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.

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $102 $170 0.5×
Assessment of aphasia (96105) $170.40 $284 1.8×
Behav assmt w/score & docd/stand instrument (96127) $27 $45 0.8×
Behavioral and qualitative analysis of voice and resonance (92524) $109.80 $183 1.0×
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×
Color/duplex Doppler, limited (93976) $274.80 $458 2.9×
Cpap initiation and management (94660) $205.20 $342 1.0×
Cpt initial (94667) $105 $175 0.9×
Critical care (99291) $561 $935 0.8×
Debridement Open Wound 20 Sq Cm< (97597) $123.30 $205.50 0.7×
Demo &/or eval,pt use,aerosol device (94664) $102 $170 0.5×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $477 $795 2.2×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $298.20 $497 3.1×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $247.20 $412 1.1×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $252 $420 2.7×
Dup-scan xtr veins unilateral/limited study (93971) $241.80 $403 2.6×
Duplex scan extracranial art compl bi study (93880) $361.20 $602 1.7×
EEG awake asleep (95819) $439.80 $733 2.2×
EKG (93005) $96.60 $161 1.8×
Er level 1 (99281) $196.20 $327 2.6×
Er level ii (99282) $275.40 $459 2.0×
Er level iii (99283) $541.80 $903 2.2×
Er level IV (99284) $952.20 $1,587 2.5×
Er level v (99285) $1,245 $2,075 2.3×
Evaluation of speech fluency (92521) $127.80 $213 1.0×
Evaluation of speech sound production (92522) $109.80 $183 1.0×
Evaluation of swallowing function (92610) $113.40 $189 1.3×
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×
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×
Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) $336 $560 9.9×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $35.10 $58.50 1.0×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $35.10 $58.50 0.5×
Immunization Admin (90471) $35.10 $58.50 0.5×
Immunotherapy, 2+ Injections (95117) $35.10 $58.50 0.8×
Injection intra arterial (96373) $75 $125 0.4×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $51 $85 1.0×
IV infusion hydration each additional hour (96361) $24.31 $40.52 0.6×
IV infusion hydration initial 31 min-1 hour (96360) $140.40 $234 0.7×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $39.64 $66.07 0.6×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $140.70 $234.50 0.7×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $24.31 $40.52 0.6×
IV push initial (96374) $51.60 $86 0.3×
Manual therapy 15 min (97140) $72 $120 2.6×
Massage 15 min (97124) $47.40 $79 1.6×
Mechanical chest wall oscillation (94669) $174 $290 0.9×
Mechanical traction (97012) $123 $205 8.6×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $48 $80 0.4×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $117.60 $196 1.0×
Orthotics mgmt & traing 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 complex 60 min (97167) $100.80 $168 1.0×
Ot eval low complex 30 min (97165) $100.80 $168 1.0×
Ot eval mod complex 45 min (97166) $100.80 $168 1.0×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $90 $150 1.8×
Ot Prosthetic Training, Each 15 Min (97761) $72 $120 1.8×
Ot re-eval est plan care (97168) $82.20 $137 1.2×
Paraffin bath (97018) $39.60 $66 6.6×
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×
Prepj& antigen prv allergen immunotherapy 1 do (95144) $22.80 $38 0.5×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $123 $205 3.6×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $46.05 $76.75 1.1×
Programming of dual lead implantable defibrillator system (93283) $123 $205 3.6×
Programming of single lead implantable defibrillator system (93282) $123 $205 3.6×
Psych diag eval w/med srvcs (90792) $150 $250 0.9×
Psychiatric diagnostic evaluation (90791) $99 $165 0.6×
Pt Electric Current Therapy (97033) $58.80 $98 3.1×
Pt Electrical Stimulation (97032) $45.60 $76 3.1×
Pt eval high complex 45 min (97163) $90 $150 0.9×
Pt eval low complex 20 min (97161) $90 $150 0.9×
Pt Gait Training Therapy (97116) $69 $115 2.4×
Pt Infrared Therapy (97026) $58.80 $98 8.8×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $58.80 $98 1.8×
Pt Physical Performance Test (97750) $60 $100 1.8×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $90 $150 0.9×
Pt re-evaluation (97164) $73.80 $123 1.1×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $64.80 $108 2.0×
Pt Ultrasound Therapy (97035) $50.40 $84 3.5×
Pt Whirlpool Therapy (97022) $61.20 $102 3.9×
Pulmonary stress testing (94618) $80.40 $134 0.7×
Pure Tone Audiometry, Air (92552) $96 $160 0.8×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $50.40 $84 1.5×
Remote dx retinal imaging (92227) $45 $75 0.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $216 $360 1.2×
Rt Chest Wall Manipulation,Subsequent (94668) $76.80 $128 0.6×
Sensory Integration Ea 15 Min (97533) $52.20 $87 0.9×
Smoking cessation > 10 min (99407) $60 $100 1.8×
Speech group therapy (92508) $117.60 $196 4.9×
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 echo (93350) $84 $140 0.2×
Stress Tte Complete (93351) $373.80 $623 0.8×
Temp transcutaneous pacing (92953) $211.20 $352 0.4×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $48 $80 2.1×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $33 $55 1.6×
Ther/Proph/Diag Inj Sc/Im (96372) $33 $55 0.5×
Therapeutic Activities (97530) $58.80 $98 1.7×
Therapeutic phlebotomy (99195) $62.72 $104.54 0.5×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $30 $50 0.9×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $196.50 $327.50 0.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $142.80 $238 1.9×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $78 $130 0.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $24 $40 0.6×
Vasc Duplex Extrem Venous,Bilat (93970) $374.40 $624 1.7×
Vasc Duplex Scan Extracranial,Limited (93882) $30 $50 0.3×
Ventilation assist & mgmt inpatient 1st 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×