Pam Specialty Hospital Of Shreveport South prices

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
J2406	Oritavancin (Kimyrsa) 10 mg	$45,406	$45,406	—	—	10
33208	Ins/Rplc Pacemkr; Atr+vnt	$40,411	$40,411	—	—	10
37236	Open/Perq Place Stent 1st	$33,499	$33,499	—	—	10
J1162	Digifab 40 mg	$32,509	$32,509	—	—	10
33207	Insrt Heart Pm Venticular	$32,291	$32,291	—	—	10
78804	NM Tumor Imaging Wb; 2+days	$29,462	$29,462	—	—	10
J1568	Immun Globg(Igg)/Malt/Iga Ov50	$29,387	$29,387	—	—	10
P9037	Plate Pheres Leukoredu Ir	$26,999	$26,999	—	—	10
43653	LAPAROSCOPY GASTROSTOMY	$26,838	$26,838	—	—	10
87633	Resp VirUS 12-25 Targets	$26,686	$26,686	—	—	10
15830	Excision Skin Abdomen	$24,845	$24,845	—	—	10
78452	NM Hrt Muscle Image Spect	$22,412	$22,412	—	—	10
P9035	Platelets Pheres Leukored	$20,145	$20,145	—	—	10
J3262	Tocilizumab 400 mg	$19,618	$19,618	—	—	10
74174	CT Angio Abd&pelv W/O&w/Contra	$17,915	$17,915	—	—	10
28730	Fusion of Foot Bones	$17,887	$17,887	—	—	10
72197	MRI Pelvis W/O & W/Dye	$17,798	$17,798	—	—	10
J0349	INJ, Rezafungin, 1 mg	$17,779	$17,779	—	—	10
33217	Insert 2 Electrode Pm-Defib	$16,904	$16,904	—	—	10
33216	Insert 1 Electrode Pm-Defib	$16,904	$16,904	—	—	10
27893	Decompression of Leg	$16,827	$16,827	—	—	10
75635	CT Angio Abdominal Arteries	$16,103	$16,103	—	—	10
24685	Treat Ulnar Fracture	$15,151	$15,151	—	—	10
74178	CT Abd & Pelv 1/> Regns w/wo c	$14,880	$14,880	—	—	10
72158	MRI Lumbar Spine W/O & W/Dye	$14,565	$14,565	—	—	10
37191	Ins Endovas Vena Cava Filtr	$14,386	$14,386	—	—	10
72157	MRI Thoracic Spine W/O & W/Dye	$14,026	$14,026	—	—	10
75860	Venography Jugular Cath RS&I	$13,970	$13,970	—	—	10
J0875	Dalbavancin HCL	$13,852	$13,852	—	—	10
73723	MRI Joint Lwr Extr W/O&w/Dye R	$13,554	$13,554	—	—	10
74170	CT Abdomen W/O & W/Contrast	$13,387	$13,387	—	—	10
72156	MRI Neck Spine W/O & W/Dye	$13,369	$13,369	—	—	10
27301	DRAIN THIGH/KNEE LESION	$13,165	$13,165	—	—	10
73720	MRI Low Extrem W/&w/O Dye Rt	$12,875	$12,875	—	—	10
10005	FNA BX W/US Gdn 1st Les	$12,770	$12,770	—	—	10
88348	Electron Microscopy	$12,615	$12,615	—	—	10
36247	Ins Cath/Abd/L-Ext Art 3r	$12,435	$12,435	—	—	10
36246	Ins Cath Abd/L Ext Art 2n Rt	$12,435	$12,435	—	—	10
71260	CT Chest W/ Dye	$12,206	$12,206	—	—	10
36245	Ins Cath Abd/Lext Art 1st	$12,201	$12,201	—	—	10
74160	CT Abdomen W/Contrast	$12,060	$12,060	—	—	10
14000	Tis Trnfr Trunk 10 Sq Cm/<	$11,756	$11,756	—	—	10
72141	MRI Neck Spine W/O Dye	$11,749	$11,749	—	—	10
72193	CT Pelvis W/Dye	$11,687	$11,687	—	—	10
74175	CT Angio Abdom W/O & W/Contras	$11,281	$11,281	—	—	10
P9040	L-R IrRADiatED Rbc	$11,224	$11,224	—	—	10
0616	MRI Angio Abdom W Orw/O Dye	$11,199	$11,199	—	—	10
76080	RAD Abcess/Fistula/Sinus	$10,880	$10,880	—	—	10
71250	CT Chest w/o Dye	$10,787	$10,787	—	—	10
74150	CT Abdomen W/O Contrast	$10,787	$10,787	—	—	10

Showing top 50 of 1,936 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.