CHRISTUS COUSHATTA HEALTH CARE CENTER (Coushatta, LA) prices

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
A4719	""Y SET"" TUBING	—	—	—	—	44
96381	1 ADMN RSV MONOC ANTB IM NJX	—	—	$105	$105	48
G9773	1 BOD TEMP >=35.5	—	—	—	—	48
4559F	1 BODYTEMP >=35.5CW/IN 30MIN	—	—	—	—	48
A4206	1 CC STERILE SYRINGE&NEEDLE	—	—	—	—	44
G9873	1 EM CORE SESSION	—	—	—	—	48
G9247	1 MED VISIT IN 24MO	—	—	—	—	48
G9354	1 OR NO CT SINUS W/IN 90D DX	—	—	—	—	48
S8490	100 INSULIN SYRINGES	—	—	—	—	48
3120F	12-LEAD ECG PERFORMED	—	—	—	—	48
G9414	1DOSE MENIG VAC BTWN 11 & 13	—	—	—	—	48
99223	1ST HOSP IP/OBS HIGH 75	—	—	$3,632	$3,632	48
99222	1ST HOSP IP/OBS MODERATE 55	—	—	$3,632	$3,632	47
99221	1ST HOSP IP/OBS SF/LOW 40	—	—	$3,632	$3,632	48
99306	1ST NF CARE HIGH MDM 50	—	—	—	—	44
99305	1ST NF CARE MODERATE MDM 35	—	—	—	—	44
99304	1ST NF CARE SF/LOW MDM 25	—	—	—	—	48
444T	1ST PLMT DRUG ELUT OC INS	—	—	$774	$774	44
99492	1ST PSYC COLLAB CARE MGMT	—	—	$191	$227	48
99494	1ST/SBSQ PSYC COLLAB CARE	—	—	—	—	44
A4207	2 CC STERILE SYRINGE&NEEDLE	—	—	—	—	44
G9877	2 EM CORE MS MO 10-12 NO WL	—	—	—	—	48
G9879	2 EM CORE MS MO 10-12 WL	—	—	—	—	48
G9876	2 EM CORE MS MO 7-9 NO WL	—	—	—	—	48
G9878	2 EM CORE MS MO 7-9 WL	—	—	—	—	48
G9882	2 EM ONGOING MS MO 13-15 WL	—	—	—	—	48
G9883	2 EM ONGOING MS MO 16-18 WL	—	—	—	—	48
G9884	2 EM ONGOING MS MO 19-21 WL	—	—	—	—	48
G9885	2 EM ONGOING MS MO 22-24 WL	—	—	—	—	48
4145F	2+ ANTI-HYPRTNSV AGENTS TKN	—	—	—	—	48
G0032	2+ ANTIPSY SCHIZ	—	—	—	—	48
G0033	2+ BENZO SEIZ	—	—	—	—	48
A4213	20+ CC SYRINGE ONLY	—	—	—	—	44
U0001	2019-NCOV DIAGNOSTIC P	—	—	$35.92	$53.88	48
D0702	2D CEPHAL RADIO IMAGE	—	—	—	—	48
D0340	2D CEPHALOMETRIC IMAGE	—	—	—	—	48
D0703	2D ORAL/FACIAL PHOTO IMAGE	—	—	—	—	48
90650	2VHPV VACCINE 3 DOSE IM	—	—	$143	$143	47
A4208	3 CC STERILE SYRINGE&NEEDLE	—	—	—	—	44
G9226	3 COMP FOOT EXAM COMPLETED	—	—	—	—	48
D0801	3D DENTAL SCAN DIRECT	—	—	—	—	48
D0802	3D DENTAL SCAN INDIRECT	—	—	—	—	48
93319	3D ECHO IMG CGEN CAR ANOMAL	—	—	$784	$784	48
D0803	3D FACIAL SCAN DIRECT	—	—	—	—	48
D0804	3D FACIAL SCAN INDIRECT	—	—	—	—	48
D0396	3D PRINT OF 3D SURFACE SCAN	—	—	—	—	48
694T	3D VOL IMG&RCNSTJ BRST/AX	—	—	—	—	47
944T	3D contour simulation of target liver lesion(s) and margin(s) for image-guided percutaneous microwav	—	—	—	—	48
4165F	3D-CRT/IMRT RECEIVED	—	—	—	—	48
C8001	3d anatomical segmentation imaging for preoperative planning, data preparation and transmission, obt	—	—	—	—	48

Showing top 50 of 17,806 priced procedures, sorted by gross charge.

Data straight from this hospital's federally-mandated machine-readable file (45 CFR § 180). The compliance grade reflects how completely the hospital published the six required data elements, not the quality of care.