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Assumption Community Hospital

Napoleonville, LA · CMS ID: 191303

This hospital has pricing data for 23 procedures ranging from $19 to $2,333.

Procedures (23)

Chest X-Ray 1 View

71045
Cash Price
(No Insurance)
$59
Gross Charge
$118
Insurance Negotiated Rates
Blue Cross Blue Shield$66

Chest X-Ray 2 Views

71046
Cash Price
(No Insurance)
$83
Gross Charge
$166
Insurance Negotiated Rates
UnitedHealthcare$81

Complete Blood Count (CBC)

85025
Cash Price
(No Insurance)
$30
Gross Charge
$59
Insurance Negotiated Rates
UnitedHealthcare$5

Comprehensive Metabolic Panel

80053
Cash Price
(No Insurance)
$77
Gross Charge
$154
Insurance Negotiated Rates
UnitedHealthcare$8

CT Abdomen/Pelvis with Contrast

74177
Cash Price
(No Insurance)
$2,333
Gross Charge
$4,666
Insurance Negotiated Rates
UnitedHealthcare$368

CT Abdomen/Pelvis without Contrast

74176
Cash Price
(No Insurance)
$1,878
Gross Charge
$3,755
Insurance Negotiated Rates
UnitedHealthcare$230

CT Chest Low Dose

71271
Cash Price
(No Insurance)
$226
Gross Charge
$452
Insurance Negotiated Rates
UnitedHealthcare$81

CT Chest with Contrast

71260
Cash Price
(No Insurance)
$1,340
Gross Charge
$2,679
Insurance Negotiated Rates
UnitedHealthcare$179

ER Visit Level 3

99283
Cash Price
(No Insurance)
$350
Gross Charge
$699
Insurance Negotiated Rates
UnitedHealthcare$31

ER Visit Level 4

99284
Cash Price
(No Insurance)
$513
Gross Charge
$1,025
Insurance Negotiated Rates
UnitedHealthcare$70

ER Visit Level 5

99285
Cash Price
(No Insurance)
$761
Gross Charge
$1,522
Insurance Negotiated Rates
UnitedHealthcare$86

Hemoglobin A1C

83036
Cash Price
(No Insurance)
$37
Gross Charge
$73
Insurance Negotiated Rates
UnitedHealthcare$7

Knee X-Ray

73560
Cash Price
(No Insurance)
$75
Gross Charge
$150
Insurance Negotiated Rates
UnitedHealthcare$81

Lipid Panel

80061
Cash Price
(No Insurance)
$64
Gross Charge
$129
Insurance Negotiated Rates
UnitedHealthcare$10

Mammogram Diagnostic

77066
Cash Price
(No Insurance)
$262
Gross Charge
$524
Insurance Negotiated Rates
UnitedHealthcare$117

MRI Brain

70551
Cash Price
(No Insurance)
$88
Gross Charge
$176
Insurance Negotiated Rates
Aetna$32

MRI Lumbar Spine

72148
Cash Price
(No Insurance)
$1,343
Gross Charge
$2,685
Insurance Negotiated Rates
Aetna$491

Shoulder X-Ray

73030
Cash Price
(No Insurance)
$106
Gross Charge
$212
Insurance Negotiated Rates
UnitedHealthcare$81

TSH (Thyroid)

84443
Cash Price
(No Insurance)
$59
Gross Charge
$117
Insurance Negotiated Rates
UnitedHealthcare$12

Ultrasound Abdomen

76700
Cash Price
(No Insurance)
$294
Gross Charge
$588
Insurance Negotiated Rates
UnitedHealthcare$109

Ultrasound Pelvis

76856
Cash Price
(No Insurance)
$343
Gross Charge
$685
Insurance Negotiated Rates
UnitedHealthcare$109

Ultrasound Transvaginal

76830
Cash Price
(No Insurance)
$211
Gross Charge
$421
Insurance Negotiated Rates
UnitedHealthcare$109

Urinalysis

81001
Cash Price
(No Insurance)
$19
Gross Charge
$38
Insurance Negotiated Rates
UnitedHealthcare$1