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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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $62.72 $104.54 0.3×
Appl on-body injector for timed subq injection (96377) $76.51 $127.51 1.8×
Behavioral and qualitative analysis of voice and resonance (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 Hormon Antineopl Sq/Im (96402) $103.96 $173.27 1.6×
Chemo IV push addl drug (96411) $206.84 $344.74 3.2×
Chemo Iv Push Sngl Drug (96409) $357.07 $595.12 1.2×
Chemo prolong 8+ hrs infuse w/pump (96416) $542.14 $903.57 1.8×
Chemother, IV infusion, 1 hr (96413) $504.32 $840.53 1.7×
Chemother, IV infusion, ea add hr (96415) $113.77 $189.61 1.7×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $193.51 $322.51 3.0×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $246.58 $410.96 3.8×
Color/duplex Doppler, limited (93976) $857.88 $1,429.80 9.1×
Cpap initiation and management (94660) $153.26 $255.44 0.8×
Cpt initial (94667) $84.57 $140.95 0.7×
Critical care (99291) $2,371.57 $3,952.61 3.2×
Debridement Open Wound 20 Sq Cm< (97597) $134.32 $223.86 0.7×
Demo &/or eval,pt use,aerosol device (94664) $202.54 $337.56 1.0×
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 Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,099.88 $1,833.14 5.1×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $1,099.88 $1,833.14 11.6×
Dup-scan xtr veins unilateral/limited study (93971) $454.69 $757.82 4.8×
Duplex hemodialysis access (93990) $320.85 $534.75 3.4×
Duplex scan extracranial art compl bi study (93880) $832.50 $1,387.50 3.9×
Echo Heart Xthoracic,Limited (93308) $640.18 $1,066.96 3.0×
EEG awake drowsy (95816) $922.22 $1,537.03 4.7×
EKG (93005) $193.16 $321.93 3.6×
Er level 1 (99281) $256.61 $427.69 3.4×
Er level ii (99282) $429.83 $716.39 3.1×
Er level iii (99283) $623.33 $1,038.88 2.5×
Er level IV (99284) $1,100.57 $1,834.29 2.9×
Er level v (99285) $1,929.23 $3,215.39 3.6×
Evaluation of speech fluency (92521) $231.04 $385.08 1.7×
Evaluation of speech sound production (92522) $71.14 $118.56 0.6×
Evaluation of swallowing function (92610) $283.66 $472.77 3.3×
External Ecg Scanning Analysis Report (93226) $257.23 $428.72 4.8×
Group Therapeutic Procedures (97150) $98.94 $164.90 5.5×
Holter Monitor Recording (93225) $400.12 $666.86 3.3×
Immunization Admin (90471) $20.04 $33.40 0.3×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $99.48 $165.79 1.9×
IV infusion hydration each additional hour (96361) $65.46 $109.09 1.5×
IV infusion hydration initial 31 min-1 hour (96360) $199.63 $332.72 1.0×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $121.52 $202.53 1.9×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $272.57 $454.28 1.4×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $73.48 $122.47 1.7×
IV push initial (96374) $110.22 $183.71 0.6×
Manual therapy 15 min (97140) $87.98 $146.64 3.2×
Mechanical traction (97012) $114.53 $190.89 8.0×
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 Fluor Eval Swlng Funcj C/V Rec (92611) $506.77 $844.62 5.5×
Multiple sleep latency test (95805) $1,366.36 $2,277.26 1.8×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $233.60 $389.34 1.9×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $144.16 $240.26 1.2×
Orthotics mgmt & traing 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 complex 60 min (97167) $278.59 $464.31 2.8×
Ot eval mod complex 45 min (97166) $300.89 $501.48 3.0×
Ot Prosthetic Training, Each 15 Min (97761) $68.80 $114.66 1.7×
Ot re-eval est plan care (97168) $139.10 $231.84 2.0×
Paraffin bath (97018) $79 $131.67 13.1×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,276.87 $3,794.79 2.9×
Pt Electrical Stimulation (97032) $66.62 $111.04 4.5×
Pt eval high complex 45 min (97163) $278.59 $464.31 2.8×
Pt eval low complex 20 min (97161) $278.59 $464.31 2.8×
Pt Gait Training Therapy (97116) $103.57 $172.62 3.6×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $93.18 $155.30 2.8×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $278.59 $464.31 2.8×
Pt re-evaluation (97164) $139.67 $232.79 2.1×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $60.95 $101.59 1.9×
Pt Ultrasound Therapy (97035) $100.55 $167.58 7.0×
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×
Rt Chest Wall Manipulation,Subsequent (94668) $61.83 $103.05 0.5×
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 group therapy (92508) $92.79 $154.65 3.9×
Speech sound lang comprehen (92523) $147.71 $246.19 0.7×
Spirometry (94010) $537.31 $895.52 2.7×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $26.44 $44.07 0.6×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $214.51 $357.51 1.1×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $111.13 $185.22 5.0×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (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) $56.61 $94.35 0.9×
Therapeutic Activities (97530) $82.31 $137.18 2.3×
Tilt Table Eval (93660) $468.45 $780.75 1.4×
Tte W/Doppler Complete - Tte Complete W/ Contrast (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 Swallowing Dysfunction&/Oral Funcj Feeding (92526) $213.22 $355.36 2.5×
Tx/Pro/Dx Inj New Drug Addon (96375) $65.32 $108.86 1.5×
Vasc Duplex Extrem Venous,Bilat (93970) $803.34 $1,338.91 3.7×
Vasopneumatic device (97016) $124.93 $208.22 10.4×
Ventilation assist & mgmt inpatient 1st 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) $66.88 $111.48 2.2×