Dequincy Memorial Hospital — procedure prices

Published prices for 149 procedures at Dequincy Memorial Hospital (Dequincy, LA), from its machine-readable file.

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ProcedureCashChargemasterInsurerMedicare
Abdominal ultrasound $415 $592 $375 $100
Abscess incision and drainage — $440 $292 $174
Albumin blood test $24 $34 $14 $5
Aldosterone test $189 $271 $114 $41
Alkaline phosphatase test $24 $34 $14 $5
Alpha-fetoprotein (AFP) test $90 $129 $54 $17
ALT liver enzyme test $24 $34 $14 $5
Ammonia blood test $62 $89 $37 $15
Amylase test $58 $84 $35 $6
Antinuclear antibody (ANA) test $48 $69 $46 $12
Arterial blood gas (ABG) $131 $187 $79 $26
AST liver enzyme test $24 $34 $14 $5
Barium swallow study $212 $303 $201 $107
Basic metabolic panel $50 $71 $30 $8
Bilirubin blood test $33 $47 $20 $5
Blood clotting test (PT/INR) $64 $91 $38 $4
Blood glucose test $37 $53 $22 $5
Blood transfusion $186 $266 $266 $47
Blood type and screen $89 $127 $53 $10
Blood type test $44 $64 $27 $3
BNP (heart failure) test $142 $203 $85 $39
Breast ultrasound $770 $1,100 $412 $92
Breathing tube insertion (intubation) $63 $90 $90 $133
C-reactive protein (CRP) $53 $76 $32 $5
CA 19-9 tumor marker test $106 $152 $64 $21
CA-125 ovarian marker test $101 $144 $60 $21
Calcium blood test $33 $47 $20 $5
Carotid artery ultrasound $660 $943 $627 $156
CEA tumor marker test $101 $144 $60 $19
Celiac disease test $57 $81 $49 $12
Chest X-ray $155 $222 $152 $37
CK-MB heart enzyme test $117 $167 $70 $12
Clotting time test (PTT) $77 $110 $46 $6
Complete blood count (CBC) $55 $79 $46 $7
Comprehensive metabolic panel $144 $205 $86 $11
Copper blood test $44 $64 $27 $12
Cortisol test $87 $124 $52 $16
COVID-19 PCR test $231 $330 $140 $51
CPAP titration study $381 $544 $277 $69
Creatine kinase (CK) test $55 $79 $33 $7
CT angiography of the chest $1,944 $2,777 $1,846 $281
CT scan of the abdomen $1,625 $2,322 $1,543 $230
CT scan of the abdomen and pelvis $3,116 $4,452 $2,959 $300
CT scan of the arm $1,529 $2,185 $1,572 $199
CT scan of the chest $1,625 $2,322 $1,543 $167
CT scan of the head $1,408 $2,012 $1,337 $148
CT scan of the leg $1,529 $2,185 $1,674 $166
CT scan of the lower back (lumbar spine) $1,579 $2,256 $1,499 $169
CT scan of the neck $1,491 $2,131 $1,416 $183
CT scan of the neck (cervical spine) $1,378 $1,969 $1,309 $168
CT scan of the pelvis $1,491 $2,131 $1,416 $226
CT scan of the sinuses $1,742 $2,489 $1,654 $152
D-dimer test $50 $71 $30 $10
DHEA-sulfate test $135 $194 $81 $22
Drug screen (urine) $85 $122 $62 $17
Echocardiogram $1,229 $1,756 $1,167 $138
Electrocardiogram (EKG) $80 $114 $101 $8
Electrolyte panel $62 $89 $37 $7
Emergency department visit — $605 $393 $69
Estradiol (estrogen) test $97 $139 $58 $28
Feeding tube (PEG) placement $308 $440 $293 $178
Ferritin (iron) test $46 $66 $28 $14
Fibrinogen test $20 $29 $17 $10
Flu test $35 $51 $30 $17
Folate (folic acid) test $44 $64 $27 $15
Foreign body removal (skin) — $1,026 $682 $157
Free T4 thyroid test $62 $89 $37 $9
FSH hormone test $72 $104 $43 $19
GGT liver test $24 $34 $14 $7
Glucose tolerance test $53 $76 $26 $8
Group therapy session $177 $253 $168 $30
HDL cholesterol test $53 $76 $32 $8
Hematocrit test $18 $26 $11 $2
Hemoglobin A1c (diabetes test) $62 $89 $37 $10
Hepatitis B test $57 $81 $34 $10
Hepatitis C test $115 $165 $69 $14
HIV test $49 $70 $43 $19
Holter heart monitor $201 $288 $191 $26
Iron blood test $32 $46 $19 $6
IV infusion therapy $53 $115 $69 $44
Kidney ultrasound $613 $875 $448 $84
Lactate test $75 $108 $45 $12
LDH test $27 $38 $16 $6
LDL cholesterol test $19 $28 $18 $11
Leg vein ultrasound (Doppler) $523 $747 $396 $150
LH hormone test $80 $114 $48 $19
Lipase test $58 $84 $35 $7
Lipid (cholesterol) panel $97 $139 $58 $13
Liver function panel $99 $142 $59 $8
Lung function test (PFT) $156 $223 $249 $37
Magnesium blood test $44 $64 $27 $7
Nebulizer breathing treatment $39 $56 $37 $9
Occupational therapy evaluation — $275 $159 $101
Parathyroid hormone (PTH) test $44 $64 $42 $41
Pelvic ultrasound $527 $753 $395 $78
Phosphorus blood test $44 $64 $27 $5
Physical therapy evaluation — $272 $151 $98
Pregnancy blood test (hCG) $44 $64 $27 $8
Procalcitonin test $438 $626 $263 $27
Prolactin test $83 $119 $50 $19
Prostate test (PSA) $50 $71 $33 $18
Psychiatric evaluation $154 $220 $147 $188
Psychotherapy session $177 $253 $168 $140
Scoliosis spine X-ray $182 $260 $173 $58
Scrotal ultrasound $384 $549 $365 $99
Sedimentation rate (ESR) test $53 $76 $32 $3
Sex hormone binding globulin test $71 $101 $42 $22
Simple wound stitches — $273 $166 $127
Soft tissue ultrasound $395 $564 $347 $64
Speech therapy — $323 $141 $76
Strep throat test $28 $41 $27 $17
Swallow study — $141 $93 $85
T3 thyroid test $75 $108 $45 $14
Tdap (tetanus) vaccine $100 $144 $95 —
Testosterone test $122 $175 $73 $26
Thyroid test (TSH) $77 $110 $46 $17
Thyroid ultrasound $395 $564 $375 $109
Total IgE allergy test $64 $91 $38 $16
Total protein test $53 $76 $32 $4
Triglycerides test $33 $47 $20 $6
Troponin (heart) test $121 $174 $73 $12
Uric acid (gout) test $33 $47 $20 $5
Urinalysis $22 $32 $7 $3
Urine microalbumin test $67 $95 $56 $5
Urine pregnancy test $35 $51 $21 $9
Vaccine administration — $76 $51 $19
Vitamin B12 test $44 $64 $27 $15
Vitamin D test $133 $190 $80 $30
X-ray of the abdomen $159 $228 $127 $36
X-ray of the ankle $109 $156 $131 $37
X-ray of the collarbone $109 $156 $103 $33
X-ray of the elbow $130 $186 $124 $33
X-ray of the facial bones $131 $187 $132 $39
X-ray of the foot $109 $156 $131 $34
X-ray of the forearm $109 $156 $103 $29
X-ray of the hand $109 $156 $131 $38
X-ray of the hip $102 $146 $103 $49
X-ray of the knee $109 $156 $136 $42
X-ray of the lower back (lumbar spine) $183 $261 $192 $47
X-ray of the lower leg $109 $156 $103 $31
X-ray of the mid-back (thoracic spine) $164 $234 $156 $36
X-ray of the neck (cervical spine) $174 $249 $163 $47
X-ray of the pelvis $106 $152 $101 $36
X-ray of the ribs $270 $385 $203 $42
X-ray of the shoulder $109 $156 $131 $36
X-ray of the skull $170 $242 $172 $40
X-ray of the upper arm $109 $156 $91 $32
X-ray of the wrist $109 $156 $131 $43
Zinc blood test $177 $253 $106 $11

Source: this hospital’s machine-readable price file (45 CFR §180). Medicare from CMS fee schedules. Estimates — confirm with the hospital. Report an incorrect price.