Supplies, drugs & other prices at Manning Family Children's

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

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

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ProcedureCash priceGross charge× Medicare
2019-ncov diagnostic p (U0001) $29.97 $111 0.8×
2d cephalometric image (D0340) $36.99 $137 0.5×
Ablation, irreversible electroporation; 1 or more tumors per organ, including imaging guidance, when performed,… (0600T)
unusually low: confirm this is the full procedure
$4,018.14 $14,882 0.4×
Ablation, irreversible electroporation; 1 or more tumors, including fluoroscopic and ultrasound guidance, when… (0601T)
unusually low: confirm this is the full procedure
$4,018.14 $14,882 0.4×
Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) $1,234.17 $4,571 0.7×
Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T) $4,232.52 $15,676 0.5×
Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) $1,234.17 $4,571 0.7×
Adapt Bhv Tx Ea 15 Min (0373T) $171.99 $637 4.9×
Adm tocilizu covid-19 1st (M0249) $334.26 $1,238 0.8×
Adm tocilizu covid-19 2nd (M0250) $334.26 $1,238 0.8×
Adv prim care mgmt lvl 1 (G0556) $22.14 $82 0.6×
Adv prim care mgmt lvl 2 (G0557) $22.14 $82 0.6×
Adv prim care mgmt lvl 3 (G0558) $68.58 $254 0.7×
Alveoloplasty not w/extracts (D7321) $390.96 $1,448 0.3×
Alveoloplasty w/extract 1-3 (D7311) $113.67 $421 0.1×
Alveoplasty w/ extraction (D7310) $156.60 $580 0.1×
Alveoplasty w/o extraction (D7320) $218.16 $808 0.1×
Amalgam 4 or > surfaces perm (D2161) $131.22 $486 0.2×
Amalgam one surface permanen (D2140) $72.63 $269 0.1×
Amalgam three surfaces perma (D2160) $111.24 $412 0.2×
Amalgam two surfaces permane (D2150) $92.07 $341 0.2×
Apically positioned flap (D4245) $133.92 $496 0.1×
Apicoectomy - anterior (D3410) $418.77 $1,551 0.7×
Auto tissue graft 1st tooth (D4273) $603.99 $2,237 0.4×
Behavior counsel obesity 15m (G0447) $55.62 $206 0.6×
Bia whole body composition assessment w/i&r (0358T) $18.90 $70 0.7×
Bone replce graft first site (D4263) $603.99 $2,237 1.0×
Ca screen;flexi sigmoidscope (G0104) $449.82 $1,666 0.5×
Canal prep/fitting of dowel (D3950) $83.97 $311 0.1×
Cardiac mri seg dys strain (C9762) $400.68 $1,484 0.8×
Cardiac mri seg dys stress (C9763) $400.68 $1,484 0.8×
Catheterize for urine spec (P9612) $103.41 $383 11.1×
Chemo extend iv infus w/pump (G0498) $350.19 $1,297 1.1×
Colorectal scrn; hi risk ind (G0105) $528.93 $1,959 0.6×
Colpopexy, min/inv, ex-perit (C9778) $1,947.78 $7,214 0.4×
Comp periodontal evaluation (D0180) $30.24 $112 0.2×
Complete occlusal adjustment (D9952) $603.99 $2,237 1.0×
Compre ful bdy 3d mtn alys (0693T) $285.93 $1,059 0.9×
Comprehensve oral evaluation (D0150) $733.05 $2,715 5.9×
Cone beam ct interp both jaw (D0367) $892.62 $3,306 9.1×
Cone beam ct interprete tmj (D0368) $785.16 $2,908 8.0×
Core build-up incl any pins (D2950) $143.37 $531 0.2×
Crown full cast noble metal (D2792) $669.87 $2,481 1.1×
Crown lengthen hard tissue (D4249) $295.92 $1,096 0.5×
Crown porcelain/ceramic (D2740) $837.81 $3,103 1.4×
Crown repair (D2980) $46.17 $171 0.1×
Crown resin w/ high noble me (D2720) $150.12 $556 0.2×
Crown resin w/ noble metal (D2722) $127.71 $473 0.2×
Crown resin-based indirect (D2710) $90.72 $336 0.1×
Cysto, litho, vacuum kidney (C9761)
unusually low: confirm this is the full procedure
$3,517.56 $13,028 0.4×
Dental bitewing single image (D0270) $603.99 $2,237 7.4×
Dental bitewings two images (D0272) $603.99 $2,237 7.4×
Dental connector bar (D6920) $603.99 $2,237 1.0×
Dental onlay porcelin 3 surf (D2643) $223.56 $828 0.4×
Dental onlay resin 2 surface (D2662) $133.92 $496 0.2×
Dental prophylaxis adult (D1110) $53.73 $199 0.4×
Diab manage trn per indiv (G0108) $106.11 $393 1.9×
Diab manage trn ind/group (G0109) $35.91 $133 2.2×
Direct refer hospital observ (G0379) $425.79 $1,577 0.8×
Drug test def 1-7 classes (G0480) $95.31 $353 0.8×
Drug test def 15-21 classes (G0482) $147.69 $547 0.7×
Egd flexible transnasal dx w/collj spec br/wa (0652T) $2,104.38 $7,794 1.2×
Egd flexible transnasal w/biopsy single/multiple (0653T) $2,104.38 $7,794 1.2×
Egd flexible transnasal w/insj intral tube/cath (0654T) $1,206.63 $4,469 0.3×
Electrical impedance spectroscopy of 1 or more skin lesions for automated melanoma risk score Other Diagnostic… (0658T) $116.64 $432 2.1×
End thxpy, anterior tooth (D3310) $376.11 $1,393 0.6×
End thxpy, molar tooth (D3330) $530.01 $1,963 0.9×
End thxpy, premolar tooth (D3320) $441.45 $1,635 0.7×
Endo outlet restrict w/tube (C9785)
likely a partial charge, not the full procedure
$2,453.49 $9,087 0.2×
Esd endoscopy or colonoscopy (C9779) $1,814.40 $6,720 0.5×
Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) $7,031.34 $26,042 0.6×
Excision benign lesion compl (D7412) $21.06 $78 0.0×
Extensv oral eval prob focus (D0160) $52.92 $196 0.4×
Extraction erupted tooth/exr (D7140) $603.99 $2,237 1.0×
Extraoral 2d project image (D0250) $603.99 $2,237 7.4×
Eye mvmt alys w/o calbrj i&r (0615T) $90.72 $336 0.7×
Facial moulage sectional (D5911) $603.99 $2,237 1.0×
Fractional abl lsr fenestration first 100 sqcm (0479T) $501.66 $1,858 0.7×
Full mouth debridement (D4355) $603.99 $2,237 1.0×
Gingival flap proc w/ planin (D4240) $100.71 $373 0.0×
Gingivectomy/plasty 1 to 3 (D4211) $279.18 $1,034 0.1×
Gingivectomy/plasty 4 or mor (D4210) $329.94 $1,222 0.1×
Gross pulpal debridement (D3221) $36.99 $137 0.1×
Group mnt 2 or more 30 mins (G0271) $23.49 $87 1.4×
Hbot, full body chamber, 30m (G0277) $95.04 $352 0.7×
Hepb screen high risk indiv (G0499) $21.06 $78 0.7×
Home sleep test/type 3 porta (G0399) $326.70 $1,210 1.6×
I&d absc intraoral soft tiss (D7510) $128.25 $475 0.2×
I&d abscess extraoral (D7520) $122.58 $454 0.2×
Impact tooth rem bony w/comp (D7241) $603.99 $2,237 1.0×
Impact tooth remov comp bony (D7240) $603.99 $2,237 1.0×
Impact tooth remov part bony (D7230) $603.99 $2,237 1.0×
Impact tooth remov soft tiss (D7220) $603.99 $2,237 1.0×
Impltj ant sgm io nbiodegradable rx eluting sys (0660T) $83.16 $308 0.0×
Inlay composite/resin one su (D2650) $119.61 $443 0.2×
Insert cv cath inf & sup app (C9780) $6,126.03 $22,689 0.8×
Insertion of gastrostomy tube, percutaneous, with magnetic gastropexy, under ultrasound guidance, image documentation… (0647T) $1,226.88 $4,544 0.7×
Internal root repair (D3333) $54.54 $202 0.1×
Intraoral occlusal film (D0240) $603.99 $2,237 7.4×
Intraoral periapical first (D0220) $16.47 $61 0.2×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) $439.02 $1,626 3.6×
Labial veneer resin indirect (D2961) $223.56 $828 0.4×
Limit oral eval problm focus (D0140) $30.24 $112 0.2×
Limited occlusal adjustment (D9951) $603.99 $2,237 1.0×
Liver dis 10 assays w/nash (0003M) $185.76 $688 0.4×
Magnetically controlled capsule endoscopy w/i&r (0651T) $601.29 $2,227 0.7×
Mandible graft (D7950)
unusually low: confirm this is the full procedure
$1,768.50 $6,550 0.3×
Mnt subs tx for change dx (G0270) $23.49 $87 0.7×
Ncntc nr ifr spectrsc oth/thn pad 1st antmc site (0640T) $133.38 $494 3.8×
Non-blind interatrial shunt (C9760) $70,028.55 $259,365 2.8×
Onc Merkel Cll Carc Srm Quan (0058U) $271.89 $1,007 0.8×
Oral antral fistula closure (D7260) $603.99 $2,237 1.0×
Oral/facial photo images (D0350) $30.78 $114 0.4×
Osseous surgery 4 or more (D4260)
likely a partial charge, not the full procedure
$603.99 $2,237 0.1×
Osteotomy, humerus, with insertion of an externally controlled intramedullary lengthening device, including… (0594T) $4,972.59 $18,417 0.7×
Oth resp proc, group (G0239) $26.73 $99 0.8×
Oth resp proc, indiv (G0238) $40.23 $149 1.5×
Panoramic image (D0330) $63.99 $237 0.3×
Pattern erg w/i&r (0509T) $113.13 $419 0.6×
Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements, (with or without… (0274T) $5,077.62 $18,806 0.7×
Periodic oral evaluation (D0120) $30.24 $112 0.2×
Periodontal scaling & root (D4341) $166.59 $617 0.3×
Periodontal scaling 1-3teeth (D4342) $105.30 $390 0.2×
Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T)
unusually low: confirm this is the full procedure
$3,791.88 $14,044 0.3×
Place device/marker, non pro (C9728) $1,012.77 $3,751 0.8×
Place direct restoration (D2940) $15.93 $59 0.0×
Post 1 srfc resinbased cmpst (D2391) $72.63 $269 0.1×
Post 2 srfc resinbased cmpst (D2392) $92.07 $341 0.2×
Post 3 srfc resinbased cmpst (D2393) $111.24 $412 0.2×
Post >=4srfc resinbase cmpst (D2394) $131.22 $486 0.2×
Post and core cast + crown (D2952) $223.56 $828 0.4×
Post-coital mucous exam (Q0115) $32.13 $119 1.3×
Prefab post/core + crown (D2954) $179.55 $665 0.3×
Prefab stnlss steel crwn pri (D2930) $142.56 $528 0.2×
Prgrmg dev eval ldls pm single car chamber ip (0826T) $24.84 $92 0.7×
Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) $24.84 $92 0.7×
Programming device evaluation (remote) of subcutaneous cardiac rhythm monitor system, with iterative adjustment of the… (0650T) $78.03 $289 2.2×
Pulp cap direct (D3110) $42.93 $159 0.1×
Pulp cap indirect (D3120) $33.75 $125 0.1×
Pulp vitality test (D0460) $603.99 $2,237 1.0×
Quan mr alys tiss compj w/o MRI same sess 1orgn (0648T) $705.78 $2,614 0.8×
Quan mr alys tiss composition w/MRI 1orgn (0649T) $705.78 $2,614 0.8×
Radiologic examination, radiostereometric analysis (RSA); spine, (includes cervical, thoracic and lumbosacral, when… (0348T) $141.48 $524 1.4×
Radiologic examination, radiostereometric analysis (RSA); upper extremity(ies), (includes shoulder, elbow, and wrist,… (0349T) $141.48 $524 1.4×
Re-cement or re-bond crown (D2920) $55.62 $206 0.1×
Re-eval,est pt,problem focus (D0170) $30.24 $112 0.2×
Real-time fluorescence wound imaging with clinical darkness, to identify location of bacterial wound pathogens and… (0598T) $210.87 $781 1.0×
Recement inlay onlay or part (D2910) $28.35 $105 0.0×
Rem exostosis any site (D7471) $218.16 $808 0.1×
Rem imp tooth w mucoper flp (D7210) $603.99 $2,237 0.4×
Rem nonodonto cyst > 1.25 cm (D7461) $1,360.26 $5,038 2.2×
Rem odontogen cyst > 1.25 cm (D7451) $901.80 $3,340 0.3×
Rem odontogen cyst to 1.25cm (D7450) $199.53 $739 0.1×
Removal of sloughed off bone (D7550) $1,119.15 $4,145 1.8×
Removal of torus palatinus (D7472) $2,009.61 $7,443 3.3×
Remove torus mandibularis (D7473) $2,009.61 $7,443 3.3×
Remove w insert drug implant (G0518) $676.62 $2,506 1.6×
Resin 4/> surf or w incis an (D2335) $160.92 $596 0.3×
Resin one surface-anterior (D2330) $84.78 $314 0.1×
Resin three surfaces-anterio (D2332) $128.25 $475 0.2×
Resin two surfaces-anterior (D2331) $105.57 $391 0.2×
Retrograde filling (D3430) $143.37 $531 0.2×
Revasc intra lithotrip-ather (C9766)
unusually low: confirm this is the full procedure
$8,236.62 $30,506 0.5×
Revasc intra lithotrip-stent (C9765)
unusually low: confirm this is the full procedure
$8,236.62 $30,506 0.5×
Revasc intravasc lithotripsy (C9764)
unusually low: confirm this is the full procedure
$4,118.31 $15,253 0.4×
Revasc lith-sten-ath tib/per (C9775) $12,178.89 $45,107 0.7×
Revasc lithotr-ather tib/per (C9774) $12,178.89 $45,107 0.7×
Revasc lithotr-stent tib/per (C9773) $12,178.89 $45,107 0.7×
Revasc lithotrip tibi/perone (C9772) $7,616.97 $28,211 0.7×
Revasc lithotrip-stent-ather (C9767) $13,249.98 $49,074 0.8×
Rmvl&rimpltj ant sgm io nbiodgrd rx elut implt (0661T) $200.88 $744 0.1×
Rmvl&rplcmt substernal impltbl defibrillator pg (0614T) $18,880.02 $69,926 0.9×
Root amputation (D3450) $279.18 $1,034 0.5×
Root surgery molar (D3425) $361.26 $1,338 0.6×
Root surgery premolar (D3421) $361.26 $1,338 0.6×
Screen pap by tech w md supv (P3000) $25.65 $95 1.4×
Surg reduct osseoustuberosit (D7485)
likely a partial charge, not the full procedure
$195.48 $724 0.0×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $12,683.79 $46,977 0.7×
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) $12,683.79 $46,977 0.7×
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) $12,683.79 $46,977 0.7×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $12,683.79 $46,977 0.7×
Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) $2,093.31 $7,753 0.7×
Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) $2,093.31 $7,753 0.7×
Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) $2,093.31 $7,753 0.7×
Tcat rmvl perm dual chamber ldls pm compl sys (0798T) $2,093.31 $7,753 0.7×
Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) $12,683.79 $46,977 0.7×
Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) $12,683.79 $46,977 0.7×
Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) $12,683.79 $46,977 0.7×
Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) $12,683.79 $46,977 0.7×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $3,680.64 $13,632 0.7×
Temporary female intraurethral valve-pump (ie, voiding prosthesis); initial insertion, including urethral measurement (0596T) $1,463.67 $5,421 2.2×
Temporary female intraurethral valve-pump (ie, voiding prosthesis); replacement (0597T) $1,463.67 $5,421 2.2×
Therapeutic procd strg endur (G0237) $36.99 $137 1.4×
Therapeutic pulpotomy (D3220) $105.57 $391 0.2×
Tooth pin retention (D2951) $39.42 $146 0.1×
Tooth reimplantation (D7270) $295.11 $1,093 0.5×
Tooth root removal (D7250) $603.99 $2,237 1.0×
Tooth transplantation (D7272) $1,528.47 $5,661 2.5×
Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) $10,363.68 $38,384 1.0×
Transperineal focal laser abltj mal prst8 tiss (0655T)
unusually low: confirm this is the full procedure
$2,284.20 $8,460 0.5×
Trauma respons w/hosp criti (G0390) $427.68 $1,584 0.3×
Treatment of complications (D9930) $603.99 $2,237 1.0×
Trim nail(s) (G0127) $46.71 $173 0.8×
Trluml Perip Athrc Renal Art (0234T) $11,219.85 $41,555 1.0×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) $10,363.68 $38,384 1.0×
Trluml peripheral atherectomy iliac artery ea (0238T) $10,363.68 $38,384 0.6×
Unsched dialysis esrd pt hos (G0257) $544.32 $2,016 0.8×
Unscheduled dressing change (D4920) $14.31 $53 0.0×
Vasc emb/occ w/prs cath (C9797) $12,405.15 $45,945 0.7×
Vert bitewings 7 to 8 images (D0277) $603.99 $2,237 2.7×
Vestibuloplasty ridge extens (D7340)
likely a partial charge, not the full procedure
$923.94 $3,422 0.2×
Visit to determ ldct elig (G0296) $94.50 $350 1.0×