Supplies, drugs & other prices at Ochsner Choctaw General

Butler, AL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Admin hepatitis b vaccine (G0010)
range across 2 matching MRF lines
$66.45–$105.64 $87.43–$139 varies
Admin influenza virus vac (G0008) $92.06 $121.13 2.3×
Admin pneumococcal vaccine (G0009)
range across 2 matching MRF lines
$92.06–$105.64 $121.13–$139 varies
Behavior counsel obesity 15m (G0447) $34.20 $45 0.4×
Ca screen;flexi sigmoidscope (G0104)
range across 2 matching MRF lines
$177.84–$849.18 $234–$1,117.34 varies
Ca screen;pelvic/breast exam (G0101)
range across 3 matching MRF lines
$67.64–$147.16 $89–$193.63 varies
Catheterize for urine spec (P9612) $107.92 $142 11.6×
Colon ca scrn not hi rsk ind (G0121) $1,417.13 $1,864.65 1.8×
Colorectal scrn; hi risk ind (G0105) $1,417.13 $1,864.65 1.8×
Covid-19 lab test non-cdc (U0002)
range across 2 matching MRF lines
$152–$191.88 $200–$252.47 varies
Depression screen annual (G0444) $26.76 $35.21 0.8×
Diab manage trn per indiv (G0108) $45.60 $60 0.8×
Direct refer hospital observ (G0379) $89.68 $118 0.2×
Drug test def 1-7 classes (G0480)
range across 2 matching MRF lines
$114–$228 $150–$300 varies
Drug test def 15-21 classes (G0482) $237.88 $313 1.2×
Drug test def 22+ classes (G0483)
range across 2 matching MRF lines
$311.60–$376.20 $410–$495 varies
Drug test def 8-14 classes (G0481) $176.32 $232 1.1×
Ekg tracing for initial prev (G0404) $38.76 $51 1.6×
Fern test (Q0114)
range across 2 matching MRF lines
$18.24–$43.32 $24–$57 varies
Hepb screen high risk indiv (G0499) $43.32 $57 1.5×
Hiv combination assay (G0475) $37.24 $49 1.5×
Hospital outpt clinic visit (G0463) $158.08 $208 1.4×
Hpv combo assay ca screen (G0476) $117.80 $155 3.4×
Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) $91.20 $120 2.1×
Initial preventive exam (G0402) $152 $200 1.3×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) $186.20 $245 1.5×
Nav srv peer sup 60 min pr m (G0140) $40.28 $53 0.5×
Njx bone sub matrl into subchondral bone defect (0707T) $1,292 $1,700 0.5×
Njx platelet plasma (0232T)
range across 3 matching MRF lines
$304–$883.88 $400–$1,163 varies
Obtaining screen pap smear (Q0091)
range across 3 matching MRF lines
$40.99–$94.19 $53.93–$123.93 varies
Pin service 60m per month (G0023) $40.28 $53 0.5×
Potassium hydroxide preps (Q0112) $15.20 $20 2.6×
Ppps, initial visit (G0438) $159.60 $210 0.9×
Ppps, subseq visit (G0439) $171 $225 1.2×
Psa screening (G0103)
range across 2 matching MRF lines
$29.64–$66.88 $39–$88 varies
Screen cerv/vag thin layer (G0123) $44.08 $58 2.2×
Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) $5,325.32 $7,007 1.5×
Trim nail(s) (G0127)
range across 3 matching MRF lines
$53.20–$145.65 $70–$191.65 varies
Tte w or wo fol wcon,doppler (C8929) $1,285.16 $1,691 1.9×
Wet mounts/ w preparations (Q0111)
range across 2 matching MRF lines
$11.40–$38.76 $15–$51 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.