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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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650)
unusually low: confirm this is the full procedure
$2,748.24 $4,580.40 0.4×
Advncd Care Plan 30 Min (99497) $164.40 $274 1.7×
Airway Inhalation Treatment (94640)
range across 11 matching MRF lines
$168–$298.80 $280–$498 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 3 matching MRF lines
$22.18–$33.26 $36.96–$55.44 varies
Application Modality 1/> Areas Infrared (97026) $26.40 $44 4.0×
Application on-body injector (96377) $156.60 $261 3.6×
Assessment of aphasia per hr (96105) $73.20 $122 0.8×
Behavral qualit analys voice (92524)
range across 4 matching MRF lines
$97.45–$159.60 $162.41–$266 varies
Bfb traing w/EMG &/manometry 1st 15 min cntct (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 proc (95992)
range across 2 matching MRF lines
$50.88–$69 $84.80–$115 varies
Cardiac Stress Tst,Tracing Only (93017)
range across 4 matching MRF lines
$61.20–$546.22 $102–$910.36 varies
Cardiopulmonary exercise testing (94621) $707.62 $1,179.36 2.0×
Cardiopulmonary resuscitation (92950)
range across 4 matching MRF lines
$362.45–$582 $604.08–$970 varies
Cardioversion (92960) $871.20 $1,452 1.4×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $6,982.20 $11,637 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 Anti-Neopl Sq/Im (96401) $103.14 $171.90 1.5×
Chemo Hormon Antineopl Sq/Im (96402) $103.14 $171.90 1.5×
Chemo IV infusion addl hr (96415)
range across 4 matching MRF lines
$43.30–$98.40 $72.16–$164 varies
Chemo IV push addl drug (96411) $103.14 $171.90 1.5×
Chemother Prolong Infuse W/Pump (96416)
range across 2 matching MRF lines
$240.77–$502.80 $401.28–$838 varies
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $176.88 $294.80 2.6×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413)
range across 2 matching MRF lines
$360.46–$502.80 $600.77–$838 varies
Chemotx admn IV push tq 1/1st sbst/drug (96409)
range across 2 matching MRF lines
$154.44–$298.20 $257.40–$497 varies
Chest Wall Manipulation (94668) $177 $295 1.4×
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×
Community/Work Reintegration Trainj Ea 15 Min (97537)
range across 4 matching MRF lines
$50.06–$85.59 $83.43–$142.65 varies
Computerized dynamic posturography (92548) $139.59 $232.65 1.1×
Cont Gluc Mntr Pt Prov Eqp (95249) $102.60 $171 1.9×
Continuous Pulse Ox (94762) $224.40 $374 1.9×
Coronary Art/Grft Angio S&I (93455) $4,573.54 $7,622.56 1.5×
Coronary Artery Angio S&I (93454) $4,629 $7,715 1.5×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 8 matching MRF lines
$1,226.88–$2,160.38 $2,044.80–$3,600.63 varies
Cpt initial (94667) $177 $295 1.4×
Critical care first hour (99291)
range across 3 matching MRF lines
$531.60–$1,082.40 $886–$1,804 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines
$101.82–$283.80 $169.70–$473 varies
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 Xtr Veins Complete Bilateral Study (93970) $440.42 $734.04 2.0×
Dup-scan xtr veins unilateral/limited study (93971)
range across 2 matching MRF lines
$201.60–$313.37 $336–$522.28 varies
Duplex up extrem art bilat (93930) $411.36 $685.60 1.9×
Duplex up extrem art unilat/ltd (93931) $313.37 $522.28 3.2×
Echo Heart Xthoracic,Limited (93308) $378.60 $631 1.7×
Echo transesophageal (93312) $844.13 $1,406.88 1.7×
EEG awake and 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 ea 12-26hr intmt (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 signal averaged (93278)
range across 2 matching MRF lines
$57.60–$255.75 $96–$426.25 varies
Electrical Stimulation Ea 15 Min (97032)
range across 2 matching MRF lines
$29.04–$41.58 $48.40–$69.30 varies
Electrocardiogram Tracing (93005)
range across 4 matching MRF lines
$15.60–$241.76 $26–$402.93 varies
Electrophysiology Evaluation (93642) $855.58 $1,425.96 0.8×
Emergency Dept Visit Level 2 (99282) $315 $525 2.2×
Emergency Dept Visit Level 3 (99283) $555 $925 2.2×
Emergency Dept Visit Level 4 (99284) $900 $1,500 2.3×
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×
Er level 1 (99281) $174 $290 2.2×
Er level v (99285) $1,320 $2,200 2.4×
Evaluate Speech Production (92522)
range across 3 matching MRF lines
$97.45–$163.20 $162.41–$272 varies
Evaluate Swallowing Function (92610)
range across 4 matching MRF lines
$132–$132.60 $220–$221 varies
Evaluation of speech fluency (92521) $109.24 $182.07 0.8×
External Ecg Scanning Analysis Report (93226)
range across 2 matching MRF lines
$67.20–$620.72 $112–$1,034.54 varies
Extracranial Bilat Study (93880) $413.64 $689.40 1.9×
Extracranial Uni/Ltd Study (93882) $330.24 $550.40 3.4×
Flexible endoscopic eval swallow c/v rec (92612) $97.20 $162 0.5×
Group Therapeutic Procedures (97150)
range across 4 matching MRF lines
$26.40–$36.18 $44–$60.30 varies
Health Behavior Assessment/Re-Assessment (96156)
range across 4 matching MRF lines
$107.53–$119.53 $179.22–$199.22 varies
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×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $6,550.20 $10,917 2.2×
Holter monitor recording (93225)
range across 2 matching MRF lines
$47.40–$206.91 $79–$344.85 varies
Icd Device Interrogate (93289) $35.46 $59.10 1.0×
Icd device progr eval dual (93283) $35.46 $59.10 1.0×
Icd Device Progr Eval Mult (93284) $35.46 $59.10 1.0×
Immunization administration (90471)
range across 2 matching MRF lines
$30.43–$98.40 $50.72–$164 varies
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $788.40 $1,314 2.3×
Insert/Place Heart Catheter (93503) $905.53 $1,509.22 0.6×
Intracutaneous tests w/allergenic extracts (95024) $15 $25 0.3×
Iontophoresis 15 min (97033) $46.42 $77.36 2.4×
Irrig Drug Delivery Device (96523)
range across 4 matching MRF lines
$64.02–$89.40 $106.70–$149 varies
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 ther proph addl sequential to 1 hr (96367) $165 $275 2.5×
IV infusion therapy prophylaxis/dx ea hour (96366) $99 $165 2.3×
IV push initial (96374) $298.20 $497 1.5×
L Hrt Art/Grft Angio (93459) $6,965.40 $11,609 2.3×
Liver Elastography W/O Imag W/I&R (91200) $256.80 $428 2.1×
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 Fluoroscopy/Swallow (92611) $214.20 $357 2.3×
Multiple Sleep Latency Test (95805) $1,679.62 $2,799.36 2.1×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $519 $865 1.4×
Neg Pressure Wound Therapy Non Dme >50 Sq 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 1-2 Studies (95907) $168 $280 0.8×
Nerve Conduction Studies 11-12 Studies (95912) $168 $280 0.5×
Nerve conduction studies 13 or more studies (95913) $168 $280 0.5×
Nerve Conduction Studies 3-4 Studies (95908) $168 $280 0.8×
Nerve conduction studies 5-6 studies (95909) $168 $280 0.8×
Nerve conduction studies 7-8 studies (95910) $168 $280 0.5×
Nerve Conduction Studies 9-10 Studies (95911) $168 $280 0.5×
Neurobehavioral Status Exam (96116) $193.20 $322 1.0×
Neuromuscular Reeducation (97112)
range across 2 matching MRF lines
$40.37–$61.80 $67.28–$103 varies
Newborn resuscitation (99465) $322.56 $537.60 0.5×
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×
Oral Function Therapy (92526)
range across 7 matching MRF lines
$126.60–$153.60 $211–$256 varies
Orthc/Prostc Mgmt Sbsq Enc (97763) $59.40 $99 1.2×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 6 matching MRF lines
$41.26–$89.42 $68.76–$149.04 varies
Ot Contrast Bath Ea 15 Min (97034)
range across 3 matching MRF lines
$26.14–$37.42 $43.56–$62.37 varies
Ot eval high complexity (97167)
range across 3 matching MRF lines
$110.81–$157.20 $184.68–$262 varies
Ot Eval Low Complex (97165)
range across 3 matching MRF lines
$55.20–$157.80 $92–$263 varies
Ot Eval Moderate Complexity (97166)
range across 2 matching MRF lines
$66.60–$157.20 $111–$262 varies
Ot manual therapy 15 min (97140)
range across 3 matching MRF lines
$38.88–$49.80 $64.80–$83 varies
Ot paraffin bath (97018) $24.95 $41.58 4.2×
Ot Prosthetic Training, Each 15 Min (97761) $59.04 $98.40 1.5×
Ot Re-Eval Est Plan Care (97168)
range across 3 matching MRF lines
$63.25–$66.60 $105.42–$111 varies
Ot rom hand (95852) $24.35 $40.59 1.1×
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×
Oxygen Uptake Rest Indirect (94690) $65.28 $108.80 1.2×
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×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920)
range across 5 matching MRF lines
$5,114.45–$8,045.40 $8,524.08–$13,409 varies
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943)
range across 5 matching MRF lines
$7,702.50–$8,087.40 $12,837.50–$13,479 varies
Phlebotomy therapeutic (99195) $177 $295 1.4×
Physical Performance Test (97750)
range across 4 matching MRF lines
$45.41–$144 $75.68–$240 varies
Plethysmography (94726) $411 $685 1.2×
Pm device eval in person (93288)
range across 2 matching MRF lines
$35.46–$75.69 $59.10–$126.15 varies
Pm device progr eval dual (93280)
range across 2 matching MRF lines
$35.46–$111.74 $59.10–$186.24 varies
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)
range across 2 matching MRF lines
$1,198.04–$2,822.69 $1,996.73–$4,704.48 varies
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×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282)
range across 2 matching MRF lines
$35.46–$116.40 $59.10–$194 varies
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $28.22 $47.04 0.6×
Prq Card Angio/Athrect 1 Art (92924) $9,669.89 $16,116.48 0.9×
Prq Card Stent W/Angio 1 Vsl (92928)
range across 5 matching MRF lines
$7,702.50–$8,088 $12,837.50–$13,480 varies
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×
Psychiatric diagnostic evaluation (90791) $115.02 $191.70 0.7×
Pt Eval High Complex (97163)
range across 4 matching MRF lines
$95.02–$149.40 $158.36–$249 varies
Pt eval low complex 20 min (97161)
range across 4 matching MRF lines
$47.40–$149.40 $79–$249 varies
Pt Eval Mod Complex (97162)
range across 3 matching MRF lines
$65.40–$149.40 $109–$249 varies
Pt gait training 15 min (97116)
range across 2 matching MRF lines
$51.52–$53.40 $85.86–$89 varies
Pt mechanical traction (97012) $27.46 $45.77 1.9×
Pt Re-Eval Est Plan Care (97164)
range across 4 matching MRF lines
$51.57–$102 $85.95–$170 varies
Pulmonary Stress Testing (94618) $173.10 $288.50 1.4×
R Hrt Art/Grft Angio (93457) $5,571.72 $9,286.20 1.9×
R hrt coronary artery angio (93456) $5,047.80 $8,413 1.7×
R&L Hrt Cath W/Ventriclgrphy (93453) $2,053.68 $3,422.80 0.7×
Refill/Maint Portable Pump (96521) $235.92 $393.20 1.2×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $34.50 $57.50 0.6×
Right Heart Cath (93451) $1,405.20 $2,342 0.5×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 4 matching MRF lines
$80.64–$121.20 $134.40–$202 varies
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $28.67 $47.79 1.1×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $86.40 $144 0.7×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $40.50 $67.50 0.8×
Self Care Mngment Training (97535)
range across 3 matching MRF lines
$52.11–$59.40 $86.85–$99 varies
Sleep study attended (95807)
range across 2 matching MRF lines
$503.93–$732.67 $839.88–$1,221.12 varies
Sleep study unattended (95806) $540 $900 2.7×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $540 $900 2.7×
Speech sound lang comprehen (92523)
range across 3 matching MRF lines
$200.34–$340.20 $333.90–$567 varies
Spirometry (94010) $224.40 $374 1.1×
Standardized Cognitive Performance Testing (96125) $112.32 $187.20 1.1×
Stress Tte Only (93350) $1,025.48 $1,709.13 2.0×
Temp transcutaneous pacing (92953) $371.04 $618.40 0.6×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129)
range across 5 matching MRF lines
$36.21–$51.52 $60.35–$85.86 varies
Ther Ivntj Ea Addl 15 Min (97130)
range across 4 matching MRF lines
$33.21–$48 $55.35–$80 varies
Ther Px 1/> Areas Each 15 Minutes Massage (97124)
range across 4 matching MRF lines
$36.63–$51.57 $61.05–$85.95 varies
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609)
range across 2 matching MRF lines
$65.61–$72.90 $109.35–$121.50 varies
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines
$36–$153.21 $60–$255.35 varies
Ther/Proph/Diag Iv Inf Init (96365) $378 $630 1.9×
Therapeutic Activities (97530)
range across 3 matching MRF lines
$46.42–$67.80 $77.36–$113 varies
Tilt table test with heart rhythm and blood pressure monitoring (93660) $1,046.76 $1,744.60 3.0×
Tobacco Use Cessation Intensive >10 Minutes (99407) $54.60 $91 1.6×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $28.20 $47 0.8×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$386.40–$1,263.14 $644–$2,105.24 varies
Tte W/O Doppler Complete (93307) $407.90 $679.84 1.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 2 matching MRF lines
$139.80–$175.80 $233–$293 varies
Tx/Pro/Dx Inj New Drug Addon (96375) $89.40 $149 2.1×
Unlisted cardiovascular service/procedure (93799) $245.04 $408.40 2.1×
Upr/L Xtremity Art 2 Levels (93922) $177 $295 1.4×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $101.56 $169.26 0.5×
Valvuloplasty aortic valve (92986) $5,734.80 $9,558 1.1×
Vasopneumatic device (97016) $30.62 $51.03 2.5×
Veeg 2-12 hr intmt mntr (95712) $405 $675 1.2×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $748.80 $1,248 2.2×
Vent Mgmt Inpat Init Day (94002)
range across 4 matching MRF lines
$1,490.40–$1,980.72 $2,484–$3,301.20 varies
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003)
range across 4 matching MRF lines
$1,425.60–$1,684.80 $2,376–$2,808 varies
Wheelchair Mgmt Ea 15 Min (97542) $50.06 $83.43 1.6×
Whirlpool Therapy (97022)
range across 5 matching MRF lines
$38.07–$46.47 $63.45–$77.45 varies

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.