Visits & medical services prices at Ochsner St. Martin Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640)
range across 5 matching MRF lines		 $20.10–$25.20 $67–$84 varies
Airway resistance by oscillometry (94728) $195.60 $652 1.7×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $29.10 $97 2.0×
Assessment of aphasia per hr (96105) $138 $460 1.4×
Behavral qualit analys voice (92524) $263.10 $877 2.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $195.60 $652 0.6×
Canalith repositioning proc (95992) $111.90 $373 2.7×
Cardiac Stress Tst,Tracing Only (93017) $93.90 $313 0.5×
Cardiopulmonary resuscitation (92950) $264.60 $882 1.4×
Cardioversion (92960) $585 $1,950 1.0×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $20.70 $69 0.8×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $4,890.90 $16,303 1.7×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $4,890.90 $16,303 1.7×
Cbt 1st hour (94644) $102.60 $342 0.9×
Chemo Anti-Neopl Sq/Im (96401) $145.20 $484 2.2×
Chemo Hormon Antineopl Sq/Im (96402) $145.20 $484 2.2×
Chemo IV infusion addl hr (96415) $145.20 $484 2.2×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $308.70 $1,029 1.0×
Chest Wall Manipulation (94668) $31.50 $105 0.3×
Color/duplex Doppler, complete (93975) $286.20 $954 1.3×
Color/duplex Doppler, limited (93976) $172.80 $576 1.8×
Community/Work Reintegration Trainj Ea 15 Min (97537) $25.80 $86 0.8×
Coronary Art/Grft Angio S&I (93455) $4,890.90 $16,303 1.7×
Coronary Artery Angio S&I (93454) $4,890.90 $16,303 1.7×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $63.30 $211 0.3×
Cpt initial (94667) $64.80 $216 0.5×
Critical care first hour (99291) $405 $1,350 0.5×
Debridement Open Wound 20 Sq Cm< (97597)
range across 4 matching MRF lines		 $13.20–$279.90 $44–$933 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $305.70 $1,019 1.4×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $226.20 $754 1.0×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $140.70 $469 1.5×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $226.20 $754 1.0×
Dup-scan xtr veins unilateral/limited study (93971) $140.70 $469 1.5×
Duplex up extrem art bilat (93930) $219.60 $732 1.0×
Duplex up extrem art unilat/ltd (93931) $161.70 $539 1.7×
Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) $123 $410 1.1×
Echo transesophageal (93312) $583.80 $1,946 1.2×
EEG awake drowsy (95816) $202.50 $675 1.0×
EEG extended monitoring 61-119 minutes (95813) $241.50 $805 1.2×
Eeg Sleep Only (95822) $225.60 $752 1.2×
Electrical Stimulation Ea 15 Min (97032) $28.80 $96 2.0×
Electrocardiogram Tracing (93005) $33 $110 0.6×
Emergency Dept Visit Level 2 (99282) $75.60 $252 0.5×
Emergency Dept Visit Level 3 (99283) $99.90 $333 0.4×
Emergency Dept Visit Level 4 (99284) $125.70 $419 0.3×
Er level 1 (99281) $34.50 $115 0.5×
Er level v (99285) $151.50 $505 0.3×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $292.50 $975 0.9×
Evaluate pt use of inhaler (94664) $25.20 $84 0.1×
Evaluate Speech Production (92522) $149.10 $497 1.3×
Evaluate Swallowing Function (92610) $165.30 $551 1.9×
Evaluation of speech fluency (92521) $149.10 $497 1.1×
External Ecg Scanning Analysis Report (93226) $48.30 $161 0.9×
Extracranial Bilat Study (93880) $222 $740 1.0×
Extracranial Uni/Ltd Study (93882) $129.30 $431 1.4×
Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) $285.90 $953 1.9×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $620.40 $2,068 0.8×
Group Therapeutic Procedures (97150)
range across 2 matching MRF lines		 $34.50–$34.80 $115–$116 varies
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $4,890.90 $16,303 1.7×
Holter monitor recording (93225) $88.20 $294 0.7×
Immunization administration (90471) $48.60 $162 0.7×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $372 $1,240 1.1×
Insert/Place Heart Catheter (93503) $902.40 $3,008 0.6×
Iontophoresis 15 min (97033) $40.80 $136 2.1×
Irrig Drug Delivery Device (96523) $53.40 $178 1.0×
IV infusion hydration each additional hour (96361) $36.30 $121 0.9×
IV infusion hydration initial 31 min-1 hour (96360) $81.30 $271 0.4×
IV infusion therapy prophylaxis/dx ea hour (96366) $43.50 $145 1.0×
IV push initial (96374) $87.30 $291 0.5×
L Hrt Art/Grft Angio (93459) $4,890.90 $16,303 1.7×
Lung Function Test (Mbc/Mvv) (94200) $195.60 $652 3.7×
Lwr Xtr Vasc Stdy Bilat (93924) $131.40 $438 0.7×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $30 $100 0.9×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $44.10 $147 1.2×
Motility study esophagus (91010) $411.30 $1,371 1.2×
Motion Fluoroscopy/Swallow (92611) $185.40 $618 2.0×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $166.80 $556 0.5×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $166.80 $556 0.5×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $279.90 $933 1.5×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $279.90 $933 0.8×
Neuromuscular Reeducation (97112) $38.70 $129 1.2×
Oral Function Therapy (92526) $111.60 $372 1.3×
Oral Speech Device Eval (92597) $85.20 $284 1.2×
Orthc/Prostc Mgmt Sbsq Enc (97763) $16.80 $56 0.3×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $40.80 $136 0.9×
Ot Contrast Bath Ea 15 Min (97034) $11.10 $37 0.8×
Ot eval high complexity (97167) $118.80 $396 1.2×
Ot Eval Low Complex (97165) $93.60 $312 0.9×
Ot Eval Moderate Complexity (97166) $103.50 $345 1.0×
Ot manual therapy 15 min (97140) $38.70 $129 1.4×
Ot paraffin bath (97018) $12 $40 2.0×
Ot Prosthetic Training, Each 15 Min (97761) $38.70 $129 1.0×
Ot Re-Eval Est Plan Care (97168) $78.60 $262 1.1×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $66 $220 0.6×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $50.40 $168 0.4×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $20.10 $67 0.1×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $7,215.90 $24,053 1.4×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $117.90 $393 2.2×
Physical Performance Test (97750)
range across 2 matching MRF lines		 $22.50–$61.80 $75–$206 varies
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $1,362 $4,540 1.8×
Pt Eval High Complex (97163) $125.10 $417 1.3×
Pt eval low complex 20 min (97161) $97.80 $326 1.0×
Pt Eval Mod Complex (97162) $108.90 $363 1.1×
Pt gait training 15 min (97116) $38.70 $129 1.3×
Pt group caregiver training (97552) $17.40 $58 0.8×
Pt mechanical traction (97012) $10.20 $34 0.7×
Pt Re-Eval Est Plan Care (97164) $84.90 $283 1.3×
Pulm function test by gas (94727) $195.60 $652 1.0×
Pulmonary service/procedure (94799)
range across 4 matching MRF lines		 $25.50–$107.40 $85–$358 varies
Pulmonary Stress Testing (94618) $82.80 $276 0.7×
Remote 30 Day Ecg Rev/Report (93270) $100.50 $335 3.0×
Respiratory flow volume loop (94375) $195.60 $652 1.0×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $32.40 $108 0.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $53.40 $178 0.3×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $37.50 $125 1.4×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $105.90 $353 0.9×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $25.80 $86 0.5×
Self Care Mngment Training (97535)
range across 4 matching MRF lines		 $20.10–$34.80 $67–$116 varies
Sensory Integration Ea 15 Min (97533) $23.70 $79 0.4×
Slp caregiver training 1st 30 min (97550) $41.70 $139 0.8×
Speech sound lang comprehen (92523) $149.10 $497 0.7×
Spirometry (94010) $39.30 $131 0.2×
Standardized Cognitive Performance Testing (96125) $66.60 $222 0.6×
Surfactant Admin Thru Tube (94610) $35.70 $119 0.2×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $33.30 $111 1.5×
Ther Ivntj Ea Addl 15 Min (97130) $33.30 $111 1.6×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $16.20 $54 0.5×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $119.70 $399 1.2×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines		 $21–$67.80 $70–$226 varies
Therapeutic Activities (97530) $38.70 $129 1.1×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $10.20 $34 0.3×
Trans Care Mgmt 14 Day Disch (99495) $84.60 $282 0.7×
Trans Care Mgmt 7 Day Disch (99496) $119.70 $399 1.0×
Tte w/doppler, complete (93306) $308.10 $1,027 0.6×
Tte W/O Doppler Complete (93307) $310.20 $1,034 1.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $89.70 $299 1.2×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $69.30 $231 2.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $67.80 $226 1.6×
Unlisted cardiovascular service/procedure (93799) $3,069.30 $10,231 26.3×
Upr/L Xtremity Art 2 Levels (93922) $129.60 $432 1.1×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $137.70 $459 0.7×
Vasopneumatic device (97016)
range across 2 matching MRF lines		 $24.60–$61.80 $82–$206 varies
Vent Mgmt Inpat Init Day (94002) $100.20 $334 0.2×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $153.30 $511 0.3×
Visual field xm uni/bi w/interpretj limited exam (92081) $33.30 $111 0.6×
Vital capacity, total (94150) $54.90 $183 0.5×
Wheelchair Mgmt Ea 15 Min (97542) $36.30 $121 1.2×

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.