Visits & medical services prices at Savoy Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640) $62.72 $104.54 0.3×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 2 matching MRF lines
$96.58–$104.52 $160.97–$174.20 varies
Application on-body injector (96377) $76.51 $127.51 1.8×
Behavral qualit analys voice (92524) $74.20 $123.67 0.7×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $1,148.26 $1,913.76 3.4×
Cardiac Stress Tst,Tracing Only (93017) $1,112.27 $1,853.78 5.7×
Cardiopulmonary resuscitation (92950) $295.83 $493.05 1.5×
Chemo Anti-Neopl Sq/Im (96401) $193.51 $322.51 3.0×
Chemo Hormon Antineopl Sq/Im (96402) $103.96 $173.27 1.6×
Chemo IV infusion addl hr (96415) $113.77 $189.61 1.7×
Chemo IV push addl drug (96411) $206.84 $344.74 3.2×
Chemother Prolong Infuse W/Pump (96416) $542.14 $903.57 1.8×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $246.58 $410.96 3.8×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $504.32 $840.53 1.7×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $357.07 $595.12 1.2×
Chest Wall Manipulation (94668) $61.83 $103.05 0.5×
Color/duplex Doppler, limited (93976) $857.88 $1,429.80 9.1×
Continuous Pulse Ox (94762) $144.16 $240.26 1.2×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $153.26 $255.44 0.8×
Cpt initial (94667) $84.57 $140.95 0.7×
Critical care first hour (99291) $2,371.57 $3,952.61 3.2×
Debridement Open Wound 20 Sq Cm< (97597) $134.32 $223.86 0.7×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,161.86 $1,936.44 5.4×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $619.82 $1,033.04 6.5×
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 2 matching MRF lines
$446.03–$1,160.66 $743.39–$1,934.43 varies
Dup-scan xtr veins unilateral/limited study (93971) $454.69 $757.82 4.8×
Duplex Scan Hemodialysis Access (93990) $320.85 $534.75 3.4×
Duplex up extrem art bilat (93930) $1,099.88 $1,833.14 5.1×
Duplex up extrem art unilat/ltd (93931) $1,099.88 $1,833.14 11.6×
Echo Heart Xthoracic,Limited (93308) $640.18 $1,066.96 3.0×
EEG awake drowsy (95816) $922.22 $1,537.03 4.7×
Electrical Stimulation Ea 15 Min (97032)
range across 2 matching MRF lines
$64.07–$69.17 $106.79–$115.29 varies
Electrocardiogram Tracing (93005) $193.16 $321.93 3.6×
Emergency Dept Visit Level 2 (99282) $429.83 $716.39 3.1×
Emergency Dept Visit Level 3 (99283) $623.33 $1,038.88 2.5×
Emergency Dept Visit Level 4 (99284) $1,100.57 $1,834.29 2.9×
Er level 1 (99281) $256.61 $427.69 3.4×
Er level v (99285) $1,929.23 $3,215.39 3.6×
Evaluate pt use of inhaler (94664) $202.54 $337.56 1.0×
Evaluate Speech Production (92522) $71.14 $118.56 0.6×
Evaluate Swallowing Function (92610) $283.66 $472.77 3.3×
Evaluation of speech fluency (92521)
range across 2 matching MRF lines
$87.68–$374.41 $146.13–$624.02 varies
External Ecg Scanning Analysis Report (93226) $257.23 $428.72 4.8×
Extracranial Bilat Study (93880) $832.50 $1,387.50 3.9×
Group Therapeutic Procedures (97150)
range across 2 matching MRF lines
$95.07–$102.82 $158.45–$171.36 varies
Holter monitor recording (93225) $400.12 $666.86 3.3×
Immunization administration (90471)
range across 5 matching MRF lines
$20.04–$48.20 $33.40–$80.33 varies
Irrig Drug Delivery Device (96523)
range across 4 matching MRF lines
$81.92–$99.88 $136.53–$166.47 varies
IV infusion hydration each additional hour (96361)
range across 2 matching MRF lines
$58.51–$72.40 $97.52–$120.66 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines
$184.80–$214.46 $308–$357.44 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 2 matching MRF lines
$118.93–$124.10 $198.22–$206.84 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 2 matching MRF lines
$71.58–$75.38 $119.30–$125.64 varies
IV push initial (96374)
range across 2 matching MRF lines
$52.25–$168.20 $87.09–$280.33 varies
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $48.86 $81.44 1.5×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $57.56 $95.94 1.6×
Motion Fluoroscopy/Swallow (92611) $506.77 $844.62 5.5×
Multiple Sleep Latency Test (95805) $1,366.36 $2,277.26 1.8×
Neuromuscular Reeducation (97112)
range across 2 matching MRF lines
$89.59–$96.77 $149.31–$161.28 varies
Oral Function Therapy (92526) $213.22 $355.36 2.5×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $81.27 $135.45 1.8×
Ot Contrast Bath Ea 15 Min (97034) $120.02 $200.03 8.6×
Ot eval high complexity (97167) $278.59 $464.31 2.8×
Ot Eval Moderate Complexity (97166) $300.89 $501.48 3.0×
Ot manual therapy 15 min (97140)
range across 2 matching MRF lines
$84.49–$91.48 $140.81–$152.46 varies
Ot paraffin bath (97018) $79 $131.67 13.1×
Ot Prosthetic Training, Each 15 Min (97761)
range across 2 matching MRF lines
$49.90–$87.70 $83.16–$146.16 varies
Ot Re-Eval Est Plan Care (97168) $139.10 $231.84 2.0×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,276.87 $3,794.79 2.9×
Pt Eval High Complex (97163) $278.59 $464.31 2.8×
Pt eval low complex 20 min (97161) $278.59 $464.31 2.8×
Pt Eval Mod Complex (97162) $278.59 $464.31 2.8×
Pt gait training 15 min (97116) $103.57 $172.62 3.6×
Pt mechanical traction (97012) $114.53 $190.89 8.0×
Pt Re-Eval Est Plan Care (97164) $139.67 $232.79 2.1×
Pulm function test by gas (94727) $133.76 $222.94 0.7×
Refill/Maint Portable Pump (96521) $446.89 $744.81 2.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $112.82 $188.03 0.6×
Self Care Mngment Training (97535)
range across 2 matching MRF lines
$54.05–$67.85 $90.09–$113.09 varies
Sensory Integration Ea 15 Min (97533) $66.15 $110.25 1.1×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $341.68 $569.47 1.7×
Speech sound lang comprehen (92523) $147.71 $246.19 0.7×
Spirometry (94010) $537.31 $895.52 2.7×
Subcutaneous Infusion Each Additional Hour (96370) $26.44 $44.07 0.6×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $214.51 $357.51 1.1×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $111.13 $185.22 5.0×
Ther Ivntj Ea Addl 15 Min (97130) $111.13 $185.22 5.3×
Ther/Prop/Diag Inj/Inf Proc (96379) $135.81 $226.35 3.2×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines
$54.43–$60.42 $90.72–$100.70 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 4 matching MRF lines
$213.92–$503.77 $356.53–$839.61 varies
Therapeutic Activities (97530)
range across 2 matching MRF lines
$67.85–$96.77 $113.09–$161.28 varies
Tilt table test with heart rhythm and blood pressure monitoring (93660) $468.45 $780.75 1.4×
Tte w/doppler, complete (93306) $1,816.46 $3,027.44 3.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $202.98 $338.30 2.7×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $92.79 $154.65 3.9×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 2 matching MRF lines
$52.25–$78.38 $87.09–$130.64 varies
Upr/L Xtremity Art 2 Levels (93922) $233.60 $389.34 1.9×
Vasopneumatic device (97016) $124.93 $208.22 10.4×
Vent Mgmt Inpat Init Day (94002) $2,411.89 $4,019.82 4.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $2,106.71 $3,511.18 3.8×
Vital capacity, total (94150) $135.01 $225.02 1.2×
Wheelchair Mgmt Ea 15 Min (97542)
range across 2 matching MRF lines
$64.34–$69.43 $107.24–$115.71 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.