Visits & medical services prices at LaSalle General Hospital
Jena, LA · every code in this section with a posted price and a Medicare benchmark.
122 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) | $35.10 | $58.50 | 1.0× |
| Airway Inhalation Treatment (94640) range across 10 matching MRF lines |
$102–$135 | $170–$225 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 3 matching MRF lines |
$50.40–$58.80 | $84–$98 | varies |
| Application Modality 1/> Areas Infrared (97026) | $58.80 | $98 | 8.8× |
| Assessment of aphasia per hr (96105) | $170.40 | $284 | 1.8× |
| Behavral qualit analys voice (92524) | $109.80 | $183 | 1.0× |
| Brief Emotional/Behav Assmt (96127) | $27 | $45 | 0.8× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $150 | $250 | 0.4× |
| Cardiac Stress Tst,Tracing Only (93017) | $226.80 | $378 | 1.2× |
| Cardiopulmonary resuscitation (92950) | $403.80 | $673 | 2.1× |
| Cardioversion (92960) | $479.40 | $799 | 0.8× |
| Cbt 1st hour (94644) | $172.20 | $287 | 1.4× |
| Chest Wall Manipulation (94668) | $76.80 | $128 | 0.6× |
| Color/duplex Doppler, limited (93976) | $274.80 | $458 | 2.9× |
| Continuous Pulse Ox (94762) range across 2 matching MRF lines |
$99–$136.20 | $165–$227 | varies |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $205.20 | $342 | 1.0× |
| Cpt initial (94667) | $105 | $175 | 0.9× |
| Critical care first hour (99291) | $561 | $935 | 0.8× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 4 matching MRF lines |
$90–$255 | $150–$425 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $477 | $795 | 2.2× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 3 matching MRF lines |
$30–$298.20 | $50–$497 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 3 matching MRF lines |
$42–$374.40 | $70–$624 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 5 matching MRF lines |
$30–$241.80 | $50–$403 | varies |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$48–$446.40 | $80–$744 | varies |
| Duplex up extrem art unilat/ltd (93931) | $252 | $420 | 2.7× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 2 matching MRF lines |
$99–$648.60 | $165–$1,081 | varies |
| EEG awake and asleep (95819) | $439.80 | $733 | 2.2× |
| Electrical Stimulation Ea 15 Min (97032) range across 2 matching MRF lines |
$35.40–$55.80 | $59–$93 | varies |
| Electrocardiogram Tracing (93005) | $96.60 | $161 | 1.8× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$100.80–$450 | $168–$750 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$158.40–$925.20 | $264–$1,542 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$252.60–$1,651.80 | $421–$2,753 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$62.40–$330 | $104–$550 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$375.60–$2,114.40 | $626–$3,524 | varies |
| Evaluate pt use of inhaler (94664) | $102 | $170 | 0.5× |
| Evaluate Speech Production (92522) | $109.80 | $183 | 1.0× |
| Evaluate Swallowing Function (92610) | $113.40 | $189 | 1.3× |
| Evaluation of speech fluency (92521) | $127.80 | $213 | 1.0× |
| External ECG rec>48hr<7d recording (93242) | $45 | $75 | 1.3× |
| External ECG rec>7d<15d recording (93246) | $45 | $75 | 1.3× |
| External Ecg Scanning Analysis Report (93226) | $265.20 | $442 | 5.0× |
| Extracranial Bilat Study (93880) range across 3 matching MRF lines |
$48–$361.20 | $80–$602 | varies |
| Extracranial Uni/Ltd Study (93882) | $30 | $50 | 0.3× |
| Flexible endoscopic eval swallow c/v rec (92612) | $156 | $260 | 0.8× |
| Group Therapeutic Procedures (97150) | $47.40 | $79 | 2.6× |
| Holter monitor recording (93225) | $187.80 | $313 | 1.6× |
| Icd Device Interrogate (93289) | $123 | $205 | 3.6× |
| Icd device progr eval dual (93283) | $123 | $205 | 3.6× |
| Icd Device Progr Eval Mult (93284) | $123 | $205 | 3.6× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $35.10 | $58.50 | 0.5× |
| Img retina detcj/mntr ds rem clin staff uni/bi (92227) | $45 | $75 | 0.8× |
| Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) | $336 | $560 | 9.9× |
| Immunization administration (90471) range across 5 matching MRF lines |
$35.10–$36 | $58.50–$60 | varies |
| Iontophoresis 15 min (97033) | $58.80 | $98 | 3.1× |
| Irrig Drug Delivery Device (96523) | $51 | $85 | 1.0× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$19.82–$28.80 | $33.03–$48 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) | $140.40 | $234 | 0.7× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $39.64 | $66.07 | 0.6× |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$19.82–$28.80 | $33.03–$48 | varies |
| IV push initial (96374) range across 4 matching MRF lines |
$36–$75 | $60–$125 | varies |
| Mechanical chest wall oscillation per session (94669) range across 2 matching MRF lines |
$150–$198 | $250–$330 | varies |
| Neuromuscular Reeducation (97112) range across 3 matching MRF lines |
$58.80–$84 | $98–$140 | varies |
| Oral Function Therapy (92526) | $78 | $130 | 0.9× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $90 | $150 | 1.8× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $63.60 | $106 | 1.4× |
| Ot Contrast Bath Ea 15 Min (97034) | $50.40 | $84 | 3.6× |
| Ot eval high complexity (97167) | $100.80 | $168 | 1.0× |
| Ot Eval Low Complex (97165) | $100.80 | $168 | 1.0× |
| Ot Eval Moderate Complexity (97166) | $100.80 | $168 | 1.0× |
| Ot manual therapy 15 min (97140) range across 3 matching MRF lines |
$72–$90 | $120–$150 | varies |
| Ot paraffin bath (97018) | $39.60 | $66 | 6.6× |
| Ot Prosthetic Training, Each 15 Min (97761) | $72 | $120 | 1.8× |
| Ot Re-Eval Est Plan Care (97168) | $82.20 | $137 | 1.2× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$52.85–$72.60 | $88.09–$121 | varies |
| Physical Performance Test (97750) | $60 | $100 | 1.8× |
| Pm device eval in person (93288) | $123 | $205 | 3.6× |
| Pm device progr eval dual (93280) | $123 | $205 | 3.6× |
| Pm device progr eval multi (93281) | $123 | $205 | 3.6× |
| Pm Device Progr Eval Sngl (93279) | $123 | $205 | 3.6× |
| Pm/Icd Remote Tech Serv (93296) | $123 | $205 | 3.6× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $123 | $205 | 3.6× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 2 matching MRF lines |
$35.10–$57 | $58.50–$95 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $35.10 | $58.50 | 0.8× |
| Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single… (95144) | $22.80 | $38 | 0.5× |
| Psych diag eval w/med srvcs (90792) | $150 | $250 | 0.9× |
| Psychiatric diagnostic evaluation (90791) | $99 | $165 | 0.6× |
| Pt Eval High Complex (97163) | $90 | $150 | 0.9× |
| Pt eval low complex 20 min (97161) | $90 | $150 | 0.9× |
| Pt Eval Mod Complex (97162) | $90 | $150 | 0.9× |
| Pt gait training 15 min (97116) | $69 | $115 | 2.4× |
| Pt mechanical traction (97012) | $123 | $205 | 8.6× |
| Pt Re-Eval Est Plan Care (97164) | $73.80 | $123 | 1.1× |
| Pulmonary Stress Testing (94618) | $80.40 | $134 | 0.7× |
| Pure Tone Audiometry Air (92552) | $96 | $160 | 0.8× |
| Remote 30 Day Ecg Rev/Report (93270) | $50.40 | $84 | 1.5× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $216 | $360 | 1.2× |
| Self Care Mngment Training (97535) | $64.80 | $108 | 2.0× |
| Sensory Integration Ea 15 Min (97533) | $52.20 | $87 | 0.9× |
| Speech sound lang comprehen (92523) | $219 | $365 | 1.0× |
| Spirometry (94010) | $129.60 | $216 | 0.7× |
| Standardized Cognitive Performance Testing (96125) | $204 | $340 | 2.0× |
| Stress Tte Only (93350) | $84 | $140 | 0.2× |
| Temp transcutaneous pacing (92953) | $211.20 | $352 | 0.4× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 3 matching MRF lines |
$33–$48 | $55–$80 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) | $33 | $55 | 1.6× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 6 matching MRF lines |
$30–$60 | $50–$100 | varies |
| Ther/Proph/Diag Inj Ia (96373) | $75 | $125 | 0.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$17.40–$36 | $29–$60 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$140.40–$141 | $234–$235 | varies |
| Therapeutic Activities (97530) range across 3 matching MRF lines |
$54–$58.80 | $90–$98 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $60 | $100 | 1.8× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $30 | $50 | 0.9× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$48–$345 | $80–$575 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $142.80 | $238 | 1.9× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $117.60 | $196 | 4.9× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$24–$39.64 | $40–$66.07 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 3 matching MRF lines |
$15–$192.60 | $25–$321 | varies |
| Vent Mgmt Inpat Init Day (94002) | $364.80 | $608 | 0.7× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $265.20 | $442 | 0.5× |
| Vital capacity, total (94150) | $87 | $145 | 0.7× |
| Wheelchair Mgmt Ea 15 Min (97542) | $58.80 | $98 | 1.9× |
| Whirlpool Therapy (97022) | $61.20 | $102 | 3.9× |
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.