Visits & medical services prices at West Feliciana Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $34.20 $57 0.2×
Analyze neurostim no prog (95970) $229.24 $382.07 1.9×
Anogenital exam, child (99170) $108.36 $180.60 0.6×
Assessment of aphasia (96105) $284.40 $474 2.9×
Behav assmt w/score & docd/stand instrument (96127) $8.26 $13.76 0.2×
Behavioral and qualitative analysis of voice and resonance (92524) $315.55 $525.91 2.9×
Biofeedback training any modality (90901) $54.59 $90.98 1.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $535.41 $892.35 1.6×
Cardiac Stress Tst,Tracing Only (93017) $751.84 $1,253.07 3.8×
Cardiopulmonary resuscitation (92950) $592.25 $987.09 3.0×
Cardioversion (92960) $1,463.84 $2,439.74 2.4×
Caregiver hlth risk assmt score doc stnd instrm (96161) $84.01 $140.01 2.5×
Cbt 1st hour (94644) $252.27 $420.45 2.1×
Chemother, IV infusion, ea add hr (96415) $182.62 $304.37 2.8×
Color/duplex Doppler, complete (93975) $692.58 $1,154.30 3.2×
Color/duplex Doppler, limited (93976) $527.63 $879.39 5.6×
Cpap initiation and management (94660) $672.38 $1,120.64 3.4×
Cpt initial (94667) $195.55 $325.92 1.6×
Critical care (99291) $1,616.87 $2,694.79 2.2×
Debridement Open Wound 20 Sq Cm< (97597) $317.68 $529.47 1.7×
Demo &/or eval,pt use,aerosol device (94664) $34.20 $57 0.2×
Developmental tst admin phys/qhp 1st hour (96112) $227.96 $379.93 2.0×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $762.94 $1,271.57 3.5×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $489.84 $816.40 5.2×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $590.70 $984.50 2.7×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $526.93 $878.21 5.6×
Dup-scan xtr veins unilateral/limited study (93971) $501.46 $835.77 5.3×
Duplex scan extracranial art compl bi study (93880) $754.88 $1,258.14 3.5×
EKG (93005) $158.32 $263.87 3.0×
Elec alys implt cplx cn npgt prgrmg (95977) $258.61 $431.01 3.0×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $143.47 $239.11 4.2×
EMG four extremities (95864) $2,479.80 $4,133 21.3×
EMG three extremities (95863) $299.10 $498.50 2.6×
EMG two extremities (95861) $279.90 $466.50 2.3×
Er level 1 (99281) $191.91 $319.85 2.5×
Er level ii (99282) $136.20 $227 1.0×
Er level iii (99283) $230.14 $383.56 0.9×
Er level IV (99284) $394.89 $658.15 1.0×
Er level v (99285) $550.80 $918 1.0×
Evaluation of speech fluency (92521) $235.80 $393 1.8×
Evaluation of speech sound production (92522) $176.92 $294.86 1.6×
Evaluation of swallowing function (92610) $286.66 $477.76 3.4×
Evaluation with prescription of speech-generating alternative (92607) $244.95 $408.25 2.0×
Eye exam, new patient,comprehesv (92004) $167.40 $279 1.4×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $617.12 $1,028.53 3.1×
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $224.26 $373.77 1.0×
Group Therapeutic Procedures (97150) $76.14 $126.90 4.2×
Holter Monitor Recording (93225) $302.83 $504.72 2.5×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $27.02 $45.03 0.4×
Immunization Admin (90471) $71.26 $118.76 1.1×
Immunotherapy, 2+ Injections (95117) $39.41 $65.68 0.9×
Ingestion challenge test initial 120 minutes (95076) $935.67 $1,559.45 2.8×
Ins swan ganz bedside (93503) $3,234.59 $5,390.98 2.3×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $137.87 $229.79 2.6×
IV infusion hydration each additional hour (96361) $112.60 $187.67 2.7×
IV infusion hydration initial 31 min-1 hour (96360) $321.92 $536.54 1.7×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $142.78 $237.97 2.2×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $357.43 $595.72 1.9×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $118.06 $196.76 2.8×
IV push initial (96374) $220.51 $367.51 1.1×
Manual therapy 15 min (97140) $92.09 $153.48 3.3×
Massage 15 min (97124) $81.97 $136.62 2.8×
Mechanical chest wall oscillation (94669) $219.76 $366.26 1.1×
Mechanical traction (97012) $66.20 $110.33 4.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $64.62 $107.70 2.0×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $91.61 $152.69 2.5×
Mnt Group Ea 30 Min (97804) $56.40 $94 3.3×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $443.60 $739.33 4.8×
Multiple sleep latency test (95805) $2,370 $3,950 3.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $267.59 $445.99 1.5×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $483.67 $806.11 1.3×
Nerve conduction studies 13/> studies (95913) $572.70 $954.50 1.7×
Nerve Conduction Studies 3-4 Studies (95908) $377.40 $629 1.9×
Nerve Conduction Studies 9-10 Studies (95911) $552.60 $921 1.6×
Nerve conduction studies; 1-2 studies (95907) $333.60 $556 1.7×
Nerve conduction studies; 11-12 studies (95912) $776.40 $1,294 2.3×
Nerve conduction studies; 5-6 studies (95909) $311.40 $519 1.6×
Nerve conduction studies; 7-8 studies (95910) $293.10 $488.50 0.9×
New patient problem focused exam of visual system (92002) $176.93 $294.88 1.5×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $355.46 $592.44 3.0×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $217.33 $362.22 1.9×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $154.80 $258 1.3×
Ophth medical xm&eval intermediate estab pt (92012) $89.40 $149 0.7×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $122.29 $203.82 2.7×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $75.02 $125.03 2.3×
Ot eval high complex 60 min (97167) $245.10 $408.50 2.4×
Ot eval low complex 30 min (97165) $225.11 $375.19 2.2×
Ot eval mod complex 45 min (97166) $237.88 $396.47 2.4×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $101.27 $168.78 2.0×
Ot Prosthetic Training, Each 15 Min (97761) $87.50 $145.83 2.2×
Ot Range Motion Measure,Each Extrem (95851) $129.60 $216 5.0×
Ot re-eval est plan care (97168) $169.45 $282.41 2.5×
Paraffin bath (97018) $51.45 $85.75 8.6×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,858.90 $4,764.84 3.7×
Pr unlisted procedure psychiatric service/therapy, psychiatric service (90899) $257.40 $429 7.6×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $18.73 $31.21 0.4×
Pt Aquatic Therapy/Exercises (97113) $100.12 $166.86 2.7×
Pt Electric Current Therapy (97033) $75.51 $125.85 4.0×
Pt Electrical Stimulation (97032) $64.46 $107.44 4.4×
Pt eval high complex 45 min (97163) $224.77 $374.61 2.3×
Pt eval low complex 20 min (97161) $204.69 $341.15 2.1×
Pt Gait Training Therapy (97116) $81.29 $135.48 2.8×
Pt Infrared Therapy (97026) $21.75 $36.25 3.3×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $101.04 $168.40 3.1×
Pt Physical Performance Test (97750) $116.92 $194.86 3.5×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $221.79 $369.65 2.3×
Pt re-evaluation (97164) $137.32 $228.87 2.0×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $88.59 $147.65 2.7×
Pt Ultrasound Therapy (97035) $66.28 $110.47 4.6×
Pt Whirlpool Therapy (97022) $68.11 $113.52 4.3×
Pt-focused hlth risk assmt (96160) $39 $65 1.1×
Pulm Funct Test Oscillometry (94728) $210 $350 1.8×
Pulm function test by gas (94727) $312.69 $521.15 1.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $219.56 $365.93 1.2×
Rom meas&reprt hand w/wo comparison normal sid (95852) $109.20 $182 5.1×
Rt Chest Wall Manipulation,Subsequent (94668) $124.75 $207.92 1.0×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $78.80 $131.33 1.6×
Sc Ther Infusion Reset Pump (96371) $439.97 $733.28 6.7×
Sensory Integration Ea 15 Min (97533) $175.60 $292.66 2.9×
Sleep study unattended (95806) $546.58 $910.97 2.8×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $426.25 $710.42 2.2×
Smoking cessation > 10 min (99407) $61.20 $102 1.8×
Speech group therapy (92508) $97.40 $162.33 4.0×
Speech sound lang comprehen (92523) $402.95 $671.58 1.8×
Spirometry (94010) $266.30 $443.83 1.4×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $97.35 $162.25 2.3×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $276.12 $460.20 1.4×
Temp transcutaneous pacing (92953) $673.43 $1,122.38 1.1×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $61.05 $101.75 2.7×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $54.67 $91.12 2.6×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $182.87 $304.78 1.8×
Ther/Proph/Diag Inj Sc/Im (96372) $99.17 $165.28 1.5×
Therapeutic Activities (97530) $96.12 $160.20 2.7×
Therapeutic phlebotomy (99195) $177.18 $295.30 1.5×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $36.60 $61 1.1×
Trans Care Mgmt 14 Day Disch (99495) $142.20 $237 1.2×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $1,065.86 $1,776.44 4.9×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,601.06 $2,668.43 3.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $221.75 $369.58 2.9×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $219.60 $366 2.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $127.48 $212.47 3.0×
Tympanometry (92567) $33.43 $55.71 1.0×
Unlisted pulmonary service/procedure (94799) $199.15 $331.91 1.7×
Vasc Duplex Extrem Venous,Bilat (93970) $809.71 $1,349.52 3.7×
Vasc Duplex Scan Extracranial,Limited (93882) $765.30 $1,275.50 8.1×
Vasopneumatic device (97016) $43.18 $71.96 3.6×
Ventilation assist & mgmt inpatient 1st day (94002) $1,229.15 $2,048.59 2.2×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $772.96 $1,288.27 1.4×
Wheelchair Mgmt Ea 15 Min (97542) $44.67 $74.45 1.4×