Visits & medical services prices at Lafayette Surgical Specialty Hospital

Lafayette, LA · every code in this section with a posted price and a Medicare benchmark.

44 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $273 $273 1.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $183 $183 0.5×
Cpap initiation and management (94660) $270 $270 1.4×
Cpt initial (94667) $160 $160 1.3×
Demo &/or eval,pt use,aerosol device (94664) $273 $273 1.4×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,143 $1,143 5.3×
Dup-scan xtr veins unilateral/limited study (93971) $857 $857 9.1×
Duplex scan extracranial art compl bi study (93880) $1,585 $1,585 7.3×
EEG awake asleep (95819) $1,006 $1,006 5.1×
EKG (93005) $264 $264 4.9×
Maintenance of spinal canal or brain drug infusion pump (95990) $623 $623 2.1×
Manual therapy 15 min (97140) $35 $35 1.3×
Massage 15 min (97124) $153 $153 5.1×
Methacholine challenge (94070) $4,101 $4,101 12.1×
Neurological procedure unlisted (95999) $178 $178 1.5×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $113 $113 1.0×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $92.50 $92.50 2.0×
Ot eval high complex 60 min (97167) $307 $307 3.1×
Ot eval low complex 30 min (97165) $188 $188 1.9×
Ot eval mod complex 45 min (97166) $245.50 $245.50 2.4×
Ot Prosthetic Training, Each 15 Min (97761) $92.50 $92.50 2.3×
Pt eval high complex 45 min (97163) $257 $257 2.6×
Pt eval low complex 20 min (97161) $159 $159 1.6×
Pt Gait Training Therapy (97116) $97 $97 3.3×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $198 $198 6.0×
Pt Physical Performance Test (97750) $198 $198 5.9×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $246 $246 2.5×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $114 $114 3.5×
Pt Ultrasound Therapy (97035) $86 $86 6.0×
Pt Whirlpool Therapy (97022) $102 $102 6.5×
Refill/Maint Pump/Resvr Syst (96522) $623 $623 3.2×
Refill/maint, portable pump (96521) $621.50 $621.50 3.2×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $458.50 $458.50 1.6×
Rt Chest Wall Manipulation,Subsequent (94668) $160 $160 1.3×
Spirometry (94010) $351 $351 1.8×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $168 $168 7.5×
Therapeutic Activities (97530) $105 $105 3.0×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $1,275 $1,275 5.9×
Unlisted pulmonary service/procedure (94799) $350 $350 3.0×
Vasc Duplex Extrem Venous,Bilat (93970) $1,297 $1,297 6.0×
Vasopneumatic device (97016) $47 $47 3.9×
Ventilation assist & mgmt inpatient 1st day (94002) $2,598 $2,598 4.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $2,598 $2,598 4.6×
Wheelchair Mgmt Ea 15 Min (97542) $92.50 $92.50 3.0×