▸ Hospital · LA · CCN 190098

OCHSNER LSU HEALTH SHREVEPORT

1501 KINGS HIGHWAY, SHREVEPORT, LA, 71130-3932

243 bedsAcute Care Hospitals2

Compliance grade

86/100

Rates published

1,346

last crawl 2026-05-23

Procedures tracked

178

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All LA hospitals JSON

Source MRF: https://ochsner-craft.s3.amazonaws.com/core/850672191_ochsner-lsu-health-shreveport-st.-mary-medical-center-llc_standardcharges.csv_2026-03-17-224916_zyfz.csv · CSV

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
behavioral
Psychoses	MS-DRG	885	0	$4,724.3	$1,322.8	—	—	—
Psychiatric diagnostic evaluation	CPT	90791	0	$205	$57.4	—	—	—
Psychiatric eval with medical services	CPT	90792	0	$205	$57.4	—	—	—
emergency
ED visit level 1	CPT	99281	0	$666	$186.48	—	—	—
ED visit level 2	CPT	99282	0	$733	$205.24	—	—	—
ED visit level 3	CPT	99283	0	$1,166	$326.48	—	—	—
ED visit level 4	CPT	99284	0	$2,029	$568.12	—	—	—
ED visit level 5	CPT	99285	0	$2,232	$624.96	—	—	—
Critical care, first hour	CPT	99291	0	$5,879	$1,646.12	—	—	—
imaging
CT head without contrast	CPT	70450	0	$630	$176.4	—	—	—
CT head with contrast	CPT	70460	0	$1,221	$341.88	—	—	—
CT head with and without contrast	CPT	70470	0	$1,504	$421.12	—	—	—
CT neck with contrast	CPT	70491	0	$1,451	$406.28	—	—	—
MRI brain without contrast	CPT	70551	0	$1,841	$515.48	—	—	—
MRI brain with contrast	CPT	70552	0	$2,232	$624.96	—	—	—
MRI brain with and without contrast	CPT	70553	0	$2,256	$631.68	—	—	—
Chest X-ray single view	CPT	71045	0	$406	$113.68	—	—	—
Chest X-ray 2 views	CPT	71046	0	$427	$119.56	—	—	—
Chest X-ray 3 views	CPT	71047	0	$449	$125.72	—	—	—
CT chest without contrast	CPT	71250	0	$1,223	$342.44	—	—	—
CT chest with contrast	CPT	71260	0	$1,515	$424.2	—	—	—
CT chest with and without contrast	CPT	71270	0	$1,912	$535.36	—	—	—
MRI chest without contrast	CPT	71550	0	$1,841	$515.48	—	—	—
MRI chest with contrast	CPT	71551	0	$2,234	$625.52	—	—	—
MRI chest with and without contrast	CPT	71552	0	$2,820	$789.6	—	—	—
Lumbosacral spine X-ray	CPT	72100	0	$406	$113.68	—	—	—
CT cervical spine without contrast	CPT	72125	0	$1,228	$343.84	—	—	—
CT thoracic spine without contrast	CPT	72128	0	$1,223	$342.44	—	—	—
CT lumbar spine without contrast	CPT	72131	0	$1,221	$341.88	—	—	—
MRI cervical spine without contrast	CPT	72141	0	$1,841	$515.48	—	—	—
MRI thoracic spine without contrast	CPT	72146	0	$1,841	$515.48	—	—	—
MRI lumbar spine without contrast	CPT	72148	0	$1,473	$412.44	—	—	—
MRI lumbar spine with and without contrast	CPT	72149	0	$2,232	$624.96	—	—	—
MRI cervical spine with and without contrast	CPT	72156	0	$2,820	$789.6	—	—	—
MRI lumbar spine with contrast	CPT	72158	0	$2,820	$789.6	—	—	—
CT pelvis without contrast	CPT	72192	0	$1,159	$324.52	—	—	—
CT pelvis with contrast	CPT	72193	0	$960	$268.8	—	—	—
Shoulder X-ray	CPT	73030	0	$854	$239.12	—	—	—
Humerus X-ray	CPT	73060	0	$406	$113.68	—	—	—
Hand X-ray 3 views	CPT	73130	0	$854	$239.12	—	—	—
MRI upper extremity joint without contrast	CPT	73221	0	$3,682	$1,030.96	—	—	—
MRI upper extremity joint with and without contrast	CPT	73223	0	$5,640	$1,579.2	—	—	—
Knee X-ray 1-2 views	CPT	73560	0	$854	$239.12	—	—	—
Ankle X-ray 3 views	CPT	73610	0	$854	$239.12	—	—	—
MRI lower extremity joint without contrast	CPT	73721	0	$2,946	$824.88	—	—	—
MRI lower extremity joint with and without contrast	CPT	73723	0	$5,640	$1,579.2	—	—	—
CT abdomen without contrast	CPT	74150	0	$1,148	$321.44	—	—	—
CT abdomen with contrast	CPT	74160	0	$1,636	$458.08	—	—	—
CT abdomen with and without contrast	CPT	74170	0	$2,108	$590.24	—	—	—
CT abdomen and pelvis without contrast	CPT	74176	0	$1,733	$485.24	—	—	—
CT abdomen and pelvis with contrast	CPT	74177	0	$1,571	$439.88	—	—	—
CT abdomen and pelvis with and without contrast	CPT	74178	0	$3,067	$858.76	—	—	—
MRI abdomen without contrast	CPT	74181	0	$1,841	$515.48	—	—	—
MRI abdomen with and without contrast	CPT	74183	0	$2,820	$789.6	—	—	—
Abdominal ultrasound complete	CPT	76700	0	$387	$108.36	—	—	—
Abdominal ultrasound limited	CPT	76705	0	$447	$125.16	—	—	—
Retroperitoneal ultrasound complete	CPT	76770	0	$562	$157.36	—	—	—
Obstetric ultrasound first trimester	CPT	76801	0	$479	$134.12	—	—	—
Obstetric ultrasound after first trimester	CPT	76805	0	$388	$108.64	—	—	—
Obstetric ultrasound with fetal anatomy	CPT	76811	0	$600	$168	—	—	—
Transvaginal ultrasound	CPT	76830	0	$347	$97.16	—	—	—
Pelvic ultrasound complete	CPT	76856	0	$521	$145.88	—	—	—
Scrotal ultrasound	CPT	76870	0	$527	$147.56	—	—	—
Diagnostic mammography unilateral	CPT	77065	0	$328	$91.84	—	—	—
Diagnostic mammography bilateral	CPT	77066	0	$418	$117.04	—	—	—
Screening mammography bilateral	CPT	77067	0	$347	$97.16	—	—	—
EKG tracing only	CPT	93005	0	$139	$38.92	—	—	—
Transthoracic echocardiogram complete	CPT	93306	0	$2,655	$743.4	—	—	—
Transthoracic echocardiogram	CPT	93307	0	$1,163	$325.64	—	—	—
Stress echocardiogram	CPT	93350	0	$1,163	$325.64	—	—	—
inpatient
Respiratory infections & inflammations w MCC	MS-DRG	177	0	$130,770	$36,616	—	—	—
COPD w MCC	MS-DRG	190	0	—	—	—	—	—
COPD w CC	MS-DRG	191	0	—	—	—	—	—
COPD w/o CC/MCC	MS-DRG	192	0	—	—	—	—	—
Simple pneumonia & pleurisy w CC	MS-DRG	194	0	$16,849	$4,717.83	—	—	—
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	0	$24,679	$6,910.25	—	—	—
AMI discharged alive w MCC	MS-DRG	280	0	—	—	—	—	—
AMI discharged alive w CC	MS-DRG	281	0	—	—	—	—	—
AMI discharged alive w/o CC/MCC	MS-DRG	282	0	—	—	—	—	—
Heart failure & shock w MCC	MS-DRG	291	0	—	—	—	—	—
Heart failure & shock w CC	MS-DRG	292	0	$14,302	$4,004.55	—	—	—
Heart failure & shock w/o CC/MCC	MS-DRG	293	0	—	—	—	—	—
Cardiac arrhythmia w MCC	MS-DRG	308	0	$14,775	$4,137.01	—	—	—
Cardiac arrhythmia w CC	MS-DRG	309	0	$8,384.14	$2,347.56	—	—	—
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	0	$14,734	$4,125.63	—	—	—
GI hemorrhage w CC	MS-DRG	378	0	$9,720.22	$2,721.66	—	—	—
GI hemorrhage w/o CC/MCC	MS-DRG	379	0	$8,096	$2,266.88	—	—	—
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	0	$26,478	$7,413.88	—	—	—
Fractures of femur w/o MCC	MS-DRG	533	0	—	—	—	—	—
Kidney/UTI w MCC	MS-DRG	689	0	$34,050	$9,534.05	—	—	—
Kidney/UTI w/o MCC	MS-DRG	690	0	$14,102	$3,948.53	—	—	—
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	0	$78,583	$22,003	—	—	—
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	0	$32,495	$9,098.46	—	—	—
lab
Basic metabolic panel (BMP)	CPT	80048	0	$62	$17.36	—	—	—
Electrolyte panel	CPT	80051	0	$37	$10.36	—	—	—
Comprehensive metabolic panel	CPT	80053	0	$68	$19.04	—	—	—
Lipid panel	CPT	80061	0	$69	$19.32	—	—	—
Renal function panel	CPT	80069	0	$59	$16.52	—	—	—
Hepatic function panel	CPT	80076	0	$43	$12.04	—	—	—
Urinalysis non-automated	CPT	81002	0	$12	$3.36	—	—	—
Urinalysis automated	CPT	81003	0	$14	$3.92	—	—	—
Glucose quantitative	CPT	82947	0	$25	$7	—	—	—
Hemoglobin A1c	CPT	83036	0	$56	$15.68	—	—	—
Thyroid stimulating hormone (TSH)	CPT	84443	0	$114	$31.92	—	—	—
Complete blood count with automated differential	CPT	85025	0	$49	$13.72	—	—	—
Complete blood count without differential	CPT	85027	0	$39	$10.92	—	—	—
Urine culture bacterial	CPT	87086	0	$56	$15.68	—	—	—
Urine culture identification	CPT	87088	0	$47	$13.16	—	—	—
Tissue exam by pathologist level IV	CPT	88305	0	$411	$115.08	—	—	—
maternity
Fetal non-stress test	CPT	59025	0	$537	$150.36	—	—	—
Vaginal delivery only	CPT	59409	0	$8,143	$2,280.04	—	—	—
office
Office visit, new patient, 15-29 min	CPT	99202	0	$213	$59.64	—	—	—
Office visit, new patient, 30-44 minutes	CPT	99203	0	$224	$62.72	—	—	—
Office visit, new patient, 45-59 min	CPT	99204	0	$236	$66.08	—	—	—
Office visit, new patient, 60-74 min	CPT	99205	0	$248	$69.44	—	—	—
Office visit, established patient, 5 min	CPT	99211	0	$183	$51.24	—	—	—
Office visit, established patient, 10-19 min	CPT	99212	0	$193	$54.04	—	—	—
Office visit, established patient, 20-29 minutes	CPT	99213	0	$203	$56.84	—	—	—
Office visit, established patient, 30-39 minutes	CPT	99214	0	$214	$59.92	—	—	—
Office visit, established patient, 40-54 min	CPT	99215	0	$225	$63	—	—	—
preventive
Upper GI endoscopy diagnostic	CPT	43235	0	$2,178	$609.84	—	—	—
Upper GI endoscopy with biopsy	CPT	43239	0	$2,178	$609.84	—	—	—
Sigmoidoscopy diagnostic	CPT	45330	0	$2,065	$578.2	—	—	—
Sigmoidoscopy with biopsy	CPT	45331	0	$2,065	$578.2	—	—	—
Colonoscopy diagnostic	CPT	45378	0	$2,178	$609.84	—	—	—
Colonoscopy with biopsy	CPT	45380	0	$2,178	$609.84	—	—	—
Colonoscopy with polyp removal	CPT	45385	0	$2,178	$609.84	—	—	—
surgery
Total shoulder arthroplasty	CPT	23472	0	$56,285	$15,760	—	—	—
Hip hemiarthroplasty	CPT	27125	0	—	—	—	—	—
Total hip replacement	CPT	27130	0	$51,805	$14,505	—	—	—
Total knee replacement	CPT	27447	0	$58,159	$16,285	—	—	—
Knee revision arthroplasty single component	CPT	27486	0	—	—	—	—	—
Knee revision arthroplasty all components	CPT	27487	0	—	—	—	—	—
Shoulder arthroscopy with decompression	CPT	29826	0	$51,190	$14,333	—	—	—
Shoulder arthroscopy with rotator cuff repair	CPT	29827	0	$41,444	$11,604	—	—	—
Knee arthroscopy with meniscectomy	CPT	29881	0	$26,347	$7,377.21	—	—	—
ACL reconstruction	CPT	29888	0	$64,063	$17,938	—	—	—
Major small/large bowel procedures w MCC	MS-DRG	329	0	—	—	—	—	—
Major small/large bowel procedures w CC	MS-DRG	330	0	$35,264	$9,873.98	—	—	—
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	0	$50,004	$14,001	—	—	—
CABG single arterial graft	CPT	33533	0	—	—	—	—	—
CABG 2 arterial grafts	CPT	33534	0	—	—	—	—	—
CABG 3 arterial grafts	CPT	33535	0	—	—	—	—	—
CABG 4+ arterial grafts	CPT	33536	0	—	—	—	—	—
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	0	$60,090	$16,825	—	—	—
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	0	$54,324	$15,211	—	—	—
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	0	—	—	—	—	—
Open appendectomy	CPT	44950	0	$39,517	$11,065	—	—	—
Laparoscopic appendectomy	CPT	44970	0	$20,363	$5,701.64	—	—	—
Major joint replacement w MCC	MS-DRG	469	0	—	—	—	—	—
Major joint replacement w/o MCC	MS-DRG	470	0	$80,345	$22,497	—	—	—
Laparoscopic cholecystectomy	CPT	47562	0	$10,325	$2,891	—	—	—
Lap cholecystectomy with cholangiography	CPT	47563	0	—	—	—	—	—
Hip & femur procedures except major joint w MCC	MS-DRG	480	0	$116,424	$32,599	—	—	—
Hip & femur procedures except major joint w CC	MS-DRG	481	0	$154,372	$43,224	—	—	—
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	0	$152,292	$42,642	—	—	—
Open umbilical hernia repair	CPT	49560	0	$11,291	$3,161.48	—	—	—
Lap inguinal hernia repair	CPT	49650	0	$16,970	$4,751.6	—	—	—
Total abdominal hysterectomy	CPT	58150	0	$49,741	$13,927	—	—	—
Vaginal hysterectomy	CPT	58260	0	$31,393	$8,790.03	—	—	—
Lap-assisted vaginal hysterectomy	CPT	58550	0	$84,893	$23,770	—	—	—
Lap-assisted vaginal hysterectomy >250g	CPT	58552	0	$48,563	$13,598	—	—	—
Lap salpingo-oophorectomy	CPT	58661	0	$32,750	$9,170.03	—	—	—
OR procedure for obesity w MCC	MS-DRG	619	0	—	—	—	—	—
OR procedure for obesity w CC	MS-DRG	620	0	—	—	—	—	—
OR procedure for obesity w/o CC/MCC	MS-DRG	621	0	—	—	—	—	—
Complex cataract surgery	CPT	66982	0	—	—	—	—	—
Cataract surgery with lens implant	CPT	66984	0	$4,166	$1,166.48	—	—	—
Intravitreal injection	CPT	67028	0	$978	$273.84	—	—	—
Vitrectomy mechanical	CPT	67042	0	—	—	—	—	—
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	0	$51,063	$14,298	—	—	—
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	0	$29,208	$8,178.37	—	—	—
PCI single major coronary artery	CPT	92920	0	$30,747	$8,609.16	—	—	—
PCI with drug-eluting stent	CPT	92928	0	$46,700	$13,076	—	—	—
PCI bypass graft	CPT	92937	0	$46,700	$13,076	—	—	—
Left heart catheterization	CPT	93452	0	$20,840	$5,835.2	—	—	—
Coronary angiography with cath	CPT	93455	0	$20,840	$5,835.2	—	—	—
Coronary angiography with bypass cath	CPT	93458	0	$20,840	$5,835.2	—	—	—

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

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