Visits & medical services prices at Pointe Coupee General Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640) $596 $596 3.0×
Analyze neurostim no prog (95970) $530 $530 4.4×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 3 matching MRF lines
$46–$58 $46–$58 varies
Assessment of aphasia per hr (96105) $330 $330 3.4×
Behavral qualit analys voice (92524) $400 $400 3.7×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $820 $820 2.4×
Cardiac Stress Tst,Tracing Only (93017) $820 $820 4.2×
Cardiopulmonary resuscitation (92950) $820 $820 4.2×
Cardioversion (92960) $1,738 $1,738 2.9×
Chest Wall Manipulation (94668) $353 $353 2.9×
Color/duplex Doppler, complete (93975) $755 $755 3.5×
Color/duplex Doppler, limited (93976) $400 $400 4.2×
Continuous Pulse Ox (94762) $448 $448 3.8×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 2 matching MRF lines
$660–$749 $660–$749 varies
Cpt initial (94667) $353 $353 2.9×
Critical care first hour (99291) $2,159 $2,159 2.9×
Debridement Open Wound 20 Sq Cm< (97597) $566 $566 3.1×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $755 $755 3.5×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $422.40 $422.40 4.5×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $755 $755 3.5×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $514.03 $514.03 5.4×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $755 $755 3.5×
Dup-scan xtr veins unilateral/limited study (93971) $551.16 $551.16 5.8×
Duplex up extrem art bilat (93930) $755 $755 3.5×
Duplex up extrem art unilat/ltd (93931) $363 $363 3.8×
Echo Heart Xthoracic,Limited (93308) $755 $755 3.5×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $493 $493 5.7×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $156 $156 4.6×
Electrical Stimulation Ea 15 Min (97032) $47 $47 3.2×
Electrocardiogram Tracing (93005) $178 $178 3.3×
Emergency Dept Visit Level 2 (99282) $415 $415 3.0×
Emergency Dept Visit Level 3 (99283) $723 $723 2.9×
Emergency Dept Visit Level 4 (99284) $1,140 $1,140 3.0×
Er level 1 (99281)
range across 3 matching MRF lines
$226–$300 $226–$300 varies
Er level v (99285) $1,634 $1,634 3.0×
Evaluate pt use of inhaler (94664) $596 $596 3.0×
Evaluate Speech Production (92522) $400 $400 3.6×
Evaluate Swallowing Function (92610) $275 $275 3.2×
Evaluation of speech fluency (92521) $400 $400 3.0×
External ECG rec>48hr<7d recording (93242)
range across 2 matching MRF lines
$300–$320 $300–$320 varies
External ECG rec>7d<15d recording (93246) $340 $340 10.1×
Extracranial Bilat Study (93880) $755 $755 3.5×
Eye exam w anesth; complete (92018) $6,269 $6,269 2.9×
Gonioscopy (92020) $353 $353 2.9×
Group Therapeutic Procedures (97150) $58 $58 3.2×
Holter monitor recording (93225) $353 $353 2.9×
Hubbard tank 15 min (97036) $107 $107 3.1×
Immunization administration (90471)
range across 2 matching MRF lines
$55.36–$356 $55.36–$356 varies
Intracranial Complete Study (93886) $755 $755 3.5×
Iontophoresis 15 min (97033) $65 $65 3.4×
IV infusion hydration each additional hour (96361) $85 $85 2.0×
IV infusion hydration initial 31 min-1 hour (96360) $269 $269 1.4×
IV infusion ther proph addl sequential to 1 hr (96367) $138 $138 2.1×
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$93–$114 $93–$114 varies
IV push initial (96374) $269 $269 1.4×
Motion Fluoroscopy/Swallow (92611)
range across 2 matching MRF lines
$372.90–$400 $372.90–$400 varies
Multiple Sleep Latency Test (95805)
range across 2 matching MRF lines
$1,584–$3,000 $1,584–$3,000 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $566 $566 3.1×
Neurobehavioral Status Exam (96116) $820 $820 4.2×
Neuromuscular Reeducation (97112) $111 $111 3.4×
Oral Function Therapy (92526)
range across 2 matching MRF lines
$125–$276 $125–$276 varies
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $152 $152 3.3×
Ot Contrast Bath Ea 15 Min (97034) $48 $48 3.4×
Ot eval high complexity (97167) $283 $283 2.8×
Ot Eval Low Complex (97165) $284 $284 2.8×
Ot Eval Moderate Complexity (97166) $283 $283 2.8×
Ot manual therapy 15 min (97140) $89 $89 3.2×
Ot paraffin bath (97018)
range across 2 matching MRF lines
$19–$22 $19–$22 varies
Ot Prosthetic Training, Each 15 Min (97761) $130 $130 3.2×
Ot Re-Eval Est Plan Care (97168) $195 $195 2.8×
Patient-initiated spirometric phys/qhp r&i only (94016) $99 $99 4.0×
Phlebotomy therapeutic (99195) $353 $353 2.9×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $100 $100 1.9×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $100 $100 1.9×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 3 matching MRF lines
$3,324.02–$4,300 $3,324.02–$4,300 varies
Pt Eval High Complex (97163) $269 $269 2.7×
Pt eval low complex 20 min (97161) $269 $269 2.7×
Pt Eval Mod Complex (97162) $269 $269 2.7×
Pt gait training 15 min (97116) $96 $96 3.3×
Pt mechanical traction (97012) $48 $48 3.3×
Pt Re-Eval Est Plan Care (97164) $184 $184 2.7×
Pulmonary service/procedure (94799) $448 $448 3.8×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $178 $178 3.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 4 matching MRF lines
$566–$600 $566–$600 varies
Self Care Mngment Training (97535) $107 $107 3.3×
Sensory Integration Ea 15 Min (97533) $159 $159 2.6×
Sleep study unattended (95806) $900 $900 4.6×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $1,000 $1,000 5.1×
Speech sound lang comprehen (92523) $612 $612 2.7×
Spirometry (94010) $448 $448 2.3×
Temp transcutaneous pacing (92953) $1,738 $1,738 2.9×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $78 $78 3.5×
Ther Ivntj Ea Addl 15 Min (97130) $74 $74 3.5×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $91 $91 3.1×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 4 matching MRF lines
$89–$125 $89–$125 varies
Ther/Proph/Diag Iv Inf Init (96365) $269 $269 1.4×
Therapeutic Activities (97530) $122 $122 3.5×
Tobacco Use Cessation Intensive >10 Minutes (99407) $89 $89 2.6×
Tte w/doppler, complete (93306) $1,560 $1,560 3.2×
Tte W/O Doppler Complete (93307) $755 $755 3.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $252 $252 3.3×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $75 $75 3.1×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 2 matching MRF lines
$100–$101 $100–$101 varies
Unlisted cardiovascular service/procedure (93799) $448 $448 3.8×
Upr/L Xtremity Art 2 Levels (93922) $353 $353 2.9×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $513.81 $513.81 2.6×
Vasopneumatic device (97016) $39 $39 3.2×
Vent Mgmt Inpat Init Day (94002) $1,505 $1,505 2.7×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,505 $1,505 2.7×
Wheelchair Mgmt Ea 15 Min (97542) $104 $104 3.3×
Whirlpool Therapy (97022) $55 $55 3.5×

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.