Supplies, drugs & other prices at University Medical Center New Orleans

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

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

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ProcedureCash priceGross charge× Medicare
2019-ncov diagnostic p (U0001) $42.90 $195 1.2×
2d cephalometric image (D0340) $36.30 $165 0.5×
Ablation, irreversible electroporation; 1 or more tumors per organ, including imaging guidance, when performed,… (0600T) $5,078.04 $23,082 0.5×
Ablation, irreversible electroporation; 1 or more tumors, including fluoroscopic and ultrasound guidance, when… (0601T) $5,078.04 $23,082 0.5×
Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) $1,803.34 $8,197 1.0×
Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T) $6,501.66 $29,553 0.8×
Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) $1,589.50 $7,225 0.9×
Accelerated, repetitive high-dose functional connectivity MRI-guided theta-burst stimulation, including target… (0890T) $2,956.36 $13,438 0.9×
Accelerated, repetitive high-dose functional connectivity MRI-guided theta-burst stimulation, including… (0892T) $2,956.36 $13,438 0.9×
Accelerated, repetitive high-dose functional connectivity MRI-guided theta-burst stimulation, including… (0891T) $2,956.36 $13,438 0.9×
Adapt Bhv Tx Ea 15 Min (0373T) $169.18 $769 5.0×
Adm tocilizu covid-19 1st (M0249) $513.70 $2,335 1.3×
Adm tocilizu covid-19 2nd (M0250) $472.78 $2,149 1.2×
Adv prim care mgmt lvl 1 (G0556) $26.18 $119 0.8×
Adv prim care mgmt lvl 2 (G0557) $26.18 $119 0.8×
Adv prim care mgmt lvl 3 (G0558) $81.40 $370 0.9×
Alveoloplasty not w/extracts (D7321) $383.24 $1,742 0.3×
Alveoloplasty w/extract 1-3 (D7311) $111.98 $509 0.1×
Alveoplasty w/ extraction (D7310) $153.56 $698 0.1×
Alveoplasty w/o extraction (D7320) $213.62 $971 0.2×
Amalgam 4 or > surfaces perm (D2161) $128.70 $585 0.2×
Amalgam one surface permanen (D2140) $71.28 $324 0.1×
Amalgam three surfaces perma (D2160) $109.12 $496 0.2×
Amalgam two surfaces permane (D2150) $90.20 $410 0.2×
Apically positioned flap (D4245) $131.78 $599 0.1×
Apicoectomy - anterior (D3410) $410.52 $1,866 0.7×
Auto tissue graft 1st tooth (D4273) $591.80 $2,690 0.4×
Behavior counsel obesity 15m (G0447) $78.98 $359 0.9×
Bone replce graft first site (D4263) $591.80 $2,690 1.0×
Ca screen;flexi sigmoidscope (G0104) $802.78 $3,649 1.0×
Ca screen;pelvic/breast exam (G0101) $73.48 $334 0.8×
Canal prep/fitting of dowel (D3950) $82.50 $375 0.1×
Cardiac mri seg dys strain (C9762) $582.12 $2,646 1.2×
Cardiac mri seg dys stress (C9763) $582.12 $2,646 1.2×
Catheterize for urine spec (P9612) $117.92 $536 12.6×
Chemo extend iv infus w/pump (G0498) $380.16 $1,728 1.3×
Colon ca scrn not hi rsk ind (G0121) $752.40 $3,420 0.9×
Colorectal scrn; hi risk ind (G0105) $625.90 $2,845 0.7×
Colpopexy, min/inv, ex-perit (C9778) $2,755.94 $12,527 0.6×
Comp periodontal evaluation (D0180) $29.92 $136 0.2×
Complete occlusal adjustment (D9952) $591.80 $2,690 1.0×
Compre ful bdy 3d mtn alys (0693T) $408.98 $1,859 1.3×
Comprehensve oral evaluation (D0150) $916.52 $4,166 7.6×
Cone beam ct interp both jaw (D0367) $874.72 $3,976 9.2×
Cone beam ct interprete tmj (D0368) $769.56 $3,498 8.1×
Core build-up incl any pins (D2950) $140.80 $640 0.2×
Crown full cast noble metal (D2792) $656.70 $2,985 1.1×
Crown lengthen hard tissue (D4249) $289.96 $1,318 0.5×
Crown porcelain/ceramic (D2740) $820.60 $3,730 1.4×
Crown repair (D2980) $45.32 $206 0.1×
Crown resin w/ high noble me (D2720) $146.96 $668 0.3×
Crown resin w/ noble metal (D2722) $125.40 $570 0.2×
Crown resin-based indirect (D2710) $89.10 $405 0.2×
CYP1A2 (cytochrome P450 family 1, subfamily A, member 2) (eg, drug metabolism) gene analysis, common variants (ie, *1F,… (0031U) $207.02 $941 1.2×
Cyp2d6 gen com&slct rar vrnt (0070U) $862.84 $3,922 1.3×
Cysto, litho, vacuum kidney (C9761) $4,445.54 $20,207 0.5×
Dental bitewing single image (D0270) $591.80 $2,690 7.5×
Dental bitewings two images (D0272) $591.80 $2,690 7.5×
Dental connector bar (D6920) $591.80 $2,690 1.0×
Dental onlay porcelin 3 surf (D2643) $219.34 $997 0.4×
Dental onlay resin 2 surface (D2662) $131.78 $599 0.2×
Dental prophylaxis adult (D1110) $52.58 $239 0.4×
Diab manage trn per indiv (G0108) $90.20 $410 1.6×
Diab manage trn ind/group (G0109) $90.20 $410 5.6×
Direct refer hospital observ (G0379) $772.64 $3,512 1.4×
Drug test def 1-7 classes (G0480) $153.12 $696 1.3×
Drug test def 15-21 classes (G0482) $196.68 $894 1.0×
Egd flexible transnasal dx w/collj spec br/wa (0652T) $850.74 $3,867 0.5×
Egd flexible transnasal w/biopsy single/multiple (0653T) $850.74 $3,867 0.5×
Egd flexible transnasal w/insj intral tube/cath (0654T) $1,707.42 $7,761 0.5×
Electrical impedance spectroscopy of 1 or more skin lesions for automated melanoma risk score Other Diagnostic… (0658T) $58.74 $267 1.1×
End thxpy, anterior tooth (D3310) $368.94 $1,677 0.6×
End thxpy, molar tooth (D3330) $518.98 $2,359 0.9×
End thxpy, premolar tooth (D3320) $432.96 $1,968 0.7×
Endo outlet restrict w/tube (C9785)
likely a partial charge, not the full procedure
$1,999.14 $9,087 0.2×
Esd endoscopy or colonoscopy (C9779) $2,566.96 $11,668 0.7×
Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) $8,333.60 $37,880 0.8×
Excision benign lesion compl (D7412) $20.68 $94 0.0×
Extensv oral eval prob focus (D0160) $52.14 $237 0.4×
Extraction erupted tooth/exr (D7140) $591.80 $2,690 1.0×
Extraoral 2d project image (D0250) $591.80 $2,690 7.5×
Eye mvmt alys w/o calbrj i&r (0615T) $115.06 $523 1.0×
Facial moulage sectional (D5911) $591.80 $2,690 1.0×
Fractional abl lsr fenestration first 100 sqcm (0479T) $335.72 $1,526 0.5×
Full mouth debridement (D4355) $591.80 $2,690 1.0×
Gingival flap proc w/ planin (D4240) $98.56 $448 0.0×
Gingivectomy/plasty 1 to 3 (D4211) $273.68 $1,244 0.1×
Gingivectomy/plasty 4 or mor (D4210) $323.18 $1,469 0.1×
Gross pulpal debridement (D3221) $36.30 $165 0.1×
Group behave couns 2-10 (G0473) $85.80 $390 2.5×
Group mnt 2 or more 30 mins (G0271) $22.88 $104 1.3×
Hbot, full body chamber, 30m (G0277) $199.54 $907 1.6×
Hepb screen high risk indiv (G0499) $26.62 $121 0.9×
Home sleep test/type 3 porta (G0399) $146.96 $668 0.8×
I&d absc intraoral soft tiss (D7510) $125.84 $572 0.2×
I&d abscess extraoral (D7520) $120.56 $548 0.2×
Impact tooth rem bony w/comp (D7241) $591.80 $2,690 1.0×
Impact tooth remov comp bony (D7240) $591.80 $2,690 1.0×
Impact tooth remov part bony (D7230) $591.80 $2,690 1.0×
Impact tooth remov soft tiss (D7220) $591.80 $2,690 1.0×
Impltj ant sgm io nbiodegradable rx eluting sys (0660T) $117.70 $535 0.0×
Inlay composite/resin one su (D2650) $117.26 $533 0.2×
Insert cv cath inf & sup app (C9780) $8,667.34 $39,397 1.2×
Insertion of gastrostomy tube, percutaneous, with magnetic gastropexy, under ultrasound guidance, image documentation… (0647T) $1,707.42 $7,761 1.0×
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) $26,303.42 $119,561 0.9×
Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) $8,564.60 $38,930 1.1×
Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) $8,564.60 $38,930 1.1×
Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) $24,203.74 $110,017 1.2×
Internal root repair (D3333) $53.90 $245 0.1×
Interro Device Evaluation Cardiac Modulj System (0418T) $39.38 $179 1.2×
Intraoral occlusal film (D0240) $591.80 $2,690 7.5×
Intraoral periapical first (D0220) $16.28 $74 0.2×
Labial veneer resin indirect (D2961) $219.34 $997 0.4×
Limit oral eval problm focus (D0140) $29.92 $136 0.2×
Limited occlusal adjustment (D9951) $591.80 $2,690 1.0×
Liver dis 10 assays w/nash (0003M) $220 $1,000 0.4×
Magnetically controlled capsule endoscopy w/i&r (0651T) $850.74 $3,867 1.0×
Mandible graft (D7950)
unusually low: confirm this is the full procedure
$1,732.72 $7,876 0.3×
Mnt subs tx for change dx (G0270) $22.88 $104 0.7×
Ncntc nr ifr spectrsc oth/thn pad 1st antmc site (0640T) $188.98 $859 5.6×
Neuro csf detcj prion prtn quakg conf conv qual (0035U) $535.48 $2,434 1.0×
Non-blind interatrial shunt (C9760) $61,517.72 $279,626 2.5×
Onc Merkel Cll Carc Srm Quan (0058U) $362.56 $1,648 1.1×
Onc thyr 10 microrna seq +/- rslt mod hi rsk mal (0018U) $2,971.98 $13,509 1.0×
Oral antral fistula closure (D7260) $591.80 $2,690 1.0×
Oral/facial photo images (D0350) $30.36 $138 0.4×
Osseous surgery 4 or more (D4260)
likely a partial charge, not the full procedure
$591.80 $2,690 0.1×
Osteotomy, humerus, with insertion of an externally controlled intramedullary lengthening device, including… (0594T) $6,284.08 $28,564 1.0×
Oth resp proc, group (G0239) $350.02 $1,591 10.3×
Panoramic image (D0330) $62.92 $286 0.3×
Pathogen test for platelets (P9100) $30.80 $140 0.6×
Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements, (with or without… (0274T) $4,975.08 $22,614 0.8×
Periodic oral evaluation (D0120) $29.92 $136 0.2×
Periodontal scaling & root (D4341) $163.24 $742 0.3×
Periodontal scaling 1-3teeth (D4342) $102.96 $468 0.2×
Perq Sacral Augmt Unilat Inj (0200T) $6,649.50 $30,225 1.0×
Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T)
unusually low: confirm this is the full procedure
$4,494.16 $20,428 0.4×
Personalized target development for accelerated, repetitive high-dose functional connectivity MRI-guided theta-burst… (0889T) $749.32 $3,406 0.9×
Place device/marker, non pro (C9728) $992.42 $4,511 0.8×
Place direct restoration (D2940) $15.84 $72 0.0×
Post 1 srfc resinbased cmpst (D2391) $71.28 $324 0.1×
Post 2 srfc resinbased cmpst (D2392) $90.20 $410 0.2×
Post 3 srfc resinbased cmpst (D2393) $109.12 $496 0.2×
Post >=4srfc resinbase cmpst (D2394) $128.70 $585 0.2×
Post and core cast + crown (D2952) $219.34 $997 0.4×
Post-coital mucous exam (Q0115) $31.46 $143 1.3×
Ppps, subseq visit (G0439) $74.80 $340 0.5×
Prefab post/core + crown (D2954) $176.22 $801 0.3×
Prefab stnlss steel crwn pri (D2930) $139.92 $636 0.2×
Prgrmg dev eval ldls pm single car chamber ip (0826T) $29.48 $134 0.9×
Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) $29.48 $134 0.9×
Prgrmg Device Evaluation Cardiac Modulj System (0417T) $39.38 $179 1.2×
Programming device evaluation (remote) of subcutaneous cardiac rhythm monitor system, with iterative adjustment of the… (0650T) $45.32 $206 1.3×
Pulp cap direct (D3110) $42.68 $194 0.1×
Pulp cap indirect (D3120) $33.22 $151 0.1×
Pulp vitality test (D0460) $591.80 $2,690 1.0×
Quan mr alys tiss compj w/o MRI same sess 1orgn (0648T) $1,148.62 $5,221 1.4×
Quan mr alys tiss composition w/MRI 1orgn (0649T) $1,148.62 $5,221 1.4×
Radiologic examination, radiostereometric analysis (RSA); spine, (includes cervical, thoracic and lumbosacral, when… (0348T) $138.82 $631 1.5×
Radiologic examination, radiostereometric analysis (RSA); upper extremity(ies), (includes shoulder, elbow, and wrist,… (0349T) $138.82 $631 1.5×
Re-cement or re-bond crown (D2920) $54.78 $249 0.1×
Re-eval,est pt,problem focus (D0170) $29.92 $136 0.2×
Real-time fluorescence wound imaging with clinical darkness, to identify location of bacterial wound pathogens and… (0598T) $266.20 $1,210 1.4×
Recement inlay onlay or part (D2910) $27.94 $127 0.0×
Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) $1,802.24 $8,192 1.0×
Rem exostosis any site (D7471) $213.62 $971 0.1×
Rem imp tooth w mucoper flp (D7210) $591.80 $2,690 0.4×
Rem nonodonto cyst > 1.25 cm (D7461) $1,332.76 $6,058 2.3×
Rem odontogen cyst > 1.25 cm (D7451) $883.74 $4,017 0.3×
Rem odontogen cyst to 1.25cm (D7450) $196.02 $891 0.1×
Removal Cardiac Modulj Sys Pls Generator Only (0412T) $3,614.60 $16,430 1.1×
Removal Cardiac Modulj Sys Transvenous Electrode (0413T) $3,614.60 $16,430 1.1×
Removal of sloughed off bone (D7550) $1,096.92 $4,986 1.9×
Removal of torus palatinus (D7472) $1,968.78 $8,949 3.4×
Remove torus mandibularis (D7473) $1,968.78 $8,949 3.4×
Remove w insert drug implant (G0518) $326.92 $1,486 0.8×
Repos Cardiac Modulj Transvenous Electrode (0415T) $1,929.40 $8,770 3.4×
Resin 4/> surf or w incis an (D2335) $157.74 $717 0.3×
Resin one surface-anterior (D2330) $83.38 $379 0.1×
Resin three surfaces-anterio (D2332) $125.84 $572 0.2×
Resin two surfaces-anterior (D2331) $103.62 $471 0.2×
Retrograde filling (D3430) $140.80 $640 0.2×
Revasc intra lithotrip-ather (C9766) $10,409.08 $47,314 0.6×
Revasc intra lithotrip-stent (C9765) $10,409.08 $47,314 0.6×
Revasc intravasc lithotripsy (C9764)
unusually low: confirm this is the full procedure
$5,204.32 $23,656 0.5×
Revasc lith-sten-ath tib/per (C9775) $15,316.18 $69,619 0.9×
Revasc lithotr-ather tib/per (C9774) $15,316.18 $69,619 0.9×
Revasc lithotr-stent tib/per (C9773) $15,316.18 $69,619 0.9×
Revasc lithotrip tibi/perone (C9772) $10,410.18 $47,319 1.0×
Revasc lithotrip-stent-ather (C9767) $16,744.86 $76,113 1.0×
Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) $24,203.74 $110,017 1.2×
Rmvl&rimpltj ant sgm io nbiodgrd rx elut implt (0661T) $284.24 $1,292 0.1×
Rmvl&rplcmt substernal impltbl defibrillator pg (0614T) $23,859.88 $108,454 1.2×
Root amputation (D3450) $273.68 $1,244 0.5×
Root surgery molar (D3425) $354.42 $1,611 0.6×
Root surgery premolar (D3421) $354.42 $1,611 0.6×
Screen pap by tech w md supv (P3000) $14.96 $68 0.8×
Surg reduct osseoustuberosit (D7485)
likely a partial charge, not the full procedure
$191.84 $872 0.0×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $15,032.60 $68,330 0.9×
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) $15,032.60 $68,330 0.9×
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) $15,032.60 $68,330 0.9×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $15,032.60 $68,330 0.9×
Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) $2,480.94 $11,277 0.9×
Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) $2,480.94 $11,277 0.9×
Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) $2,480.94 $11,277 0.9×
Tcat rmvl perm dual chamber ldls pm compl sys (0798T) $2,480.94 $11,277 0.9×
Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) $15,032.60 $68,330 0.9×
Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) $15,032.60 $68,330 0.9×
Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) $15,032.60 $68,330 0.9×
Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) $15,032.60 $68,330 0.9×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $5,659.06 $25,723 1.1×
Temporary female intraurethral valve-pump (ie, voiding prosthesis); initial insertion, including urethral measurement (0596T) $585.20 $2,660 0.9×
Temporary female intraurethral valve-pump (ie, voiding prosthesis); replacement (0597T) $585.20 $2,660 0.9×
Therapeutic procd strg endur (G0237) $2,182.40 $9,920 83.3×
Therapeutic pulpotomy (D3220) $103.62 $471 0.2×
Tooth pin retention (D2951) $38.94 $177 0.1×
Tooth reimplantation (D7270) $289.30 $1,315 0.5×
Tooth root removal (D7250) $591.80 $2,690 1.0×
Tooth transplantation (D7272) $1,497.54 $6,807 2.6×
Transcatheter Renal Sympath Denervation Bilat (0339T) $4,705.14 $21,387 0.9×
Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) $10,153.66 $46,153 1.0×
Transperineal focal laser abltj mal prst8 tiss (0655T) $3,232.02 $14,691 0.7×
Trauma respons w/hosp criti (G0390) $1,209.12 $5,496 1.0×
Treatment of complications (D9930) $591.80 $2,690 1.0×
Trim nail(s) (G0127) $35.86 $163 0.7×
Trluml Perip Athrc Renal Art (0234T) $10,992.96 $49,968 1.1×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) $10,153.66 $46,153 1.0×
Trluml peripheral atherectomy iliac artery ea (0238T) $10,153.66 $46,153 0.6×
Unsched dialysis esrd pt hos (G0257) $687.94 $3,127 1.1×
Unscheduled dressing change (D4920) $14.30 $65 0.0×
Vasc emb/occ w/prs cath (C9797) $14,702.38 $66,829 0.9×
Vert bitewings 7 to 8 images (D0277) $591.80 $2,690 2.7×
Vestibuloplasty ridge extens (D7340)
likely a partial charge, not the full procedure
$905.30 $4,115 0.2×
Visit to determ ldct elig (G0296) $93.06 $423 1.0×
Visual field assessment, with concurrent real time data analysis and accessible data storage with patient initiated… (0379T) $36.52 $166 1.1×
Warfarin response genotype (0030U) $132.88 $604 1.0×