL — AARP IP: $154.30 COMMERICAL — AARP OP: $154.30 COMMERICAL — ADMIN CONCEPTS IP: $154.30 COMMERICAL — ADMIN CONCEPTS OP: $154.30 COMMERICAL — AMFIRST IP: $154.30 COMMERICAL — AMFIRST OP: $154.30 COMMERICAL — BANKERS LIFE IP: $154.30 COMMERICAL — BANKERS LIFE OP: $154.30 COMMERICAL — CORESOURCE IP: $154.30 COMMERICAL — CORESOURCE OP: $154.30
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: �O/P NEW LOW 30-44 MIN PROFEE	$311	$93.30	$38 – $465.30
New patient office visit (about 30–44 minutes): 10 of 99 insurance plan rates COMMERICAL — AARP IP: $311 COMMERICAL — AARP OP: $311 COMMERICAL — ADMIN CONCEPTS IP: $311 COMMERICAL — ADMIN CONCEPTS OP: $311 COMMERICAL — AMFIRST IP: $311 COMMERICAL — AMFIRST OP: $311 COMMERICAL — BANKERS LIFE IP: $311 COMMERICAL — BANKERS LIFE OP: $311 COMMERICAL — CORESOURCE IP: $311 COMMERICAL — CORESOURCE OP: $311
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: OFFICE O/P NEW LOW 30 MIN	$311	$93.30	$38 – $465.30
New patient office visit (about 30–44 minutes): 10 of 77 insurance plan rates BLUE CROSS OF LOUISIANA — BLUE CROSS IP: $70.99 BLUE CROSS OF LOUISIANA — BLUE CROSS OP: $70.99 COMMERICAL — AMBETTER IP: $87.68 COMMERICAL — AMBETTER OP: $87.68 COMMERICAL — GULF SOUTH IP: $91.18 COMMERICAL — GULF SOUTH OP: $91.18 COMMERICAL — HUMANA COMM IP: $84.17 COMMERICAL — HUMANA COMM OP: $84.17 COMMERICAL — MCR WELLCARE IP: $70.14 COMMERICAL — MCR WELLCARE OP: $70.14
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: LEVEL 5 NP	$341	$102.30	$57 – $341
New patient office visit (about 60–74 minutes): 10 of 99 insurance plan rates COMMERICAL — AARP IP: $341 COMMERICAL — AARP OP: $341 COMMERICAL — ADMIN CONCEPTS IP: $341 COMMERICAL — ADMIN CONCEPTS OP: $341 COMMERICAL — AMFIRST IP: $341 COMMERICAL — AMFIRST OP: $341 COMMERICAL — BANKERS LIFE IP: $341 COMMERICAL — BANKERS LIFE OP: $341 COMMERICAL — CORESOURCE IP: $341 COMMERICAL — CORESOURCE OP: $341
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: OFFICE O/P NEW HI 60 MIN	$341	$102.30	$57 – $341
New patient office visit (about 60–74 minutes): 10 of 77 insurance plan rates BLUE CROSS OF LOUISIANA — BLUE CROSS IP: $85.31 BLUE CROSS OF LOUISIANA — BLUE CROSS OP: $85.31 COMMERICAL — AMBETTER IP: $196.24 COMMERICAL — AMBETTER OP: $196.24 COMMERICAL — GULF SOUTH IP: $204.09 COMMERICAL — GULF SOUTH OP: $204.09 COMMERICAL — HUMANA COMM IP: $188.39 COMMERICAL — HUMANA COMM OP: $188.39 COMMERICAL — MCR WELLCARE IP: $156.99 COMMERICAL — MCR WELLCARE OP: $156.99
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient In the file: CONSULT DETAILED	$260	$78	$59.83 – $260
Office consultation with a specialist (moderate): 10 of 99 insurance plan rates COMMERICAL — AARP IP: $260 COMMERICAL — AARP OP: $260 COMMERICAL — ADMIN CONCEPTS IP: $260 COMMERICAL — ADMIN CONCEPTS OP: $260 COMMERICAL — AMFIRST IP: $260 COMMERICAL — AMFIRST OP: $260 COMMERICAL — BANKERS LIFE IP: $260 COMMERICAL — BANKERS LIFE OP: $260 COMMERICAL — CORESOURCE IP: $260 COMMERICAL — CORESOURCE OP: $260
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient In the file: OFF/OP CNSLTJ NEW/EST LOW 30	$260	$78	$59.83 – $260
Office consultation with a specialist (moderate): rates for 8 insurance plans BLUE CROSS OF LOUISIANA — BLUE CROSS IP: $59.83 BLUE CROSS OF LOUISIANA — BLUE CROSS OP: $59.83 COMMERICAL — MERITAIN IP: $98.13 COMMERICAL — MERITAIN OP: $98.13 MANAGED CARE — AETNA IP: $98.13 MANAGED CARE — AETNA OP: $98.13 MANAGED CARE — WEB TPA IP: $98.13 MANAGED CARE — WEB TPA OP: $98.13
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient In the file: CONSULT COMP/MOD	$386	$115.80	$65.38 – $386
Office consultation with a specialist (moderate to high): 10 of 99 insurance plan rates COMMERICAL — AARP IP: $386 COMMERICAL — AARP OP: $386 COMMERICAL — ADMIN CONCEPTS IP: $386 COMMERICAL — ADMIN CONCEPTS OP: $386 COMMERICAL — AMFIRST IP: $386 COMMERICAL — AMFIRST OP: $386 COMMERICAL — BANKERS LIFE IP: $386 COMMERICAL — BANKERS LIFE OP: $386 COMMERICAL — CORESOURCE IP: $386 COMMERICAL — CORESOURCE OP: $386
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient In the file: OFF/OP CNSLTJ NEW/EST MOD 40	$386	$115.80	$65.38 – $386
Office consultation with a specialist (moderate to high): rates for 8 insurance plans BLUE CROSS OF LOUISIANA — BLUE CROSS IP: $65.38 BLUE CROSS OF LOUISIANA — BLUE CROSS OP: $65.38 COMMERICAL — MERITAIN IP: $158.02 COMMERICAL — MERITAIN OP: $158.02 MANAGED CARE — AETNA IP: $158.02 MANAGED CARE — AETNA OP: $158.02 MANAGED CARE — WEB TPA IP: $158.02 MANAGED CARE — WEB TPA OP: $158.02
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: ER LEVEL 3	$880	$264	$70.30 – $880
Emergency room visit (moderate): 10 of 99 insurance plan rates COMMERICAL — AARP IP: $880 COMMERICAL — AARP OP: $880 COMMERICAL — ADMIN CONCEPTS IP: $880 COMMERICAL — ADMIN CONCEPTS OP: $880 COMMERICAL — AMFIRST IP: $880 COMMERICAL — AMFIRST OP: $880 COMMERICAL — BANKERS LIFE IP: $880 COMMERICAL — BANKERS LIFE OP: $880 COMMERICAL — CORESOURCE IP: $880 COMMERICAL — CORESOURCE OP: $880
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: EMERGENCY DEPT VISIT LOW MDM	$880	$264	$70.30 – $880
Emergency room visit (moderate): rates for 8 insurance plans BLUE CROSS OF LOUISIANA — BLUE CROSS IP: $561.41 BLUE CROSS OF LOUISIANA — BLUE CROSS OP: $561.41 COMMERICAL — MERITAIN IP: $70.30 COMMERICAL — MERITAIN OP: $70.30 MANAGED CARE — AETNA IP: $70.30 MANAGED CARE — AETNA OP: $70.30 MANAGED CARE — WEB TPA IP: $70.30 MANAGED CARE — WEB TPA OP: $70.30
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: ER LEVEL 4	$1,375	$412.50	$129.55 – $1,375
Emergency room visit (moderately high): 10 of 99 insurance plan rates COMMERICAL — AARP IP: $1,375 COMMERICAL — AARP OP: $1,375 COMMERICAL — ADMIN CONCEPTS IP: $1,375 COMMERICAL — ADMIN CONCEPTS OP: $1,375 COMMERICAL — AMFIRST IP: $1,375 COMMERICAL — AMFIRST OP: $1,375 COMMERICAL — BANKERS LIFE IP: $1,375 COMMERICAL — BANKERS LIFE OP: $1,375 COMMERICAL — CORESOURCE IP: $1,375 COMMERICAL — CORESOURCE OP: $1,375
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: EMERGENCY DEPT VISIT MOD MDM	$1,375	$412.50	$129.55 – $1,375
Emergency room visit (moderately high): rates for 8 insurance plans BLUE CROSS OF LOUISIANA — BLUE CROSS IP: $884.29 BLUE CROSS OF LOUISIANA — BLUE CROSS OP: $884.29 COMMERICAL — MERITAIN IP: $129.55 COMMERICAL — MERITAIN OP: $129.55 MANAGED CARE — AETNA IP: $129.55 MANAGED CARE — AETNA OP: $129.55 MANAGED CARE — WEB TPA IP: $129.55 MANAGED CARE — WEB TPA OP: $129.55
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: ER LEVEL 5(TRANSFER)	$1,870	$561	$188.42 – $1,870
Emergency room visit (high): 10 of 99 insurance plan rates COMMERICAL — AARP IP: $1,870 COMMERICAL — AARP OP: $1,870 COMMERICAL — ADMIN CONCEPTS IP: $1,870 COMMERICAL — ADMIN CONCEPTS OP: $1,870 COMMERICAL — AMFIRST IP: $1,870 COMMERICAL — AMFIRST OP: $1,870 COMMERICAL — BANKERS LIFE IP: $1,870 COMMERICAL — BANKERS LIFE OP: $1,870 COMMERICAL — CORESOURCE IP: $1,870 COMMERICAL — CORESOURCE OP: $1,870
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: EMERGENCY DEPT VISIT HI MDM	$1,870	$561	$188.42 – $1,870
Emergency room visit (high): rates for 8 insurance plans BLUE CROSS OF LOUISIANA — BLUE CROSS IP: $1,268.19 BLUE CROSS OF LOUISIANA — BLUE CROSS OP: $1,268.19 COMMERICAL — MERITAIN IP: $188.42 COMMERICAL — MERITAIN OP: $188.42 MANAGED CARE — AETNA IP: $188.42 MANAGED CARE — AETNA OP: $188.42 MANAGED CARE — WEB TPA IP: $188.42 MANAGED CARE — WEB TPA OP: $188.42

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: BASIC METABOLIC PANEL	$96	$28.80	$7.10 – $96
Basic metabolic panel (blood test): 10 of 99 insurance plan rates COMMERICAL — AARP IP: $96 COMMERICAL — AARP OP: $96 COMMERICAL — ADMIN CONCEPTS IP: $96 COMMERICAL — ADMIN CONCEPTS OP: $96 COMMERICAL — AMFIRST IP: $96 COMMERICAL — AMFIRST OP: $96 COMMERICAL — BANKERS LIFE IP: $96 COMMERICAL — BANKERS LIFE OP: $96 COMMERICAL — CORESOURCE IP: $96 COMMERICAL — CORESOURCE OP: $96
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: BASIC METABOLIC PNL TOTAL CA	$96	$28.80	$7.10 – $96
Basic metabolic panel (blood test): 10 of 77 insurance plan rates BLUE CROSS OF LOUISIANA — BLUE CROSS IP: $21.27 BLUE CROSS OF LOUISIANA — BLUE CROSS OP: $21.27 COMMERICAL — AMBETTER IP: $10.58 COMMERICAL — AMBETTER OP: $10.58 COMMERICAL — GULF SOUTH IP: $11 COMMERICAL — GULF SOUTH OP: $11 COMMERICAL — HUMANA COMM IP: $10.15 COMMERICAL — HUMANA COMM OP: $10.15 COMMERICAL — MCR WELLCARE IP: $8.46 COMMERICAL — MCR WELLCARE OP: $8.46
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · modifier QW In the file: BASIC METABOLIC PNL TOTAL CA	$96	$28.80	$7.61 – $11
Basic metabolic panel (blood test): 10 of 48 insurance plan rates COMMERICAL — AMBETTER IP: $10.58 COMMERICAL — AMBETTER OP: $10.58 COMMERICAL — GULF SOUTH IP: $11 COMMERICAL — GULF SOUTH OP: $11 COMMERICAL — HUMANA COMM IP: $10.15 COMMERICAL — HUMANA COMM OP: $10.15 COMMERICAL — MCR WELLCARE IP: $8.46 COMMERICAL — MCR WELLCARE OP: $8.46 MCR MANAGED CARE — DEACTIVATE VANTAGE: $8.46 MCR MANAGED CARE — MCR AETNA IP: $8.46
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: COMP METABOLIC PANEL	$114	$34.20	$8.86 – $114
Comprehensive metabolic panel (blood test): 10 of 99 insurance plan rates COMMERICAL — AARP IP: $114 COMMERICAL — AARP OP: $114 COMMERICAL — ADMIN CONCEPTS IP: $114 COMMERICAL — ADMIN CONCEPTS OP: $114 COMMERICAL — AMFIRST IP: $114 COMMERICAL — AMFIRST OP: $114 COMMERICAL — BANKERS LIFE IP: $114 COMMERICAL — BANKERS LIFE OP: $114 COMMERICAL — CORESOURCE IP: $114 COMMERICAL — CORESOURCE OP: $114
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: COMPREHEN METABOLIC PANEL	$114	$34.20	$8.86 – $114
Comprehensive metabolic panel (blood test): 10 of 77 insurance plan rates BLUE CROSS OF LOUISIANA — BLUE CROSS IP: $26.54 BLUE CROSS OF LOUISIANA — BLUE CROSS OP: $26.54 COMMERICAL — AMBETTER IP: $13.20 COMMERICAL — AMBETTER OP: $13.20 COMMERICAL — GULF SOUTH IP: $13.73 COMMERICAL — GULF SOUTH OP: $13.73 COMMERICAL — HUMANA COMM IP: $12.67 COMMERICAL — HUMANA COMM OP: $12.67 COMMERICAL — MCR WELLCARE IP: $10.56 COMMERICAL — MCR WELLCARE OP: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · modifier QW In the file: COMPREHEN METABOLIC PANEL	$114	$34.20	$9.50 – $13.73
Comprehensive metabolic panel (blood test): 10 of 48 insurance plan rates COMMERICAL — AMBETTER IP: $13.20 COMMERICAL — AMBETTER OP: $13.20 COMMERICAL — GULF SOUTH IP: $13.73 COMMERICAL — GULF SOUTH OP: $13.73 COMMERICAL — HUMANA COMM IP: $12.67 COMMERICAL — HUMANA COMM OP: $12.67 COMMERICAL — MCR WELLCARE IP: $10.56 COMMERICAL — MCR WELLCARE OP: $10.56 MCR MANAGED CARE — DEACTIVATE VANTAGE: $10.56 MCR MANAGED CARE — MCR AETNA IP: $10.56
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: LIPID PANEL	$90	$27	$11.23 – $90
Cholesterol panel (lipid panel): 10 of 153 insurance plan rates BLUE CROSS OF LOUISIANA — BLUE CROSS IP: $33.66 BLUE CROSS OF LOUISIANA — BLUE CROSS OP: $33.66 COMMERICAL — AARP IP: $90 COMMERICAL — AARP OP: $90 COMMERICAL — ADMIN CONCEPTS IP: $90 COMMERICAL — ADMIN CONCEPTS OP: $90 COMMERICAL — AMBETTER IP: $16.74 COMMERICAL — AMBETTER OP: $16.74 COMMERICAL — AMFIRST IP: $90 COMMERICAL — AMFIRST OP: $90
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · modifier QW In the file: LIPID PANEL	$90	$27	$12.05 – $17.41
Cholesterol panel (lipid panel): 10 of 48 insurance plan rates COMMERICAL — AMBETTER IP: $16.74 COMMERICAL — AMBETTER OP: $16.74 COMMERICAL — GULF SOUTH IP: $17.41 COMMERICAL — GULF SOUTH OP: $17.41 COMMERICAL — HUMANA COMM IP: $16.07 COMMERICAL — HUMANA COMM OP: $16.07 COMMERICAL — MCR WELLCARE IP: $13.39 COMMERICAL — MCR WELLCARE OP: $13.39 MCR MANAGED CARE — DEACTIVATE VANTAGE: $13.39 MCR MANAGED CARE — MCR AETNA IP: $13.39
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: RENAL FUNCTION PANEL	$106	$31.80	$7.28 – $106
Kidney function panel: 10 of 153 insurance plan rates BLUE CROSS OF LOUISIANA — BLUE CROSS IP: $21.82 BLUE CROSS OF LOUISIANA — BLUE CROSS OP: $21.82 COMMERICAL — AARP IP: $106 COMMERICAL — AARP OP: $106 COMMERICAL — ADMIN CONCEPTS IP: $106 COMMERICAL — ADMIN CONCEPTS OP: $106 COMMERICAL — AMBETTER IP: $10.85 COMMERICAL — AMBETTER OP: $10.85 COMMERICAL — AMFIRST IP: $106 COMMERICAL — AMFIRST OP: $106
Kidney function panel CPT 80069 · Inpatient or outpatient · modifier QW In the file: RENAL FUNCTION PANEL	$106	$31.80	$7.81 – $11.28
Kidney function panel: 10 of 48 insurance plan rates COMMERICAL — AMBETTER IP: $10.85 COMMERICAL — AMBETTER OP: $10.85 COMMERICAL — GULF SOUTH IP: $11.28 COMMERICAL — GULF SOUTH OP: $11.28 COMMERICAL — HUMANA COMM IP: $10.42 COMMERICAL — HUMANA COMM OP: $10.42 COMMERICAL — MCR WELLCARE IP: $8.68 COMMERICAL — MCR WELLCARE OP: $8.68 MCR MANAGED CARE — DEACTIVATE VANTAGE: $8.68 MCR MANAGED CARE — MCR AETNA IP: $8.68
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HEPATIC FUNCTION PANEL	$118	$35.40	$6.85 – $118
Liver function panel: 10 of 153 insurance plan rates BLUE CROSS OF LOUISIANA — BLUE CROSS IP: $20.54 BLUE CROSS OF LOUISIANA — BLUE CROSS OP: $20.54 COMMERICAL — AARP IP: $118 COMMERICAL — AARP OP: $118 COMMERICAL — ADMIN CONCEPTS IP: $118 COMMERICAL — ADMIN CONCEPTS OP: $118 COMMERICAL — AMBETTER IP: $10.21 COMMERICAL — AMBETTER OP: $10.21 COMMERICAL — AMFIRST IP: $118 COMMERICAL — AMFIRST OP: $118
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: UA W MICROSCOPIC AUTO	$33	$9.90	$2.66 – $33
Urine test (automated, with microscope): 10 of 99 insurance plan rates COMMERICAL — AARP IP: $33 COMMERICAL — AARP OP: $33 COMMERICAL — ADMIN CONCEPTS IP: $33 COMMERICAL — ADMIN CONCEPTS OP: $33 COMMERICAL — AMFIRST IP: $33 COMMERICAL — AMFIRST OP: $33 COMMERICAL — BANKERS LIFE IP: $33 COMMERICAL — BANKERS LIFE OP: $33 COMMERICAL — CORESOURCE IP: $33 COMMERICAL — CORESOURCE OP: $33
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: URINALYSIS AUTO W/SCOPE	$33	$9.90	$2.66 – $33
Urine test (automated, with microscope): 10 of 77 insurance plan rates BLUE CROSS OF LOUISIANA — BLUE CROSS IP: $7.97 BLUE CROSS OF LOUISIANA — BLUE CROSS OP: $7.97 COMMERICAL — AMBETTER IP: $3.96 COMMERICAL — AMBETTER OP: $3.96 COMMERICAL — GULF SOUTH IP: $4.12 COMMERICAL — GULF SOUTH OP: $4.12 COMMERICAL — HUMANA COMM IP: $3.80 COMMERICAL — HUMANA COMM OP: $3.80 COMMERICAL — MCR WELLCARE IP: $3.17 COMMERICAL — MCR WELLCARE OP: $3.17
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: UA W O MICRO MANUAL	$44	$13.20	$2.14 – $44
Urine test (manual, without microscope): 10 of 99 insurance plan rates COMMERICAL — AARP IP: $44 COMMERICAL — AARP OP: $44 COMMERICAL — ADMIN CONCEPTS IP: $44 COMMERICAL — ADMIN CONCEPTS OP: $44 COMMERICAL — AMFIRST IP: $44 COMMERICAL — AMFIRST OP: $44 COMMERICAL — BANKERS LIFE IP: $44 COMMERICAL — BANKERS LIFE OP: $44 COMMERICAL — CORESOURCE IP: $44 COMMERICAL — CORESOURCE OP: $44
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: URINALYSIS NONAUTO W/O SCOPE	$44	$13.20	$2.14 – $44
Urine test (manual, without microscope): 10 of 77 insurance plan rates BLUE CROSS OF LOUISIANA — BLUE CROSS IP: $8.75 BLUE CROSS OF LOUISIANA — BLUE CROSS OP: $8.75 COMMERICAL — AMBETTER IP: $4.35 COMMERICAL — AMBETTER OP: $4.35 COMMERICAL — GULF SOUTH IP: $4.52 COMMERICAL — GULF SOUTH OP: $4.52 COMMERICAL — HUMANA COMM IP: $4.18 COMMERICAL — HUMANA COMM OP: $4.18 COMMERICAL — MCR WELLCARE IP: $3.48 COMMERICAL — MCR WELLCARE OP: $3.48
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: PH UR AUTO	$33	$9.90	$1.88 – $66
Urine test (automated, without microscope): 10 of 99 insurance plan rates COMMERICAL — AARP IP: $33 COMMERICAL — AARP OP: $33 COMMERICAL — ADMIN CONCEPTS IP: $33 COMMERICAL — ADMIN CONCEPTS OP: $33 COMMERICAL — AMFIRST IP: $33 COMMERICAL — AMFIRST OP: $33 COMMERICAL — BANKERS LIFE IP: $33 COMMERICAL — BANKERS LIFE OP: $33 COMMERICAL — CORESOURCE IP: $33 COMMERICAL — CORESOURCE OP: $33
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: UA W O MICRO AUTO	$33	$9.90	$1.88 – $66
Urine test (automated, without microscope): 10 of 99 insurance plan rates COMMERICAL — AARP IP: $33 COMMERICAL — AARP OP: $33 COMMERICAL — ADMIN CONCEPTS IP: $33 COMMERICAL — ADMIN CONCEPTS OP: $33 COMMERICAL — AMFIRST IP: $33 COMMERICAL — AMFIRST OP: $33 COMMERICAL — BANKERS LIFE IP: $33 COMMERICAL — BANKERS LIFE OP: $33 COMMERICAL — CORESOURCE IP: $33 COMMERICAL — CORESOURCE OP: $33
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: URINALYSIS AUTO W/O SCOPE	$33	$9.90	$1.88 – $66
Urine test (automated, without microscope): 10 of 77 insurance plan rates BLUE CROSS OF LOUISIANA — BLUE CROSS IP: $5.66 BLUE CROSS OF LOUISIANA — BLUE CROSS OP: $5.66 COMMERICAL — AMBETTER IP: $2.81 COMMERICAL — AMBETTER OP: $2.81 COMMERICAL — GULF SOUTH IP: $2.93 COMMERICAL — GULF SOUTH OP: $2.93 COMMERICAL — HUMANA COMM IP: $2.70 COMMERICAL — HUMANA COMM OP: $2.70 COMMERICAL — MCR WELLCARE IP: $2.25 COMMERICAL — MCR WELLCARE OP: $2.25
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PROS SPEC AG (PSA)	$116	$34.80	$15.42 – $116
PSA (prostate specific antigen) blood test: 10 of 99 insurance plan rates COMMERICAL — AARP IP: $116 COMMERICAL — AARP OP: $116 COMMERICAL — ADMIN CONCEPTS IP: $116 COMMERICAL — ADMIN CONCEPTS OP: $116 COMMERICAL — AMFIRST IP: $116 COMMERICAL — AMFIRST OP: $116 COMMERICAL — BANKERS LIFE IP: $116 COMMERICAL — BANKERS LIFE OP: $116 COMMERICAL — CORESOURCE IP: $116 COMMERICAL — CORESOURCE OP: $116
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: ASSAY OF PSA TOTAL	$116	$34.80	$15.42 – $116
PSA (prostate specific antigen) blood test: 10 of 77 insurance plan rates BLUE CROSS OF LOUISIANA — BLUE CROSS IP: $46.23 BLUE CROSS OF LOUISIANA — BLUE CROSS OP: $46.23 COMMERICAL — AMBETTER IP: $22.99 COMMERICAL — AMBETTER OP: $22.99 COMMERICAL — GULF SOUTH IP: $23.91 COMMERICAL — GULF SOUTH OP: $23.91 COMMERICAL — HUMANA COMM IP: $22.07 COMMERICAL — HUMANA COMM OP: $22.07 COMMERICAL — MCR WELLCARE IP: $18.39 COMMERICAL — MCR WELLCARE OP: $18.39
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: TSH	$92	$27.60	$14.08 – $92
Thyroid stimulating hormone (TSH) test: 10 of 99 insurance plan rates COMMERICAL — AARP IP: $92 COMMERICAL — AARP OP: $92 COMMERICAL — ADMIN CONCEPTS IP: $92 COMMERICAL — ADMIN CONCEPTS OP: $92 COMMERICAL — AMFIRST IP: $92 COMMERICAL — AMFIRST OP: $92 COMMERICAL — BANKERS LIFE IP: $92 COMMERICAL — BANKERS LIFE OP: $92 COMMERICAL — CORESOURCE IP: $92 COMMERICAL — CORESOURCE OP: $92
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: ASSAY THYROID STIM HORMONE	$92	$27.60	$14.08 – $92
Thyroid stimulating hormone (TSH) test: 10 of 77 insurance plan rates BLUE CROSS OF LOUISIANA — BLUE CROSS IP: $42.23 BLUE CROSS OF LOUISIANA — BLUE CROSS OP: $42.23 COMMERICAL — AMBETTER IP: $21 COMMERICAL — AMBETTER OP: $21 COMMERICAL — GULF SOUTH IP: $21.84 COMMERICAL — GULF SOUTH OP: $21.84 COMMERICAL — HUMANA COMM IP: $20.16 COMMERICAL — HUMANA COMM OP: $20.16 COMMERICAL — MCR WELLCARE IP: $16.80 COMMERICAL — MCR WELLCARE OP: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · modifier QW In the file: ASSAY THYROID STIM HORMONE	$92	$27.60	$15.12 – $21.84
Thyroid stimulating hormone (TSH) test: 10 of 48 insurance plan rates COMMERICAL — AMBETTER IP: $21 COMMERICAL — AMBETTER OP: $21 COMMERICAL — GULF SOUTH IP: $21.84 COMMERICAL — GULF SOUTH OP: $21.84 COMMERICAL — HUMANA COMM IP: $20.16 COMMERICAL — HUMANA COMM OP: $20.16 COMMERICAL — MCR WELLCARE IP: $16.80 COMMERICAL — MCR WELLCARE OP: $16.80 MCR MANAGED CARE — DEACTIVATE VANTAGE: $16.80 MCR MANAGED CARE — MCR AETNA IP: $16.80
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC AUTO DIFF	$55	$16.50	$6.52 – $143
Complete blood count (CBC) with differential: 10 of 99 insurance plan rates COMMERICAL — AARP IP: $55 COMMERICAL — AARP OP: $55 COMMERICAL — ADMIN CONCEPTS IP: $55 COMMERICAL — ADMIN CONCEPTS OP: $55 COMMERICAL — AMFIRST IP: $55 COMMERICAL — AMFIRST OP: $55 COMMERICAL — BANKERS LIFE IP: $55 COMMERICAL — BANKERS LIFE OP: $55 COMMERICAL — CORESOURCE IP: $55 COMMERICAL — CORESOURCE OP: $55
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC WITH MAN DIFF	$88	$26.40	$6.52 – $143
Complete blood count (CBC) with differential: 10 of 99 insurance plan rates COMMERICAL — AARP IP: $88 COMMERICAL — AARP OP: $88 COMMERICAL — ADMIN CONCEPTS IP: $88 COMMERICAL — ADMIN CONCEPTS OP: $88 COMMERICAL — AMFIRST IP: $88 COMMERICAL — AMFIRST OP: $88 COMMERICAL — BANKERS LIFE IP: $88 COMMERICAL — BANKERS LIFE OP: $88 COMMERICAL — CORESOURCE IP: $88 COMMERICAL — CORESOURCE OP: $88
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: COMPLETE CBC W/AUTO DIFF WBC	$55	$16.50	$6.52 – $143
Complete blood count (CBC) with differential: 10 of 77 insurance plan rates BLUE CROSS OF LOUISIANA — BLUE CROSS IP: $15.94 BLUE CROSS OF LOUISIANA — BLUE CROSS OP: $15.94 COMMERICAL — AMBETTER IP: $9.71 COMMERICAL — AMBETTER OP: $9.71 COMMERICAL — GULF SOUTH IP: $10.10 COMMERICAL — GULF SOUTH OP: $10.10 COMMERICAL — HUMANA COMM IP: $9.32 COMMERICAL — HUMANA COMM OP: $9.32 COMMERICAL — MCR WELLCARE IP: $7.77 COMMERICAL — MCR WELLCARE OP: $7.77
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PROTIME	$66	$19.80	$3.29 – $66
Blood clotting time test (prothrombin time, PT): 10 of 99 insurance plan rates COMMERICAL — AARP IP: $66 COMMERICAL — AARP OP: $66 COMMERICAL — ADMIN CONCEPTS IP: $66 COMMERICAL — ADMIN CONCEPTS OP: $66 COMMERICAL — AMFIRST IP: $66 COMMERICAL — AMFIRST OP: $66 COMMERICAL — BANKERS LIFE IP: $66 COMMERICAL — BANKERS LIFE OP: $66 COMMERICAL — CORESOURCE IP: $66 COMMERICAL — CORESOURCE OP: $66
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PROTHROMBIN TIME	$66	$19.80	$3.29 – $66
Blood clotting time test (prothrombin time, PT): 10 of 77 insurance plan rates BLUE CROSS OF LOUISIANA — BLUE CROSS IP: $10.78 BLUE CROSS OF LOUISIANA — BLUE CROSS OP: $10.78 COMMERICAL — AMBETTER IP: $5.36 COMMERICAL — AMBETTER OP: $5.36 COMMERICAL — GULF SOUTH IP: $5.58 COMMERICAL — GULF SOUTH OP: $5.58 COMMERICAL — HUMANA COMM IP: $5.15 COMMERICAL — HUMANA COMM OP: $5.15 COMMERICAL — MCR WELLCARE IP: $4.29 COMMERICAL — MCR WELLCARE OP: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · modifier QW In the file: PROTHROMBIN TIME	$66	$19.80	$3.86 – $5.58
Blood clotting time test (prothrombin time, PT): 10 of 48 insurance plan rates COMMERICAL — AMBETTER IP: $5.36 COMMERICAL — AMBETTER OP: $5.36 COMMERICAL — GULF SOUTH IP: $5.58 COMMERICAL — GULF SOUTH OP: $5.58 COMMERICAL — HUMANA COMM IP: $5.15 COMMERICAL — HUMANA COMM OP: $5.15 COMMERICAL — MCR WELLCARE IP: $4.29 COMMERICAL — MCR WELLCARE OP: $4.29 MCR MANAGED CARE — DEACTIVATE VANTAGE: $4.29 MCR MANAGED CARE — MCR AETNA IP: $4.29
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: PTT	$105	$31.50	$5.03 – $105
Blood clotting test (partial thromboplastin time, PTT): 10 of 99 insurance plan rates COMMERICAL — AARP IP: $105 COMMERICAL — AARP OP: $105 COMMERICAL — ADMIN CONCEPTS IP: $105 COMMERICAL — ADMIN CONCEPTS OP: $105 COMMERICAL — AMFIRST IP: $105 COMMERICAL — AMFIRST OP: $105 COMMERICAL — BANKERS LIFE IP: $105 COMMERICAL — BANKERS LIFE OP: $105 COMMERICAL — CORESOURCE IP: $105 COMMERICAL — CORESOURCE OP: $105
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: THROMBOPLASTIN TIME PARTIAL	$105	$31.50	$5.03 – $105
Blood clotting test (partial thromboplastin time, PTT): 10 of 77 insurance plan rates BLUE CROSS OF LOUISIANA — BLUE CROSS IP: $15.11 BLUE CROSS OF LOUISIANA — BLUE CROSS OP: $15.11 COMMERICAL — AMBETTER IP: $7.51 COMMERICAL — AMBETTER OP: $7.51 COMMERICAL — GULF SOUTH IP: $7.81 COMMERICAL — GULF SOUTH OP: $7.81 COMMERICAL — HUMANA COMM IP: $7.21 COMMERICAL — HUMANA COMM OP: $7.21 COMMERICAL — MCR WELLCARE IP: $6.01 COMMERICAL — MCR WELLCARE OP: $6.01

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT HEAD/BRAIN W/O DYE	$134	$40.20	$101.69 – $1,363
CT scan of the head or brain, without contrast: 10 of 145 insurance plan rates BLUE CROSS OF LOUISIANA — BLUE CROSS IP: $281.74 BLUE CROSS OF LOUISIANA — BLUE CROSS OP: $281.74 COMMERICAL — AARP IP: $134 COMMERICAL — AARP OP: $134 COMMERICAL — ADMIN CONCEPTS IP: $134 COMMERICAL — ADMIN CONCEPTS OP: $134 COMMERICAL — AMFIRST IP: $134 COMMERICAL — AMFIRST OP: $134 COMMERICAL — BANKERS LIFE IP: $134 COMMERICAL — BANKERS LIFE OP: $134
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT HEAD/BRAIN W/O CONT	$1,229	$368.70	$101.69 – $1,363
CT scan of the head or brain, without contrast: 10 of 99 insurance plan rates COMMERICAL — AARP IP: $1,229 COMMERICAL — AARP OP: $1,229 COMMERICAL — ADMIN CONCEPTS IP: $1,229 COMMERICAL — ADMIN CONCEPTS OP: $1,229 COMMERICAL — AMFIRST IP: $1,229 COMMERICAL — AMFIRST OP: $1,229 COMMERICAL — BANKERS LIFE IP: $1,229 COMMERICAL — BANKERS LIFE OP: $1,229 COMMERICAL — CORESOURCE IP: $1,229 COMMERICAL — CORESOURCE OP: $1,229
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · modifier TC In the file: CT HEAD/BRAIN W/O DYE	$1,229	$368.70	$62.13 – $240
CT scan of the head or brain, without contrast: 10 of 50 insurance plan rates COMMERICAL — GULF SOUTH IP: $62.13 COMMERICAL — GULF SOUTH OP: $62.13 COMMERICAL — MCR WELLCARE IP: $62.13 COMMERICAL — MCR WELLCARE OP: $62.13 COMMERICAL — MERITAIN IP: $240 COMMERICAL — MERITAIN OP: $240 MANAGED CARE — AETNA IP: $240 MANAGED CARE — AETNA OP: $240 MANAGED CARE — WEB TPA IP: $240 MANAGED CARE — WEB TPA OP: $240
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: X-RAY EXAM CHEST 2 VIEWS	$34	$10.20	$22.99 – $430
Chest X-ray, 2 views: 10 of 145 insurance plan rates BLUE CROSS OF LOUISIANA — BLUE CROSS IP: $200.62 BLUE CROSS OF LOUISIANA — BLUE CROSS OP: $200.62 COMMERICAL — AARP IP: $34 COMMERICAL — AARP OP: $34 COMMERICAL — ADMIN CONCEPTS IP: $34 COMMERICAL — ADMIN CONCEPTS OP: $34 COMMERICAL — AMFIRST IP: $34 COMMERICAL — AMFIRST OP: $34 COMMERICAL — BANKERS LIFE IP: $34 COMMERICAL — BANKERS LIFE OP: $34
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: XR CHEST 2 VIEWS	$198	$59.40	$22.99 – $430
Chest X-ray, 2 views: 10 of 99 insurance plan rates COMMERICAL — AARP IP: $198 COMMERICAL — AARP OP: $198 COMMERICAL — ADMIN CONCEPTS IP: $198 COMMERICAL — ADMIN CONCEPTS OP: $198 COMMERICAL — AMFIRST IP: $198 COMMERICAL — AMFIRST OP: $198 COMMERICAL — BANKERS LIFE IP: $198 COMMERICAL — BANKERS LIFE OP: $198 COMMERICAL — CORESOURCE IP: $198 COMMERICAL — CORESOURCE OP: $198
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: XR CHEST 2 LAT DECUBITUS BILAT	$198	$59.40	$22.99 – $430
Chest X-ray, 2 views: 10 of 99 insurance plan rates COMMERICAL — AARP IP: $198 COMMERICAL — AARP OP: $198 COMMERICAL — ADMIN CONCEPTS IP: $198 COMMERICAL — ADMIN CONCEPTS OP: $198 COMMERICAL — AMFIRST IP: $198 COMMERICAL — AMFIRST OP: $198 COMMERICAL — BANKERS LIFE IP: $198 COMMERICAL — BANKERS LIFE OP: $198 COMMERICAL — CORESOURCE IP: $198 COMMERICAL — CORESOURCE OP: $198
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: LUMBOSACRAL MIN 4 VIEW	$318	$95.40	$37.22 – $360
X-ray of the lower spine, at least 4 views: 10 of 99 insurance plan rates COMMERICAL — AARP IP: $318 COMMERICAL — AARP OP: $318 COMMERICAL — ADMIN CONCEPTS IP: $318 COMMERICAL — ADMIN CONCEPTS OP: $318 COMMERICAL — AMFIRST IP: $318 COMMERICAL — AMFIRST OP: $318 COMMERICAL — BANKERS LIFE IP: $318 COMMERICAL — BANKERS LIFE OP: $318 COMMERICAL — CORESOURCE IP: $318 COMMERICAL — CORESOURCE OP: $318
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: X-RAY L-SPINE 4V	$42	$12.60	$37.22 – $360
X-ray of the lower spine, at least 4 views: 10 of 99 insurance plan rates COMMERICAL — AARP IP: $42 COMMERICAL — AARP OP: $42 COMMERICAL — ADMIN CONCEPTS IP: $42 COMMERICAL — ADMIN CONCEPTS OP: $42 COMMERICAL — AMFIRST IP: $42 COMMERICAL — AMFIRST OP: $42 COMMERICAL — BANKERS LIFE IP: $42 COMMERICAL — BANKERS LIFE OP: $42 COMMERICAL — CORESOURCE IP: $42 COMMERICAL — CORESOURCE OP: $42
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: X-RAY EXAM L-2 SPINE 4/>VWS	$318	$95.40	$37.22 – $360
X-ray of the lower spine, at least 4 views: 10 of 52 insurance plan rates BLUE CROSS OF LOUISIANA — BLUE CROSS IP: $281.74 BLUE CROSS OF LOUISIANA — BLUE CROSS OP: $281.74 COMMERICAL — GULF SOUTH IP: $46.99 COMMERICAL — GULF SOUTH OP: $46.99 COMMERICAL — MCR WELLCARE IP: $46.99 COMMERICAL — MCR WELLCARE OP: $46.99 COMMERICAL — MERITAIN IP: $37.22 COMMERICAL — MERITAIN OP: $37.22 MANAGED CARE — AETNA IP: $37.22 MANAGED CARE — AETNA OP: $37.22
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT PELVIS W/DYE	$182	$54.60	$219.04 – $2,520
CT scan of the pelvis, with contrast: 10 of 145 insurance plan rates BLUE CROSS OF LOUISIANA — BLUE CROSS IP: $458.05 BLUE CROSS OF LOUISIANA — BLUE CROSS OP: $458.05 COMMERICAL — AARP IP: $182 COMMERICAL — AARP OP: $182 COMMERICAL — ADMIN CONCEPTS IP: $182 COMMERICAL — ADMIN CONCEPTS OP: $182 COMMERICAL — AMFIRST IP: $182 COMMERICAL — AMFIRST OP: $182 COMMERICAL — BANKERS LIFE IP: $182 COMMERICAL — BANKERS LIFE OP: $182
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT PELVIS WITH CONTRAST	$1,169	$350.70	$219.04 – $2,520
CT scan of the pelvis, with contrast: 10 of 99 insurance plan rates COMMERICAL — AARP IP: $1,169 COMMERICAL — AARP OP: $1,169 COMMERICAL — ADMIN CONCEPTS IP: $1,169 COMMERICAL — ADMIN CONCEPTS OP: $1,169 COMMERICAL — AMFIRST IP: $1,169 COMMERICAL — AMFIRST OP: $1,169 COMMERICAL — BANKERS LIFE IP: $1,169 COMMERICAL — BANKERS LIFE OP: $1,169 COMMERICAL — CORESOURCE IP: $1,169 COMMERICAL — CORESOURCE OP: $1,169
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT HIP BILAT WC	$1,169	$350.70	$219.04 – $2,520
CT scan of the pelvis, with contrast: 10 of 99 insurance plan rates COMMERICAL — AARP IP: $1,169 COMMERICAL — AARP OP: $1,169 COMMERICAL — ADMIN CONCEPTS IP: $1,169 COMMERICAL — ADMIN CONCEPTS OP: $1,169 COMMERICAL — AMFIRST IP: $1,169 COMMERICAL — AMFIRST OP: $1,169 COMMERICAL — BANKERS LIFE IP: $1,169 COMMERICAL — BANKERS LIFE OP: $1,169 COMMERICAL — CORESOURCE IP: $1,169 COMMERICAL — CORESOURCE OP: $1,169
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT ABD&PEL W CONTRAST	$2,406	$721.80	$240 – $2,692
CT scan of the abdomen and pelvis, with contrast: 10 of 99 insurance plan rates COMMERICAL — AARP IP: $2,406 COMMERICAL — AARP OP: $2,406 COMMERICAL — ADMIN CONCEPTS IP: $2,406 COMMERICAL — ADMIN CONCEPTS OP: $2,406 COMMERICAL — AMFIRST IP: $2,406 COMMERICAL — AMFIRST OP: $2,406 COMMERICAL — BANKERS LIFE IP: $2,406 COMMERICAL — BANKERS LIFE OP: $2,406 COMMERICAL — CORESOURCE IP: $2,406 COMMERICAL — CORESOURCE OP: $2,406
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT ABD & PELV W/CONTRAST	$286	$85.80	$240 – $2,692
CT scan of the abdomen and pelvis, with contrast: 10 of 99 insurance plan rates COMMERICAL — AARP IP: $286 COMMERICAL — AARP OP: $286 COMMERICAL — ADMIN CONCEPTS IP: $286 COMMERICAL — ADMIN CONCEPTS OP: $286 COMMERICAL — AMFIRST IP: $286 COMMERICAL — AMFIRST OP: $286 COMMERICAL — BANKERS LIFE IP: $286 COMMERICAL — BANKERS LIFE OP: $286 COMMERICAL — CORESOURCE IP: $286 COMMERICAL — CORESOURCE OP: $286
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT ABD & PELVIS W/CONTRAST	$2,406	$721.80	$240 – $2,692
CT scan of the abdomen and pelvis, with contrast: 10 of 52 insurance plan rates BLUE CROSS OF LOUISIANA — BLUE CROSS IP: $959.86 BLUE CROSS OF LOUISIANA — BLUE CROSS OP: $959.86 COMMERICAL — GULF SOUTH IP: $291.34 COMMERICAL — GULF SOUTH OP: $291.34 COMMERICAL — MCR WELLCARE IP: $291.34 COMMERICAL — MCR WELLCARE OP: $291.34 COMMERICAL — MERITAIN IP: $240 COMMERICAL — MERITAIN OP: $240 MANAGED CARE — AETNA IP: $240 MANAGED CARE — AETNA OP: $240
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US EXAM ABDOM COMPLETE	$127	$38.10	$86.63 – $1,445
Ultrasound of the abdomen, complete: 10 of 145 insurance plan rates BLUE CROSS OF LOUISIANA — BLUE CROSS IP: $281.74 BLUE CROSS OF LOUISIANA — BLUE CROSS OP: $281.74 COMMERICAL — AARP IP: $127 COMMERICAL — AARP OP: $127 COMMERICAL — ADMIN CONCEPTS IP: $127 COMMERICAL — ADMIN CONCEPTS OP: $127 COMMERICAL — AMFIRST IP: $127 COMMERICAL — AMFIRST OP: $127 COMMERICAL — BANKERS LIFE IP: $127 COMMERICAL — BANKERS LIFE OP: $127
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: ULTRASOUND ABDOMEN	$659	$197.70	$86.63 – $1,445
Ultrasound of the abdomen, complete: 10 of 99 insurance plan rates COMMERICAL — AARP IP: $659 COMMERICAL — AARP OP: $659 COMMERICAL — ADMIN CONCEPTS IP: $659 COMMERICAL — ADMIN CONCEPTS OP: $659 COMMERICAL — AMFIRST IP: $659 COMMERICAL — AMFIRST OP: $659 COMMERICAL — BANKERS LIFE IP: $659 COMMERICAL — BANKERS LIFE OP: $659 COMMERICAL — CORESOURCE IP: $659 COMMERICAL — CORESOURCE OP: $659
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US ABDOMEN COMPLETE	$659	$197.70	$86.63 – $1,445
Ultrasound of the abdomen, complete: 10 of 99 insurance plan rates COMMERICAL — AARP IP: $659 COMMERICAL — AARP OP: $659 COMMERICAL — ADMIN CONCEPTS IP: $659 COMMERICAL — ADMIN CONCEPTS OP: $659 COMMERICAL — AMFIRST IP: $659 COMMERICAL — AMFIRST OP: $659 COMMERICAL — BANKERS LIFE IP: $659 COMMERICAL — BANKERS LIFE OP: $659 COMMERICAL — CORESOURCE IP: $659 COMMERICAL — CORESOURCE OP: $659
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: U S OB >14 WKS 1ST GEST	$595	$178.50	$95.24 – $697
Pregnancy ultrasound (after the first trimester): 10 of 99 insurance plan rates COMMERICAL — AARP IP: $595 COMMERICAL — AARP OP: $595 COMMERICAL — ADMIN CONCEPTS IP: $595 COMMERICAL — ADMIN CONCEPTS OP: $595 COMMERICAL — AMFIRST IP: $595 COMMERICAL — AMFIRST OP: $595 COMMERICAL — BANKERS LIFE IP: $595 COMMERICAL — BANKERS LIFE OP: $595 COMMERICAL — CORESOURCE IP: $595 COMMERICAL — CORESOURCE OP: $595
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: US O>=14 WEEKS TRANS ABDOMINAL	$102	$30.60	$95.24 – $697
Pregnancy ultrasound (after the first trimester): 10 of 99 insurance plan rates COMMERICAL — AARP IP: $102 COMMERICAL — AARP OP: $102 COMMERICAL — ADMIN CONCEPTS IP: $102 COMMERICAL — ADMIN CONCEPTS OP: $102 COMMERICAL — AMFIRST IP: $102 COMMERICAL — AMFIRST OP: $102 COMMERICAL — BANKERS LIFE IP: $102 COMMERICAL — BANKERS LIFE OP: $102 COMMERICAL — CORESOURCE IP: $102 COMMERICAL — CORESOURCE OP: $102
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: OB US >/= 14 WKS SNGL FETUS	$595	$178.50	$95.24 – $697
Pregnancy ultrasound (after the first trimester): rates for 8 insurance plans BLUE CROSS OF LOUISIANA — BLUE CROSS IP: $281.74 BLUE CROSS OF LOUISIANA — BLUE CROSS OP: $281.74 COMMERICAL — MERITAIN IP: $95.24 COMMERICAL — MERITAIN OP: $95.24 MANAGED CARE — AETNA IP: $95.24 MANAGED CARE — AETNA OP: $95.24 MANAGED CARE — WEB TPA IP: $95.24 MANAGED CARE — WEB TPA OP: $95.24
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: TRANSVAGINAL US NON-OB	$110	$33	$93.37 – $591
Transvaginal ultrasound: 10 of 145 insurance plan rates BLUE CROSS OF LOUISIANA — BLUE CROSS IP: $281.74 BLUE CROSS OF LOUISIANA — BLUE CROSS OP: $281.74 COMMERICAL — AARP IP: $110 COMMERICAL — AARP OP: $110 COMMERICAL — ADMIN CONCEPTS IP: $110 COMMERICAL — ADMIN CONCEPTS OP: $110 COMMERICAL — AMFIRST IP: $110 COMMERICAL — AMFIRST OP: $110 COMMERICAL — BANKERS LIFE IP: $110 COMMERICAL — BANKERS LIFE OP: $110
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: ULTRASOUND TRANSVAGINAL	$481	$144.30	$93.37 – $591
Transvaginal ultrasound: 10 of 99 insurance plan rates COMMERICAL — AARP IP: $481 COMMERICAL — AARP OP: $481 COMMERICAL — ADMIN CONCEPTS IP: $481 COMMERICAL — ADMIN CONCEPTS OP: $481 COMMERICAL — AMFIRST IP: $481 COMMERICAL — AMFIRST OP: $481 COMMERICAL — BANKERS LIFE IP: $481 COMMERICAL — BANKERS LIFE OP: $481 COMMERICAL — CORESOURCE IP: $481 COMMERICAL — CORESOURCE OP: $481
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · modifier TC In the file: TRANSVAGINAL US NON-OB	$481	$144.30	$77.87 – $93.37
Transvaginal ultrasound: 10 of 50 insurance plan rates COMMERICAL — GULF SOUTH IP: $77.87 COMMERICAL — GULF SOUTH OP: $77.87 COMMERICAL — MCR WELLCARE IP: $77.87 COMMERICAL — MCR WELLCARE OP: $77.87 COMMERICAL — MERITAIN IP: $93.37 COMMERICAL — MERITAIN OP: $93.37 MANAGED CARE — AETNA IP: $93.37 MANAGED CARE — AETNA OP: $93.37 MANAGED CARE — WEB TPA IP: $93.37 MANAGED CARE — WEB TPA OP: $93.37
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: MA MAMMOGRAM SCREENING LT	$110	$33	$69 – $1,064
Diagnostic mammogram, one breast: 10 of 99 insurance plan rates COMMERICAL — AARP IP: $110 COMMERICAL — AARP OP: $110 COMMERICAL — ADMIN CONCEPTS IP: $110 COMMERICAL — ADMIN CONCEPTS OP: $110 COMMERICAL — AMFIRST IP: $110 COMMERICAL — AMFIRST OP: $110 COMMERICAL — BANKERS LIFE IP: $110 COMMERICAL — BANKERS LIFE OP: $110 COMMERICAL — CORESOURCE IP: $110 COMMERICAL — CORESOURCE OP: $110
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: MA MAMMOGRAM DIAGNOSTIC RT	$110	$33	$69 – $1,064
Diagnostic mammogram, one breast: 10 of 99 insurance plan rates COMMERICAL — AARP IP: $110 COMMERICAL — AARP OP: $110 COMMERICAL — ADMIN CONCEPTS IP: $110 COMMERICAL — ADMIN CONCEPTS OP: $110 COMMERICAL — AMFIRST IP: $110 COMMERICAL — AMFIRST OP: $110 COMMERICAL — BANKERS LIFE IP: $110 COMMERICAL — BANKERS LIFE OP: $110 COMMERICAL — CORESOURCE IP: $110 COMMERICAL — CORESOURCE OP: $110
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: 3D DIAG MAMMO RT	$319	$95.70	$69 – $1,064
Diagnostic mammogram, one breast: 10 of 99 insurance plan rates COMMERICAL — AARP IP: $319 COMMERICAL — AARP OP: $319 COMMERICAL — ADMIN CONCEPTS IP: $319 COMMERICAL — ADMIN CONCEPTS OP: $319 COMMERICAL — AMFIRST IP: $319 COMMERICAL — AMFIRST OP: $319 COMMERICAL — BANKERS LIFE IP: $319 COMMERICAL — BANKERS LIFE OP: $319 COMMERICAL — CORESOURCE IP: $319 COMMERICAL — CORESOURCE OP: $319
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: 3D DIAG MAMMO BILATERAL	$319	$95.70	$88.54 – $319
Diagnostic mammogram, both breasts: 10 of 99 insurance plan rates COMMERICAL — AARP IP: $319 COMMERICAL — AARP OP: $319 COMMERICAL — ADMIN CONCEPTS IP: $319 COMMERICAL — ADMIN CONCEPTS OP: $319 COMMERICAL — AMFIRST IP: $319 COMMERICAL — AMFIRST OP: $319 COMMERICAL — BANKERS LIFE IP: $319 COMMERICAL — BANKERS LIFE OP: $319 COMMERICAL — CORESOURCE IP: $319 COMMERICAL — CORESOURCE OP: $319
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: DX MAMMO INCL CAD BI	$319	$95.70	$88.54 – $319
Diagnostic mammogram, both breasts: 10 of 60 insurance plan rates BLUE CROSS OF LOUISIANA — BLUE CROSS IP: $266.68 BLUE CROSS OF LOUISIANA — BLUE CROSS OP: $266.68 COMMERICAL — AMBETTER IP: $122.98 COMMERICAL — AMBETTER OP: $122.98 COMMERICAL — GULF SOUTH IP: $127.89 COMMERICAL — GULF SOUTH OP: $127.89 COMMERICAL — HUMANA COMM IP: $118.06 COMMERICAL — HUMANA COMM OP: $118.06 COMMERICAL — MCR WELLCARE IP: $98.38 COMMERICAL — MCR WELLCARE OP: $98.38
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · modifier TC In the file: DX MAMMO INCL CAD BI	$319	$95.70	$88.54 – $127.89
Diagnostic mammogram, both breasts: 10 of 58 insurance plan rates COMMERICAL — AMBETTER IP: $122.98 COMMERICAL — AMBETTER OP: $122.98 COMMERICAL — GULF SOUTH IP: $127.89 COMMERICAL — GULF SOUTH OP: $127.89 COMMERICAL — HUMANA COMM IP: $118.06 COMMERICAL — HUMANA COMM OP: $118.06 COMMERICAL — MCR WELLCARE IP: $98.38 COMMERICAL — MCR WELLCARE OP: $98.38 COMMERICAL — MERITAIN IP: $125.19 COMMERICAL — MERITAIN OP: $125.19
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: SCR MAMMO BI INCL CAD	$110	$33	$73.02 – $748
Screening mammogram, both breasts: 10 of 153 insurance plan rates BLUE CROSS OF LOUISIANA — BLUE CROSS IP: $221.23 BLUE CROSS OF LOUISIANA — BLUE CROSS OP: $221.23 COMMERICAL — AARP IP: $110 COMMERICAL — AARP OP: $110 COMMERICAL — ADMIN CONCEPTS IP: $110 COMMERICAL — ADMIN CONCEPTS OP: $110 COMMERICAL — AMBETTER IP: $101.41 COMMERICAL — AMBETTER OP: $101.41 COMMERICAL — AMFIRST IP: $110 COMMERICAL — AMFIRST OP: $110
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: SCRN MAMMO CAD BIL	$319	$95.70	$73.02 – $748
Screening mammogram, both breasts: 10 of 99 insurance plan rates COMMERICAL — AARP IP: $319 COMMERICAL — AARP OP: $319 COMMERICAL — ADMIN CONCEPTS IP: $319 COMMERICAL — ADMIN CONCEPTS OP: $319 COMMERICAL — AMFIRST IP: $319 COMMERICAL — AMFIRST OP: $319 COMMERICAL — BANKERS LIFE IP: $319 COMMERICAL — BANKERS LIFE OP: $319 COMMERICAL — CORESOURCE IP: $319 COMMERICAL — CORESOURCE OP: $319
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: 3D MAMMOGRAPHY SCREENING BILATERAL	$319	$95.70	$73.02 – $748
Screening mammogram, both breasts: 10 of 99 insurance plan rates COMMERICAL — AARP IP: $319 COMMERICAL — AARP OP: $319 COMMERICAL — ADMIN CONCEPTS IP: $319 COMMERICAL — ADMIN CONCEPTS OP: $319 COMMERICAL — AMFIRST IP: $319 COMMERICAL — AMFIRST OP: $319 COMMERICAL — BANKERS LIFE IP: $319 COMMERICAL — BANKERS LIFE OP: $319 COMMERICAL — CORESOURCE IP: $319 COMMERICAL — CORESOURCE OP: $319

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: THERAPEUTIC EXERCISE	$110	$33	$11 – $110
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 99 insurance plan rates COMMERICAL — AARP IP: $110 COMMERICAL — AARP OP: $110 COMMERICAL — ADMIN CONCEPTS IP: $110 COMMERICAL — ADMIN CONCEPTS OP: $110 COMMERICAL — AMFIRST IP: $110 COMMERICAL — AMFIRST OP: $110 COMMERICAL — BANKERS LIFE IP: $110 COMMERICAL — BANKERS LIFE OP: $110 COMMERICAL — CORESOURCE IP: $110 COMMERICAL — CORESOURCE OP: $110
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: THERAPEUTIC EXERCISES	$110	$33	$11 – $110
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 73 insurance plan rates BLUE CROSS OF LOUISIANA — BLUE CROSS IP: $74.98 BLUE CROSS OF LOUISIANA — BLUE CROSS OP: $74.98 COMMERICAL — AMBETTER IP: $34.51 COMMERICAL — AMBETTER OP: $34.51 COMMERICAL — GULF SOUTH IP: $35.89 COMMERICAL — GULF SOUTH OP: $35.89 COMMERICAL — HUMANA COMM IP: $33.13 COMMERICAL — HUMANA COMM OP: $33.13 COMMERICAL — MCR WELLCARE IP: $27.61 COMMERICAL — MCR WELLCARE OP: $27.61
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: PT EVALUATION INITIAL - LOW	$218	$65.40	$58.94 – $218
Physical therapy evaluation (low complexity): 10 of 99 insurance plan rates COMMERICAL — AARP IP: $218 COMMERICAL — AARP OP: $218 COMMERICAL — ADMIN CONCEPTS IP: $218 COMMERICAL — ADMIN CONCEPTS OP: $218 COMMERICAL — AMFIRST IP: $218 COMMERICAL — AMFIRST OP: $218 COMMERICAL — BANKERS LIFE IP: $218 COMMERICAL — BANKERS LIFE OP: $218 COMMERICAL — CORESOURCE IP: $218 COMMERICAL — CORESOURCE OP: $218
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: PT EVAL LOW COMPLEX 20 MIN	$218	$65.40	$58.94 – $218
Physical therapy evaluation (low complexity): 10 of 77 insurance plan rates BLUE CROSS OF LOUISIANA — BLUE CROSS IP: $208.64 BLUE CROSS OF LOUISIANA — BLUE CROSS OP: $208.64 COMMERICAL — AMBETTER IP: $116.26 COMMERICAL — AMBETTER OP: $116.26 COMMERICAL — GULF SOUTH IP: $120.91 COMMERICAL — GULF SOUTH OP: $120.91 COMMERICAL — HUMANA COMM IP: $111.61 COMMERICAL — HUMANA COMM OP: $111.61 COMMERICAL — MCR WELLCARE IP: $93.01 COMMERICAL — MCR WELLCARE OP: $93.01
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: PT EVALUATION INITIAL - MOD	$176	$52.80	$52.80 – $208.64
Physical therapy evaluation (moderate complexity): 10 of 99 insurance plan rates COMMERICAL — AARP IP: $176 COMMERICAL — AARP OP: $176 COMMERICAL — ADMIN CONCEPTS IP: $176 COMMERICAL — ADMIN CONCEPTS OP: $176 COMMERICAL — AMFIRST IP: $176 COMMERICAL — AMFIRST OP: $176 COMMERICAL — BANKERS LIFE IP: $176 COMMERICAL — BANKERS LIFE OP: $176 COMMERICAL — CORESOURCE IP: $176 COMMERICAL — CORESOURCE OP: $176
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: PT EVAL MOD COMPLEX 30 MIN	$176	$52.80	$52.80 – $208.64
Physical therapy evaluation (moderate complexity): 10 of 77 insurance plan rates BLUE CROSS OF LOUISIANA — BLUE CROSS IP: $208.64 BLUE CROSS OF LOUISIANA — BLUE CROSS OP: $208.64 COMMERICAL — AMBETTER IP: $116.26 COMMERICAL — AMBETTER OP: $116.26 COMMERICAL — GULF SOUTH IP: $120.91 COMMERICAL — GULF SOUTH OP: $120.91 COMMERICAL — HUMANA COMM IP: $111.61 COMMERICAL — HUMANA COMM OP: $111.61 COMMERICAL — MCR WELLCARE IP: $93.01 COMMERICAL — MCR WELLCARE OP: $93.01
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: PT EVALUATION INITIAL - HIGH	$198	$59.40	$58.94 – $208.64
Physical therapy evaluation (high complexity): 10 of 99 insurance plan rates COMMERICAL — AARP IP: $198 COMMERICAL — AARP OP: $198 COMMERICAL — ADMIN CONCEPTS IP: $198 COMMERICAL — ADMIN CONCEPTS OP: $198 COMMERICAL — AMFIRST IP: $198 COMMERICAL — AMFIRST OP: $198 COMMERICAL — BANKERS LIFE IP: $198 COMMERICAL — BANKERS LIFE OP: $198 COMMERICAL — CORESOURCE IP: $198 COMMERICAL — CORESOURCE OP: $198
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: PT EVAL HIGH COMPLEX 45 MIN	$198	$59.40	$58.94 – $208.64
Physical therapy evaluation (high complexity): 10 of 77 insurance plan rates BLUE CROSS OF LOUISIANA — BLUE CROSS IP: $208.64 BLUE CROSS OF LOUISIANA — BLUE CROSS OP: $208.64 COMMERICAL — AMBETTER IP: $116.26 COMMERICAL — AMBETTER OP: $116.26 COMMERICAL — GULF SOUTH IP: $120.91 COMMERICAL — GULF SOUTH OP: $120.91 COMMERICAL — HUMANA COMM IP: $111.61 COMMERICAL — HUMANA COMM OP: $111.61 COMMERICAL — MCR WELLCARE IP: $93.01 COMMERICAL — MCR WELLCARE OP: $93.01
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: IOP GROUP THERAPY	$330	$99	$92.93 – $330.20
Psychotherapy, 45 minutes: 10 of 99 insurance plan rates COMMERICAL — AARP IP: $330 COMMERICAL — AARP OP: $330 COMMERICAL — ADMIN CONCEPTS IP: $330 COMMERICAL — ADMIN CONCEPTS OP: $330 COMMERICAL — AMFIRST IP: $330 COMMERICAL — AMFIRST OP: $330 COMMERICAL — BANKERS LIFE IP: $330 COMMERICAL — BANKERS LIFE OP: $330 COMMERICAL — CORESOURCE IP: $330 COMMERICAL — CORESOURCE OP: $330
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: PSYTX W PT 45 MINUTES	$330	$99	$92.93 – $330.20
Psychotherapy, 45 minutes: rates for 8 insurance plans BLUE CROSS OF LOUISIANA — BLUE CROSS IP: $330.20 BLUE CROSS OF LOUISIANA — BLUE CROSS OP: $330.20 COMMERICAL — MERITAIN IP: $92.93 COMMERICAL — MERITAIN OP: $92.93 MANAGED CARE — AETNA IP: $92.93 MANAGED CARE — AETNA OP: $92.93 MANAGED CARE — WEB TPA IP: $92.93 MANAGED CARE — WEB TPA OP: $92.93

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: EGD	$774	$232.20	$187.40 – $1,975.57
Upper GI endoscopy (diagnostic): 10 of 99 insurance plan rates COMMERICAL — AARP IP: $774 COMMERICAL — AARP OP: $774 COMMERICAL — ADMIN CONCEPTS IP: $774 COMMERICAL — ADMIN CONCEPTS OP: $774 COMMERICAL — AMFIRST IP: $774 COMMERICAL — AMFIRST OP: $774 COMMERICAL — BANKERS LIFE IP: $774 COMMERICAL — BANKERS LIFE OP: $774 COMMERICAL — CORESOURCE IP: $774 COMMERICAL — CORESOURCE OP: $774
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: EGD DIAGNOSTIC BRUSH WASH	$774	$232.20	$187.40 – $1,975.57
Upper GI endoscopy (diagnostic): 10 of 69 insurance plan rates BLUE CROSS OF LOUISIANA — BLUE CROSS IP: $1,975.57 BLUE CROSS OF LOUISIANA — BLUE CROSS OP: $1,975.57 COMMERICAL — GULF SOUTH IP: $268.22 COMMERICAL — GULF SOUTH OP: $268.22 COMMERICAL — MCR WELLCARE IP: $268.22 COMMERICAL — MCR WELLCARE OP: $268.22 COMMERICAL — MERITAIN IP: $1,300 COMMERICAL — MERITAIN OP: $1,300 MANAGED CARE — AETNA IP: $1,300 MANAGED CARE — AETNA OP: $1,300
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · modifier AA In the file: EGD DIAGNOSTIC BRUSH WASH	$774	$232.20	$268.22
Upper GI endoscopy (diagnostic): 10 of 44 insurance plan rates COMMERICAL — GULF SOUTH IP: $268.22 COMMERICAL — GULF SOUTH OP: $268.22 COMMERICAL — MCR WELLCARE IP: $268.22 COMMERICAL — MCR WELLCARE OP: $268.22 MCR MANAGED CARE — DEACTIVATE VANTAGE: $268.22 MCR MANAGED CARE — MCR AETNA IP: $268.22 MCR MANAGED CARE — MCR AETNA OP: $268.22 MCR MANAGED CARE — MCR BCBS IP: $268.22 MCR MANAGED CARE — MCR BCBS OP: $268.22 MCR MANAGED CARE — MCR DIGNITY HEALTH OP: $268.22
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: EGD W/COLD BIOPSY	$1,008	$302.40	$211.18 – $1,975.57
Upper GI endoscopy with biopsy: 10 of 99 insurance plan rates COMMERICAL — AARP IP: $1,008 COMMERICAL — AARP OP: $1,008 COMMERICAL — ADMIN CONCEPTS IP: $1,008 COMMERICAL — ADMIN CONCEPTS OP: $1,008 COMMERICAL — AMFIRST IP: $1,008 COMMERICAL — AMFIRST OP: $1,008 COMMERICAL — BANKERS LIFE IP: $1,008 COMMERICAL — BANKERS LIFE OP: $1,008 COMMERICAL — CORESOURCE IP: $1,008 COMMERICAL — CORESOURCE OP: $1,008
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: EGD BIOPSY SINGLE/MULTIPLE	$1,008	$302.40	$211.18 – $1,975.57
Upper GI endoscopy with biopsy: 10 of 69 insurance plan rates BLUE CROSS OF LOUISIANA — BLUE CROSS IP: $1,975.57 BLUE CROSS OF LOUISIANA — BLUE CROSS OP: $1,975.57 COMMERICAL — GULF SOUTH IP: $349.31 COMMERICAL — GULF SOUTH OP: $349.31 COMMERICAL — MCR WELLCARE IP: $349.31 COMMERICAL — MCR WELLCARE OP: $349.31 COMMERICAL — MERITAIN IP: $1,520 COMMERICAL — MERITAIN OP: $1,520 MANAGED CARE — AETNA IP: $1,520 MANAGED CARE — AETNA OP: $1,520
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · modifier AA In the file: EGD BIOPSY SINGLE/MULTIPLE	$1,008	$302.40	$349.31
Upper GI endoscopy with biopsy: 10 of 44 insurance plan rates COMMERICAL — GULF SOUTH IP: $349.31 COMMERICAL — GULF SOUTH OP: $349.31 COMMERICAL — MCR WELLCARE IP: $349.31 COMMERICAL — MCR WELLCARE OP: $349.31 MCR MANAGED CARE — DEACTIVATE VANTAGE: $349.31 MCR MANAGED CARE — MCR AETNA IP: $349.31 MCR MANAGED CARE — MCR AETNA OP: $349.31 MCR MANAGED CARE — MCR BCBS IP: $349.31 MCR MANAGED CARE — MCR BCBS OP: $349.31 MCR MANAGED CARE — MCR DIGNITY HEALTH OP: $349.31
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: SCREENG COLONOSCOPY	$925	$277.50	$244.11 – $1,920.17
Colonoscopy (diagnostic): 10 of 99 insurance plan rates COMMERICAL — AARP IP: $925 COMMERICAL — AARP OP: $925 COMMERICAL — ADMIN CONCEPTS IP: $925 COMMERICAL — ADMIN CONCEPTS OP: $925 COMMERICAL — AMFIRST IP: $925 COMMERICAL — AMFIRST OP: $925 COMMERICAL — BANKERS LIFE IP: $925 COMMERICAL — BANKERS LIFE OP: $925 COMMERICAL — CORESOURCE IP: $925 COMMERICAL — CORESOURCE OP: $925
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: DIAGNOSTIC COLONOSCOPY	$3,870	$1,161	$244.11 – $1,920.17
Colonoscopy (diagnostic): 10 of 69 insurance plan rates BLUE CROSS OF LOUISIANA — BLUE CROSS IP: $1,920.17 BLUE CROSS OF LOUISIANA — BLUE CROSS OP: $1,920.17 COMMERICAL — GULF SOUTH IP: $320 COMMERICAL — GULF SOUTH OP: $320 COMMERICAL — MCR WELLCARE IP: $320 COMMERICAL — MCR WELLCARE OP: $320 COMMERICAL — MERITAIN IP: $1,520 COMMERICAL — MERITAIN OP: $1,520 MANAGED CARE — AETNA IP: $1,520 MANAGED CARE — AETNA OP: $1,520
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · modifier 53 In the file: DIAGNOSTIC COLONOSCOPY	$925	$277.50	$142.45 – $159.85
Colonoscopy (diagnostic): 10 of 50 insurance plan rates COMMERICAL — GULF SOUTH IP: $159.85 COMMERICAL — GULF SOUTH OP: $159.85 COMMERICAL — MCR WELLCARE IP: $159.85 COMMERICAL — MCR WELLCARE OP: $159.85 COMMERICAL — MERITAIN IP: $142.45 COMMERICAL — MERITAIN OP: $142.45 MANAGED CARE — AETNA IP: $142.45 MANAGED CARE — AETNA OP: $142.45 MANAGED CARE — WEB TPA IP: $142.45 MANAGED CARE — WEB TPA OP: $142.45
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: PRO FEE COLONOSCOPY	$1,171	$351.30	$293.02 – $2,524.31
Colonoscopy with biopsy: 10 of 99 insurance plan rates COMMERICAL — AARP IP: $1,171 COMMERICAL — AARP OP: $1,171 COMMERICAL — ADMIN CONCEPTS IP: $1,171 COMMERICAL — ADMIN CONCEPTS OP: $1,171 COMMERICAL — AMFIRST IP: $1,171 COMMERICAL — AMFIRST OP: $1,171 COMMERICAL — BANKERS LIFE IP: $1,171 COMMERICAL — BANKERS LIFE OP: $1,171 COMMERICAL — CORESOURCE IP: $1,171 COMMERICAL — CORESOURCE OP: $1,171
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: COLONOSCOPY AND BIOPSY	$1,171	$351.30	$293.02 – $2,524.31
Colonoscopy with biopsy: 10 of 69 insurance plan rates BLUE CROSS OF LOUISIANA — BLUE CROSS IP: $2,524.31 BLUE CROSS OF LOUISIANA — BLUE CROSS OP: $2,524.31 COMMERICAL — GULF SOUTH IP: $406.05 COMMERICAL — GULF SOUTH OP: $406.05 COMMERICAL — MCR WELLCARE IP: $406.05 COMMERICAL — MCR WELLCARE OP: $406.05 COMMERICAL — MERITAIN IP: $1,520 COMMERICAL — MERITAIN OP: $1,520 MANAGED CARE — AETNA IP: $1,520 MANAGED CARE — AETNA OP: $1,520
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · modifier AA In the file: COLONOSCOPY AND BIOPSY	$1,171	$351.30	$406.05
Colonoscopy with biopsy: 10 of 44 insurance plan rates COMMERICAL — GULF SOUTH IP: $406.05 COMMERICAL — GULF SOUTH OP: $406.05 COMMERICAL — MCR WELLCARE IP: $406.05 COMMERICAL — MCR WELLCARE OP: $406.05 MCR MANAGED CARE — DEACTIVATE VANTAGE: $406.05 MCR MANAGED CARE — MCR AETNA IP: $406.05 MCR MANAGED CARE — MCR AETNA OP: $406.05 MCR MANAGED CARE — MCR BCBS IP: $406.05 MCR MANAGED CARE — MCR BCBS OP: $406.05 MCR MANAGED CARE — MCR DIGNITY HEALTH OP: $406.05
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: COLONOSCOPY RML LESI	$1,236	$370.80	$331.45 – $2,524.31
Colonoscopy with removal of polyps (snare): 10 of 99 insurance plan rates COMMERICAL — AARP IP: $1,236 COMMERICAL — AARP OP: $1,236 COMMERICAL — ADMIN CONCEPTS IP: $1,236 COMMERICAL — ADMIN CONCEPTS OP: $1,236 COMMERICAL — AMFIRST IP: $1,236 COMMERICAL — AMFIRST OP: $1,236 COMMERICAL — BANKERS LIFE IP: $1,236 COMMERICAL — BANKERS LIFE OP: $1,236 COMMERICAL — CORESOURCE IP: $1,236 COMMERICAL — CORESOURCE OP: $1,236
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: COLONOSCOPY W/LESION REMOVAL	$1,236	$370.80	$331.45 – $2,524.31
Colonoscopy with removal of polyps (snare): 10 of 69 insurance plan rates BLUE CROSS OF LOUISIANA — BLUE CROSS IP: $2,524.31 BLUE CROSS OF LOUISIANA — BLUE CROSS OP: $2,524.31 COMMERICAL — GULF SOUTH IP: $428.21 COMMERICAL — GULF SOUTH OP: $428.21 COMMERICAL — MCR WELLCARE IP: $428.21 COMMERICAL — MCR WELLCARE OP: $428.21 COMMERICAL — MERITAIN IP: $1,520 COMMERICAL — MERITAIN OP: $1,520 MANAGED CARE — AETNA IP: $1,520 MANAGED CARE — AETNA OP: $1,520
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · modifier AA In the file: COLONOSCOPY W/LESION REMOVAL	$1,236	$370.80	$428.21
Colonoscopy with removal of polyps (snare): 10 of 44 insurance plan rates COMMERICAL — GULF SOUTH IP: $428.21 COMMERICAL — GULF SOUTH OP: $428.21 COMMERICAL — MCR WELLCARE IP: $428.21 COMMERICAL — MCR WELLCARE OP: $428.21 MCR MANAGED CARE — DEACTIVATE VANTAGE: $428.21 MCR MANAGED CARE — MCR AETNA IP: $428.21 MCR MANAGED CARE — MCR AETNA OP: $428.21 MCR MANAGED CARE — MCR BCBS IP: $428.21 MCR MANAGED CARE — MCR BCBS OP: $428.21 MCR MANAGED CARE — MCR DIGNITY HEALTH OP: $428.21
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient In the file: LAP CHOLESYSTECTOMY	$1,873	$561.90	$455.38 – $12,150.50
Gallbladder removal by laparoscope: 10 of 99 insurance plan rates COMMERICAL — AARP IP: $1,873 COMMERICAL — AARP OP: $1,873 COMMERICAL — ADMIN CONCEPTS IP: $1,873 COMMERICAL — ADMIN CONCEPTS OP: $1,873 COMMERICAL — AMFIRST IP: $1,873 COMMERICAL — AMFIRST OP: $1,873 COMMERICAL — BANKERS LIFE IP: $1,873 COMMERICAL — BANKERS LIFE OP: $1,873 COMMERICAL — CORESOURCE IP: $1,873 COMMERICAL — CORESOURCE OP: $1,873
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient In the file: LAP INC HERNIA REPAI	$1,873	$561.90	$455.38 – $12,150.50
Gallbladder removal by laparoscope: 10 of 99 insurance plan rates COMMERICAL — AARP IP: $1,873 COMMERICAL — AARP OP: $1,873 COMMERICAL — ADMIN CONCEPTS IP: $1,873 COMMERICAL — ADMIN CONCEPTS OP: $1,873 COMMERICAL — AMFIRST IP: $1,873 COMMERICAL — AMFIRST OP: $1,873 COMMERICAL — BANKERS LIFE IP: $1,873 COMMERICAL — BANKERS LIFE OP: $1,873 COMMERICAL — CORESOURCE IP: $1,873 COMMERICAL — CORESOURCE OP: $1,873
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient In the file: LAPAROSCOPIC CHOLECYSTECTOMY	$1,873	$561.90	$455.38 – $12,150.50
Gallbladder removal by laparoscope: 10 of 69 insurance plan rates BLUE CROSS OF LOUISIANA — BLUE CROSS IP: $12,150.50 BLUE CROSS OF LOUISIANA — BLUE CROSS OP: $12,150.50 COMMERICAL — GULF SOUTH IP: $653.82 COMMERICAL — GULF SOUTH OP: $653.82 COMMERICAL — MCR WELLCARE IP: $653.82 COMMERICAL — MCR WELLCARE OP: $653.82 COMMERICAL — MERITAIN IP: $3,500 COMMERICAL — MERITAIN OP: $3,500 MANAGED CARE — AETNA IP: $3,500 MANAGED CARE — AETNA OP: $3,500
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient In the file: ING HERNIA REPAIR	$1,483	$444.90	$316.87 – $7,815.95
Groin (inguinal) hernia repair, age 5 or older: 10 of 99 insurance plan rates COMMERICAL — AARP IP: $1,483 COMMERICAL — AARP OP: $1,483 COMMERICAL — ADMIN CONCEPTS IP: $1,483 COMMERICAL — ADMIN CONCEPTS OP: $1,483 COMMERICAL — AMFIRST IP: $1,483 COMMERICAL — AMFIRST OP: $1,483 COMMERICAL — BANKERS LIFE IP: $1,483 COMMERICAL — BANKERS LIFE OP: $1,483 COMMERICAL — CORESOURCE IP: $1,483 COMMERICAL — CORESOURCE OP: $1,483
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient In the file: PRP I/HERN INIT REDUC >5 YR	$1,483	$444.90	$316.87 – $7,815.95
Groin (inguinal) hernia repair, age 5 or older: 10 of 69 insurance plan rates BLUE CROSS OF LOUISIANA — BLUE CROSS IP: $7,815.95 BLUE CROSS OF LOUISIANA — BLUE CROSS OP: $7,815.95 COMMERICAL — GULF SOUTH IP: $517.69 COMMERICAL — GULF SOUTH OP: $517.69 COMMERICAL — MCR WELLCARE IP: $517.69 COMMERICAL — MCR WELLCARE OP: $517.69 COMMERICAL — MERITAIN IP: $3,005 COMMERICAL — MERITAIN OP: $3,005 MANAGED CARE — AETNA IP: $3,005 MANAGED CARE — AETNA OP: $3,005
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · modifier AA In the file: PRP I/HERN INIT REDUC >5 YR	$1,483	$444.90	$517.69
Groin (inguinal) hernia repair, age 5 or older: 10 of 44 insurance plan rates COMMERICAL — GULF SOUTH IP: $517.69 COMMERICAL — GULF SOUTH OP: $517.69 COMMERICAL — MCR WELLCARE IP: $517.69 COMMERICAL — MCR WELLCARE OP: $517.69 MCR MANAGED CARE — DEACTIVATE VANTAGE: $517.69 MCR MANAGED CARE — MCR AETNA IP: $517.69 MCR MANAGED CARE — MCR AETNA OP: $517.69 MCR MANAGED CARE — MCR BCBS IP: $517.69 MCR MANAGED CARE — MCR BCBS OP: $517.69 MCR MANAGED CARE — MCR DIGNITY HEALTH OP: $517.69

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient or outpatient In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCE	Not listed in the file	Not listed in the file	$58,038.77 – $87,058.16
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 58 insurance plan rates COMMERICAL — AMBETTER IP: $87,058.16 COMMERICAL — AMBETTER OP: $87,058.16 COMMERICAL — GULF SOUTH IP: $64,487.53 COMMERICAL — GULF SOUTH OP: $64,487.53 COMMERICAL — HUMANA COMM IP: $77,385.03 COMMERICAL — HUMANA COMM OP: $77,385.03 COMMERICAL — MCR WELLCARE IP: $64,487.53 COMMERICAL — MCR WELLCARE OP: $64,487.53 COMMERICAL — MERITAIN IP: $60,995.76 COMMERICAL — MERITAIN OP: $60,995.76
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient or outpatient In the file: CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD	Not listed in the file	Not listed in the file	$858.32 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,144.42
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 50 insurance plan rates COMMERICAL — GULF SOUTH IP: $953.69 COMMERICAL — GULF SOUTH OP: $953.69 COMMERICAL — HUMANA COMM IP: $1,144.42 COMMERICAL — HUMANA COMM OP: $1,144.42 COMMERICAL — MCR WELLCARE IP: $953.69 COMMERICAL — MCR WELLCARE OP: $953.69 COMMERICAL — UMR IP: $944.15 COMMERICAL — UMR OP: $944.15 MANAGED CARE — UHC COMM IP: $944.15 MANAGED CARE — UHC COMM OP: $944.15
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient or outpatient In the file: SPINAL FUSION EXCEPT CERVICAL W/O MCC	Not listed in the file	Not listed in the file	$858.32 – $1,144.42
Spinal fusion (not neck), without major complications: 10 of 50 insurance plan rates COMMERICAL — GULF SOUTH IP: $953.69 COMMERICAL — GULF SOUTH OP: $953.69 COMMERICAL — HUMANA COMM IP: $1,144.42 COMMERICAL — HUMANA COMM OP: $1,144.42 COMMERICAL — MCR WELLCARE IP: $953.69 COMMERICAL — MCR WELLCARE OP: $953.69 COMMERICAL — UMR IP: $944.15 COMMERICAL — UMR OP: $944.15 MANAGED CARE — UHC COMM IP: $944.15 MANAGED CARE — UHC COMM OP: $944.15
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient or outpatient In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	Not listed in the file	Not listed in the file	$21,701.35 – $32,552.03
Spinal fusion (not neck), without major complications: 10 of 48 insurance plan rates COMMERICAL — AMBETTER IP: $32,552.03 COMMERICAL — AMBETTER OP: $32,552.03 COMMERICAL — GULF SOUTH IP: $24,112.62 COMMERICAL — GULF SOUTH OP: $24,112.62 COMMERICAL — HUMANA COMM IP: $28,935.14 COMMERICAL — HUMANA COMM OP: $28,935.14 COMMERICAL — MCR WELLCARE IP: $24,112.62 COMMERICAL — MCR WELLCARE OP: $24,112.62 MCR MANAGED CARE — DEACTIVATE VANTAGE: $24,112.62 MCR MANAGED CARE — MCR AETNA IP: $24,112.62
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient or outpatient In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHME	Not listed in the file	Not listed in the file	$11,443.65 – $17,165.47
Hip or knee replacement (major joint of the leg), without major complications: 10 of 58 insurance plan rates COMMERICAL — AMBETTER IP: $17,165.47 COMMERICAL — AMBETTER OP: $17,165.47 COMMERICAL — GULF SOUTH IP: $12,715.17 COMMERICAL — GULF SOUTH OP: $12,715.17 COMMERICAL — HUMANA COMM IP: $15,258.20 COMMERICAL — HUMANA COMM OP: $15,258.20 COMMERICAL — MCR WELLCARE IP: $12,715.17 COMMERICAL — MCR WELLCARE OP: $12,715.17 COMMERICAL — MERITAIN IP: $12,026.69 COMMERICAL — MERITAIN OP: $12,026.69
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient or outpatient In the file: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER E	Not listed in the file	Not listed in the file	$858.32 – $1,144.42
Hip or knee replacement (major joint of the leg), without major complications: 10 of 50 insurance plan rates COMMERICAL — GULF SOUTH IP: $953.69 COMMERICAL — GULF SOUTH OP: $953.69 COMMERICAL — HUMANA COMM IP: $1,144.42 COMMERICAL — HUMANA COMM OP: $1,144.42 COMMERICAL — MCR WELLCARE IP: $953.69 COMMERICAL — MCR WELLCARE OP: $953.69 COMMERICAL — UMR IP: $944.15 COMMERICAL — UMR OP: $944.15 MANAGED CARE — UHC COMM IP: $944.15 MANAGED CARE — UHC COMM OP: $944.15
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient or outpatient In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$14,483.58 – $21,725.37
Neck (cervical) spinal fusion, without complications: 10 of 58 insurance plan rates COMMERICAL — AMBETTER IP: $21,725.37 COMMERICAL — AMBETTER OP: $21,725.37 COMMERICAL — GULF SOUTH IP: $16,092.87 COMMERICAL — GULF SOUTH OP: $16,092.87 COMMERICAL — HUMANA COMM IP: $19,311.44 COMMERICAL — HUMANA COMM OP: $19,311.44 COMMERICAL — MCR WELLCARE IP: $16,092.87 COMMERICAL — MCR WELLCARE OP: $16,092.87 COMMERICAL — MERITAIN IP: $15,221.51 COMMERICAL — MERITAIN OP: $15,221.51
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient or outpatient In the file: CERVICAL SPINAL FUSION W/O CC/MCC	Not listed in the file	Not listed in the file	$858.32 – $1,144.42
Neck (cervical) spinal fusion, without complications: 10 of 50 insurance plan rates COMMERICAL — GULF SOUTH IP: $953.69 COMMERICAL — GULF SOUTH OP: $953.69 COMMERICAL — HUMANA COMM IP: $1,144.42 COMMERICAL — HUMANA COMM OP: $1,144.42 COMMERICAL — MCR WELLCARE IP: $953.69 COMMERICAL — MCR WELLCARE OP: $953.69 COMMERICAL — UMR IP: $944.15 COMMERICAL — UMR OP: $944.15 MANAGED CARE — UHC COMM IP: $944.15 MANAGED CARE — UHC COMM OP: $944.15
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient or outpatient In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY W	Not listed in the file	Not listed in the file	$7,360.74 – $11,041.11
Uterus and ovary surgery (not for cancer), without complications: 10 of 58 insurance plan rates COMMERICAL — AMBETTER IP: $11,041.11 COMMERICAL — AMBETTER OP: $11,041.11 COMMERICAL — GULF SOUTH IP: $8,178.60 COMMERICAL — GULF SOUTH OP: $8,178.60 COMMERICAL — HUMANA COMM IP: $9,814.32 COMMERICAL — HUMANA COMM OP: $9,814.32 COMMERICAL — MCR WELLCARE IP: $8,178.60 COMMERICAL — MCR WELLCARE OP: $8,178.60 COMMERICAL — MERITAIN IP: $7,735.76 COMMERICAL — MERITAIN OP: $7,735.76
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient or outpatient In the file: UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MC	Not listed in the file	Not listed in the file	$858.32 – $1,144.42
Uterus and ovary surgery (not for cancer), without complications: 10 of 50 insurance plan rates COMMERICAL — GULF SOUTH IP: $953.69 COMMERICAL — GULF SOUTH OP: $953.69 COMMERICAL — HUMANA COMM IP: $1,144.42 COMMERICAL — HUMANA COMM OP: $1,144.42 COMMERICAL — MCR WELLCARE IP: $953.69 COMMERICAL — MCR WELLCARE OP: $953.69 COMMERICAL — UMR IP: $944.15 COMMERICAL — UMR OP: $944.15 MANAGED CARE — UHC COMM IP: $944.15 MANAGED CARE — UHC COMM OP: $944.15

Source: Sabine Medical Center’s standard charges file (sabinemedicalcenter.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on June 19, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	240 Highland Drive, Many, LA 71449
Parish	Sabine Parish
State	Louisiana
Phone	(318) 256‑1232
Emergency services	Yes
Ownership	Proprietary
Medicare overall rating	Not rated by CMS
CMS Certification Number	190218
Name in Medicare records	SABINE MEDICAL CENTER
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(318) 256‑5691^[4][6]
Official website	sabinemedicalcenter.net
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Sabine Medical Center — sabinemedicalcenter.net
Services — sabinemedicalcenter.net
Visiting Policies — sabinemedicalcenter.net
Emergency Services | Sabine Medical Center | Medical & Surgical Services: Many, LA — sabinemedicalcenter.net
Diagnostic Imaging | Sabine Medical Center | Medical & Surgical Services: Many, LA — sabinemedicalcenter.net
Outpatient Services | Sabine Medical Center | Medical & Surgical Services: Many, LA — sabinemedicalcenter.net
Surgical Services | Sabine Medical Center | Medical & Surgical Services: Many, LA — sabinemedicalcenter.net
Eligibility Services | Sabine Medical Center | Medical & Surgical Services: Many, LA — sabinemedicalcenter.net
Medical Services | Sabine Medical Center | Medical & Surgical Services: Many, LA — sabinemedicalcenter.net
Patient Rights and Responsibilities | Sabine Medical Center | Medical & Surgical Services: Many, LA — sabinemedicalcenter.net
Contact Us | Sabine Medical Center | Medical & Surgical Services: Many, LA — sabinemedicalcenter.net

Sabine Medical Center

Summary

Profile from official sources

At a glance