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
PR Exam Init Preventive Phys New Visit During 1st 12 Mo of Mcare Enrollment
Low
$99
Average
$216
Median
$220
High
$338
Each hospital's average Bcbs La rate, under the methodology and billing class chosen below.
15 hospitals; the 90th percentile is 2.0× 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.
Filter by billing methodology
Filter by billing class
18 hospital rates
iThe hospitals that file a Bcbs La 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 fee schedule · outpatient | 1 | $241 | $212 | $55 | 26% | — | $117 – $249 |
| 2 | Central Louisiana Surgical Hospital Alexandria, LA fee schedule · outpatient | 3 | $87 | $99 | $17 | 17% | — | $87 – $123 |
| 3 | Coushatta Health Care Center Coushatta, LA fee schedule · outpatient | 4 | $347 | $338 | $23 | 7% | — | $302 – $359 |
| 4 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA fee schedule · outpatient | 1 | $251 | $240 | $44 | 18% | — | $118 – $280 |
| 5 | Highland Medical Center - Shreveport Shreveport, LA fee schedule · outpatient | 5 | $287 | $258 | $79 | 31% | — | $122 – $330 |
| 6 | KAPLAN GENERAL HOSPITAL, INC ST, LA fee schedule · outpatient | 1 | $154 | $182 | $40 | 22% | — | $154 – $248 |
| 7 | KAPLAN GENERAL HOSPITAL, INC ST, LA other · outpatient | 1 | $139 | $114 | $36 | 32% | — | $63 – $139 |
| 8 | LAFAYETTE GENERAL MEDICAL CENTER INC Lafayette, LA fee schedule · outpatient | 1 | $300 | $249 | $93 | 37% | — | $117 – $329 |
| 9 | OCHSNER CLINIC FOUNDATION LA 70121; 4430 Veterans Memorial Blvd.Metairie, LA fee schedule · outpatient | 1 | $259 | $250 | $50 | 20% | — | $118 – $295 |
| 10 | OCHSNER MORGAN CITY LLC Morgan City, LA fee schedule · outpatient | 1 | $227 | $220 | $38 | 17% | — | $117 – $253 |
| 11 | Ochsner American Legion Hospital, LLC Jennings, LA fee schedule · outpatient | 1 | $154 | $152 | $8 | 5% | — | $121 – $154 |
| 12 | Ochsner American Legion Hospital, LLC Jennings, LA other · outpatient | 1 | $198 | $211 | $58 | 28% | — | $152 – $294 |
| 13 | Opelousas General Main Campus Opelousas, LA facility · fee schedule · outpatient | 4 | $205 | $206 | $3 | 2% | — | $202 – $210 |
| 14 | SOUTHERN REGIONAL MEDICAL CORPORATION Houma, LA fee schedule · outpatient | 1 | $231 | $221 | $38 | 17% | — | $118 – $258 |
| 15 | ST MARTIN HOSPITAL INC Breaux Bridge, LA fee schedule · outpatient | 1 | $278 | $235 | $70 | 30% | — | $121 – $302 |
| 16 | ST MARTIN HOSPITAL INC Breaux Bridge, LA other · outpatient | 1 | $69 | $108 | $78 | 72% | — | $39 – $218 |
| 17 | St. Frances Cabrini Hospital Alexandria, LA fee schedule · outpatient | 4 | $331 | $279 | $90 | 32% | — | $123 – $331 |
| 18 | University Hospital & Clinics, Inc. Lafayette, LA fee schedule · outpatient | 1 | $121 | $121 | — | — | — | $121 – $121 |
← Payers reporting HCPCS G0402 · Snapshot 20261111T120946Z-9134e7f7