Visits & medical services prices at Lake Charles Memorial Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Ablation av node (93650)
unusually low: confirm this is the full procedure
$2,748.24 $4,580.40 0.4×
Advance care planning first 30 mins (99497) $164.40 $274 1.7×
Airway inhalation treatment (94640) $298.80 $498 1.5×
Appl on-body injector for timed subq injection (96377) $156.60 $261 3.6×
Assessment of aphasia (96105) $73.20 $122 0.8×
Behavioral and qualitative analysis of voice and resonance (92524) $97.45 $162.41 0.9×
Bfb training 1st 15 min (90912) $114 $190 1.4×
Bfb training ea addl 15 min (90913) $47.40 $79 1.4×
Biofeedback training any modality (90901) $58.86 $98.10 1.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $411 $685 1.2×
Canalith Repositioning (95992) $59.94 $99.90 1.5×
Cardiac Stress Tst,Tracing Only (93017) $439.21 $732.02 2.2×
Cardiopulmonary exercise testing (94621) $707.62 $1,179.36 2.0×
Cardiopulmonary resuscitation (92950) $411 $685 2.1×
Cardioversion (92960) $871.20 $1,452 1.4×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $4,573.54 $7,622.56 1.5×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $5,047.80 $8,413 1.7×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $6,965.40 $11,609 2.3×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $6,965.40 $11,609 2.3×
Cbt 1st hour (94644) $177 $295 1.4×
Chemo Hormon Antineopl Sq/Im (96402) $103.14 $171.90 1.5×
Chemo IV push addl drug (96411) $103.14 $171.90 1.5×
Chemo Iv Push Sngl Drug (96409) $226.32 $377.20 0.7×
Chemo prolong 8+ hrs infuse w/pump (96416) $371.78 $619.64 1.2×
Chemother, IV infusion, 1 hr (96413) $431.63 $719.38 1.4×
Chemother, IV infusion, ea add hr (96415) $50.70 $84.50 0.8×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $103.14 $171.90 1.5×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $176.88 $294.80 2.6×
Circadian respiratry pattern rec 12-24 hr infant (94772) $326.59 $544.32 0.9×
Color/duplex Doppler, limited (93976) $313.37 $522.28 3.2×
Computerized dynamic posturography (92548) $139.59 $232.65 1.1×
Cont Gluc Monitoring Patient Provided Equipment (95249) $102.60 $171 1.9×
Coronary artery angio s&i (93454) $4,629 $7,715 1.5×
Cpap initiation and management (94660) $1,448.96 $2,414.94 7.1×
Cpt initial (94667) $177 $295 1.4×
Critical care (99291) $999 $1,665 1.3×
Debridement Open Wound 20 Sq Cm< (97597) $151.46 $252.44 0.8×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $452.50 $754.16 2.0×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $284.88 $474.80 2.9×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $411.36 $685.60 1.9×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $313.37 $522.28 3.2×
Dup-scan xtr veins unilateral/limited study (93971) $257.48 $429.14 2.7×
Duplex scan extracranial art compl bi study (93880) $413.64 $689.40 1.9×
Echo Heart Xthoracic,Limited (93308) $378.60 $631 1.7×
Echo transesophageal (93312) $844.13 $1,406.88 1.7×
EEG awake asleep (95819) $411 $685 2.1×
EEG awake drowsy (95816) $411 $685 2.1×
EEG cerebral death evaluation (95824) $788.40 $1,314 2.3×
EEG cont rec w/video by tech min 8 channels (95700) $342.53 $570.88 1.7×
Eeg Extended Monitoring 61-119 Minutes (95813) $541.08 $901.80 2.7×
EEG w/o vid by tech ea incr 12-26 hr intmt mntr (95709) $657.18 $1,095.30 1.9×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $342.53 $570.88 1.7×
EKG (93005) $241.76 $402.93 4.4×
EKG rhythm strip (93041) $34.50 $57.50 0.6×
Ekg Signal Averaging (93278) $156.68 $261.12 2.9×
Ep & ablate supravent arrhyt (93653) $18,440.40 $30,734 0.8×
Ep & ablate ventric tachy (93654)
unusually low: confirm this is the full procedure
$12,000 $20,000 0.5×
Ep Compre Electrophysiologic Arrhythmia Induction (93620)
unusually low: confirm this is the full procedure
$2,509.80 $4,183 0.3×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $855.58 $1,425.96 0.8×
Er level 1 (99281) $174 $290 2.2×
Er level ii (99282) $315 $525 2.2×
Er level iii (99283) $555 $925 2.2×
Er level IV (99284) $900 $1,500 2.3×
Er level v (99285) $1,320 $2,200 2.4×
Evaluation of speech fluency (92521) $109.24 $182.07 0.8×
Evaluation of speech sound production (92522) $163.20 $272 1.5×
Evaluation of swallowing function (92610) $132 $220 1.6×
Evaluation with prescription of speech-generating alternative (92607) $86.40 $144 0.7×
Exhaled Air Analysis (94690) $65.28 $108.80 1.2×
External Ecg Scanning Analysis Report (93226) $343.96 $573.27 6.3×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $97.20 $162 0.5×
Group Therapeutic Procedures (97150) $34.29 $57.15 1.9×
Health Behavior Assessment/Re-Assessment (96156) $113.53 $189.22 1.2×
Health behavior ivntj fam w/pt f2f 1st 30 min (96167) $37.41 $62.35 1.1×
Health behavior ivntj group f2f 1st 30 min (96164) $37.41 $62.35 1.1×
Health behavior ivntj indiv f2f 1st 30 min (96158) $107.53 $179.22 0.7×
Holter Monitor Recording (93225) $127.16 $211.92 1.0×
Icd Device Interrogate (93289) $35.46 $59.10 1.0×
Immunization Admin (90471) $64.42 $107.36 1.0×
Inhlj Brncl Challenge Tstg W/Histamine/Methachol (95070) $788.40 $1,314 2.3×
Ins swan ganz bedside (93503) $905.53 $1,509.22 0.6×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $69.14 $115.22 1.3×
IV infusion hydration each additional hour (96361) $75 $125 1.7×
IV infusion hydration initial 31 min-1 hour (96360) $378 $630 1.9×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $165 $275 2.5×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $378 $630 1.9×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $99 $165 2.3×
IV push initial (96374) $298.20 $497 1.5×
Liver elastography w/o imag w/i&r (91200) $256.80 $428 2.1×
Manual therapy 15 min (97140) $44.47 $74.12 1.6×
Massage 15 min (97124) $49.80 $83 1.7×
Mechanical traction (97012) $27.46 $45.77 1.9×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $43.53 $72.55 1.2×
Motility study esophagus (91010) $788.40 $1,314 2.3×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $214.20 $357 2.3×
Multiple sleep latency test (95805) $1,679.62 $2,799.36 2.1×
Neg press wnd tx </=50 sq cm (97607) $519 $865 1.4×
Neg press wound tx >50 cm (97608) $464.40 $774 1.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $283.80 $473 1.5×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $519 $865 1.4×
Nerve conduction studies 13/> studies (95913) $168 $280 0.5×
Nerve Conduction Studies 3-4 Studies (95908) $168 $280 0.8×
Nerve Conduction Studies 9-10 Studies (95911) $168 $280 0.5×
Nerve conduction studies; 1-2 studies (95907) $168 $280 0.8×
Nerve conduction studies; 11-12 studies (95912) $168 $280 0.5×
Nerve conduction studies; 5-6 studies (95909) $168 $280 0.8×
Nerve conduction studies; 7-8 studies (95910) $168 $280 0.5×
Neurobehavioral Status Exam (96116) $193.20 $322 1.0×
Newborn resuscitation (99465) $322.56 $537.60 0.5×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $177 $295 1.4×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $101.56 $169.26 0.5×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $224.40 $374 1.9×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $237 $395 1.9×
Ophth medical xm&eval intermediate estab pt (92012) $163.80 $273 1.3×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $71.82 $119.70 1.6×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $50.06 $83.43 1.6×
Ot Contrast Bath Ea 15 Min (97034) $26.40 $44 1.9×
Ot eval high complex 60 min (97167) $110.81 $184.68 1.1×
Ot eval low complex 30 min (97165) $157.80 $263 1.6×
Ot eval mod complex 45 min (97166) $111.90 $186.50 1.1×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $59.40 $99 1.2×
Ot Prosthetic Training, Each 15 Min (97761) $59.04 $98.40 1.5×
Ot Range Motion Measure,Each Extrem (95851) $28.67 $47.79 1.1×
Ot re-eval est plan care (97168) $63.25 $105.42 0.9×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $178.80 $298 1.5×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $178.80 $298 1.5×
Paraffin bath (97018) $24.95 $41.58 4.2×
Pdt dstr prmlg les skn illum/activj per day (96567) $268.11 $446.85 1.4×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $168 $280 0.8×
Peripheral arterial disease rehab per session (93668) $71.60 $119.33 1.3×
Plethysmography (94726) $411 $685 1.2×
Pm device eval in person (93288) $55.58 $92.62 1.6×
Pm device progr eval dual (93280) $73.60 $122.67 2.1×
Pm device progr eval multi (93281) $37.20 $62 1.1×
Pm device progr eval sngl (93279) $35.46 $59.10 1.0×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,010.36 $3,350.60 2.5×
Polysom <6 yrs 4/> paramtrs (95782) $2,052.86 $3,421.44 2.6×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $2,052.86 $3,421.44 2.6×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $24 $40 0.6×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $35.46 $59.10 1.0×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $28.22 $47.04 0.6×
Programming of dual lead implantable defibrillator system (93283) $35.46 $59.10 1.0×
Programming of single lead implantable defibrillator system (93282) $75.93 $126.55 2.2×
Prq balloon valvuloplasty aortic valve (92986) $5,734.80 $9,558 1.1×
Prq card revasc chronic 1vsl (92943) $7,702.50 $12,837.50 0.7×
Prq Card Stent W/Angio 1 Vsl (92928) $7,702.50 $12,837.50 0.7×
Prq Card Stent/Ath/Angio (92933)
unusually low: confirm this is the full procedure
$7,702.50 $12,837.50 0.5×
Prq revasc byp graft 1 vsl (92937) $7,702.50 $12,837.50 0.7×
Prq trluml coronary angio/atherect one art/brnch (92924) $9,669.89 $16,116.48 0.9×
Prq trluml coronary angioplasty one art/branch (92920) $8,045.40 $13,409 1.5×
Psychiatric diagnostic evaluation (90791) $115.02 $191.70 0.7×
Pt Electric Current Therapy (97033) $46.42 $77.36 2.4×
Pt Electrical Stimulation (97032) $35.31 $58.85 2.4×
Pt eval high complex 45 min (97163) $122.21 $203.68 1.2×
Pt eval low complex 20 min (97161) $99.60 $166 1.0×
Pt Gait Training Therapy (97116) $52.46 $87.43 1.8×
Pt Infrared Therapy (97026) $26.40 $44 4.0×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $51.08 $85.14 1.6×
Pt Physical Performance Test (97750) $70.24 $117.06 2.1×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $149.40 $249 1.5×
Pt re-evaluation (97164) $59.10 $98.50 0.9×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $55.65 $92.75 1.7×
Pt Ultrasound Therapy (97035) $25.20 $42 1.8×
Pt Whirlpool Therapy (97022) $38.07 $63.45 2.4×
Pulmonary stress testing (94618) $173.10 $288.50 1.4×
R & l hrt cath w/njx l ventriculog img s&i (93453) $2,053.68 $3,422.80 0.7×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $6,982.20 $11,637 2.3×
R hrt art/grft angio (93457) $5,571.72 $9,286.20 1.9×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $6,550.20 $10,917 2.2×
Refill/maint, portable pump (96521) $235.92 $393.20 1.2×
Right heart cath (93451) $1,405.20 $2,342 0.5×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $87.76 $146.26 0.5×
Rom meas&reprt hand w/wo comparison normal sid (95852) $24.35 $40.59 1.1×
Rt Chest Wall Manipulation,Subsequent (94668) $177 $295 1.4×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $40.50 $67.50 0.8×
Sleep study attended (95807) $618.30 $1,030.50 1.8×
Sleep study unattended (95806) $540 $900 2.7×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $540 $900 2.7×
Smoking cessation > 10 min (99407) $54.60 $91 1.6×
Speech sound lang comprehen (92523) $240 $400 1.1×
Spirometry (94010) $224.40 $374 1.1×
Standardized Cognitive Performance Testing (96125) $112.32 $187.20 1.1×
Stress echo (93350) $1,025.48 $1,709.13 2.0×
Temp transcutaneous pacing (92953) $371.04 $618.40 0.6×
Test for allergy using allergenic extract injected into skin (95024) $15 $25 0.3×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $51.52 $85.86 2.3×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $48 $80 2.3×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $69.26 $115.42 0.7×
Ther/Proph/Diag Inj Sc/Im (96372) $52.20 $87 0.8×
Therapeutic Activities (97530) $60.26 $100.44 1.7×
Therapeutic phlebotomy (99195) $177 $295 1.4×
Tilt Table Eval (93660) $1,046.76 $1,744.60 3.0×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $28.20 $47 0.8×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $824.77 $1,374.62 1.6×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $407.90 $679.84 1.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $157.80 $263 2.1×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $153.60 $256 1.8×
Tx/Pro/Dx Inj New Drug Addon (96375) $89.40 $149 2.1×
Unlisted Cardiovascular Service/Procedure (93799) $245.04 $408.40 2.1×
Vasc Duplex Extrem Venous,Bilat (93970) $440.42 $734.04 2.0×
Vasc Duplex Scan Extracranial,Limited (93882) $330.24 $550.40 3.4×
Vasopneumatic device (97016) $30.62 $51.03 2.5×
Veeg by tech 2-12 hr intermittent monitoring (95712) $405 $675 1.2×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $748.80 $1,248 2.2×
Ventilation assist & mgmt inpatient 1st day (94002) $1,712.45 $2,854.08 3.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,626.05 $2,710.08 2.8×
Wheelchair Mgmt Ea 15 Min (97542) $50.06 $83.43 1.6×