Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Fee Schedule
Low
$44
Average
$308
Median
$248
High
$956
Each hospital's average Optum rate, under the methodology and billing class chosen below.
26 hospitals; the 90th percentile is 2.3× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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26 hospital rates
iThe hospitals that file a Optum rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $956 | $956 | — | — | — | $956 – $956 |
| 2 | BRFHH MONROE, LLC Monroe, LA other · outpatient | 1 | $248 | $248 | — | — | — | $248 – $248 |
| 3 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA other · outpatient | 1 | $248 | $248 | — | — | — | $248 – $248 |
| 4 | HOSPITAL SERVICE DISTRICT NO. 1 OF THE PARISH OF ST. CHARLES, STATE OF LOUISIANA LULING, LA other · outpatient | 1 | $271 | $271 | — | — | — | $271 – $271 |
| 5 | HOSPITAL SERVICE DISTRICT OF THE PARISH OF ST. BERNARD, STATE OF LOUISIANA Chalmette, LA other · outpatient | 1 | $173 | $173 | — | — | — | $173 – $173 |
| 6 | KAPLAN GENERAL HOSPITAL, INC ST, LA other · outpatient | 1 | $264 | $264 | — | — | — | $264 – $264 |
| 7 | Kemper CAH, Inc. DeKalb, MS other · outpatient | 1 | $198 | $198 | — | — | — | $198 – $198 |
| 8 | LAFAYETTE GENERAL MEDICAL CENTER INC Lafayette, LA other · outpatient | 1 | $956 | $956 | — | — | — | $956 – $956 |
| 9 | Laird Hospital, Inc. Union, MS other · outpatient | 1 | $245 | $245 | — | — | — | $245 – $245 |
| 10 | OCHSNER BAYOU LLC Raceland, LA other · outpatient | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 11 | OCHSNER CLINIC FOUNDATION LA 70121; 4430 Veterans Memorial Blvd.Metairie, LA other · outpatient | 1 | $248 | $248 | — | — | — | $248 – $248 |
| 12 | OCHSNER LSU HEALTH SHREVEPORT - ST. MARY MEDICAL CENTER, LLC Shreveport, LA other · outpatient | 1 | $316 | $316 | — | — | — | $316 – $316 |
| 13 | OCHSNER MEDICAL CENTER � HANCOCK LLC Bay St. Louis, MS other · outpatient | 1 | $248 | $248 | — | — | — | $248 – $248 |
| 14 | OCHSNER MEDICAL CENTER � KENNER LLC Kenner, LA other · outpatient | 1 | $248 | $248 | — | — | — | $248 – $248 |
| 15 | OCHSNER MORGAN CITY LLC Morgan City, LA other · outpatient | 1 | $451 | $451 | — | — | — | $451 – $451 |
| 16 | Ochsner American Legion Hospital, LLC Jennings, LA other · outpatient | 1 | $293 | $293 | — | — | — | $293 – $293 |
| 17 | Rush Hospital/Butler, Inc. Butler, AL other · outpatient | 1 | $213 | $213 | — | — | — | $213 – $213 |
| 18 | Rush Medical Foundation Meridian, MS other · outpatient | 1 | $248 | $248 | — | — | — | $248 – $248 |
| 19 | Rush Medical Foundation Quitman, MS other · outpatient | 1 | $225 | $225 | — | — | — | $225 – $225 |
| 20 | SOUTHERN REGIONAL MEDICAL CORPORATION Houma, LA other · outpatient | 1 | $237 | $237 | — | — | — | $237 – $237 |
| 21 | ST MARTIN HOSPITAL INC Breaux Bridge, LA other · outpatient | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 22 | Scott Regional Medical Center, Inc. Morton, MS other · outpatient | 1 | $194 | $194 | — | — | — | $194 – $194 |
| 23 | St Tammany Hosptial Service District No 2 Slidell, LA other · outpatient | 1 | $394 | $394 | $71 | 18% | — | $324 – $465 |
| 24 | St Tammany Hosptial Service District No 2 Slidell, LA other · outpatient | 1 | $394 | $394 | $71 | 18% | — | $324 – $465 |
| 25 | UNIVERSITY HEALTH SHREVEPORT, LLC Shreveport, LA other · outpatient | 1 | $316 | $316 | — | — | — | $316 – $316 |
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