Visits & medical services prices at Sabine Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640)
range across 9 matching MRF lines
$15.90–$99 $53–$330 varies
Cardiopulmonary resuscitation (92950)
range across 4 matching MRF lines
$268.50–$363 $895–$1,210 varies
Cbt 1st hour (94644) $99 $330 0.8×
Chest Wall Manipulation (94668) $42 $140 0.3×
Color/duplex Doppler, complete (93975)
range across 6 matching MRF lines
$46.80–$197.70 $156.03–$659 varies
Color/duplex Doppler, limited (93976) $197.70 $659 2.1×
Continuous Pulse Ox (94762) $181.50 $605 1.6×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $363 $1,210 1.8×
Cpt initial (94667) $61.80 $206 0.5×
Critical care first hour (99291) $792 $2,640 1.1×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $123.30 $411 0.6×
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 4 matching MRF lines
$16.50–$212.10 $55–$707 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 6 matching MRF lines
$33–$170.10 $110–$567 varies
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 7 matching MRF lines
$16.50–$212.10 $55–$707 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 13 matching MRF lines
$6.90–$466.50 $23–$1,555 varies
Duplex up extrem art bilat (93930)
range across 6 matching MRF lines
$33–$796.50 $110–$2,655 varies
Duplex up extrem art unilat/ltd (93931)
range across 6 matching MRF lines
$16.50–$280.80 $55–$936 varies
Electrical Stimulation Ea 15 Min (97032) $50.40 $168 3.4×
Electrocardiogram Tracing (93005) $82.20 $274 1.5×
Emergency Dept Visit Level 2 (99282) $165 $550 1.2×
Emergency Dept Visit Level 3 (99283) $264 $880 1.1×
Emergency Dept Visit Level 4 (99284) $412.50 $1,375 1.1×
Er level 1 (99281)
range across 4 matching MRF lines
$33–$82.50 $110–$275 varies
Er level v (99285) $561 $1,870 1.0×
Evaluate pt use of inhaler (94664)
range across 4 matching MRF lines
$115.20–$132 $384–$440 varies
External Ecg Scanning Analysis Report (93226) $167.70 $559 3.1×
Extracranial Bilat Study (93880)
range across 5 matching MRF lines
$11.70–$233.40 $39–$778 varies
Extracranial Uni/Ltd Study (93882) $170.10 $567 1.8×
F-up/limited tthrc echo congenital car anomaly (93304) $233.40 $778 0.5×
Group Therapeutic Procedures (97150) $7.20 $24 0.4×
Holter monitor recording (93225) $149.40 $498 1.2×
Immunization administration (90471) $12.90 $43 0.2×
Irrig Drug Delivery Device (96523) $48.60 $162 0.9×
IV infusion hydration each additional hour (96361) $19.20 $64 0.5×
IV infusion hydration initial 31 min-1 hour (96360) $52.80 $176 0.3×
IV infusion ther proph addl sequential to 1 hr (96367) $27.60 $92 0.4×
IV infusion therapy prophylaxis/dx ea hour (96366) $27.60 $92 0.7×
IV push initial (96374) $27.60 $92 0.1×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $17.70 $59 0.0×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608)
range across 4 matching MRF lines
$305.61–$493.05 $1,018.72–$1,643.52 varies
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $35.70 $119 0.2×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $42 $140 0.1×
Neuromuscular Reeducation (97112) $33 $110 1.0×
Ot manual therapy 15 min (97140) $27 $90 1.0×
Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of… (94014) $28.80 $96 0.1×
Psychiatric diagnostic evaluation (90791) $66 $220 0.4×
Pt Eval High Complex (97163) $59.40 $198 0.6×
Pt eval low complex 20 min (97161) $65.40 $218 0.7×
Pt Eval Mod Complex (97162) $52.80 $176 0.5×
Pt gait training 15 min (97116) $27 $90 0.9×
Pt Re-Eval Est Plan Care (97164) $43.50 $145 0.6×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $24.30 $81 0.5×
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $12.90 $43 0.5×
Ther/Proph/Diag Inj Sc/Im (96372) $7.50 $25 0.1×
Ther/Proph/Diag Iv Inf Init (96365)
range across 4 matching MRF lines
$52.80–$95.40 $176–$318 varies
Therapeutic Activities (97530) $33 $110 0.9×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $33 $110 1.0×
Tte w/doppler, complete (93306)
range across 5 matching MRF lines
$33–$718.80 $110–$2,396 varies
Tx/Pro/Dx Inj New Drug Addon (96375) $27.60 $92 0.7×
Unlisted cardiovascular service/procedure (93799) $122.10 $407 1.0×
Unlisted Psychiatric Service/Procedure (90899) $11.70 $39 0.3×
Upr/L Xtremity Art 2 Levels (93922)
range across 5 matching MRF lines
$10.20–$130.80 $34–$436 varies
Vent Mgmt Inpat Init Day (94002) $990 $3,300 1.8×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $758.40 $2,528 1.4×
Wheelchair Mgmt Ea 15 Min (97542) $20.10 $67 0.6×

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.