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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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $66 $220 0.3×
Cardiopulmonary resuscitation (92950) $315.75 $1,052.50 1.6×
Cbt 1st hour (94644) $99 $330 0.8×
Color/duplex Doppler, complete (93975) $178.50 $595 0.8×
Color/duplex Doppler, limited (93976) $197.70 $659 2.1×
Cpap initiation and management (94660) $363 $1,210 1.8×
Cpt initial (94667) $61.80 $206 0.5×
Critical care (99291) $792 $2,640 1.1×
Demo &/or eval,pt use,aerosol device (94664) $123.60 $412 0.6×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $123.30 $411 0.6×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $114.30 $381 0.5×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $101.55 $338.50 1.1×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $466.50 $1,555 2.2×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $148.65 $495.50 1.6×
Dup-scan xtr veins unilateral/limited study (93971) $8.40 $28 0.1×
Duplex scan extracranial art compl bi study (93880) $233.40 $778 1.1×
Echo Transthoracic - Congenital Tte Limited (93304) $233.40 $778 0.5×
EKG (93005) $82.20 $274 1.5×
EKG rhythm strip (93041) $24.30 $81 0.5×
Er level 1 (99281) $57.75 $192.50 0.8×
Er level ii (99282) $165 $550 1.2×
Er level iii (99283) $264 $880 1.1×
Er level IV (99284) $412.50 $1,375 1.1×
Er level v (99285) $561 $1,870 1.0×
External Ecg Scanning Analysis Report (93226) $167.70 $559 3.1×
Group Therapeutic Procedures (97150) $7.20 $24 0.4×
Holter Monitor Recording (93225) $149.40 $498 1.2×
Immunization Admin (90471) $12.90 $43 0.2×
Irrigaj Implntd Venous Access Drug Delivery Syst (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, therap/proph/diagnost,add infusion,1st hour (96367) $27.60 $92 0.4×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $74.10 $247 0.4×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $27.60 $92 0.7×
IV push initial (96374) $27.60 $92 0.1×
Manual therapy 15 min (97140) $27 $90 1.0×
Neg press wnd tx </=50 sq cm (97607) $17.70 $59 0.0×
Neg press wound tx >50 cm (97608) $399.33 $1,331.12 1.1×
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×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $130.80 $436 1.1×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $181.50 $605 1.6×
Ot Range Motion Measure,Each Extrem (95851) $12.90 $43 0.5×
Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of… (94014) $28.80 $96 0.1×
Pr unlisted procedure psychiatric service/therapy, psychiatric service (90899) $11.70 $39 0.3×
Psychiatric diagnostic evaluation (90791) $66 $220 0.4×
Pt Electrical Stimulation (97032) $50.40 $168 3.4×
Pt eval high complex 45 min (97163) $59.40 $198 0.6×
Pt eval low complex 20 min (97161) $65.40 $218 0.7×
Pt Gait Training Therapy (97116) $27 $90 0.9×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $33 $110 1.0×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $52.80 $176 0.5×
Pt re-evaluation (97164) $43.50 $145 0.6×
Rt Chest Wall Manipulation,Subsequent (94668) $42 $140 0.3×
Ther/Proph/Diag Inj Sc/Im (96372) $7.50 $25 0.1×
Therapeutic Activities (97530) $33 $110 0.9×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $33 $110 1.0×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $718.80 $2,396 1.5×
Tx/Pro/Dx Inj New Drug Addon (96375) $27.60 $92 0.7×
Unlisted Cardiovascular Service/Procedure (93799) $122.10 $407 1.0×
Vasc Duplex Extrem Venous,Bilat (93970) $18.30 $61 0.1×
Vasc Duplex Scan Extracranial,Limited (93882) $170.10 $567 1.8×
Ventilation assist & mgmt inpatient 1st 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×