Top 40 services provided by OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER
Services CPT Price Est. Cash Price
Biopsy (or surgical procedure to remove tissue) for the upper digestive tract 43239 $4,048.00 $0.00
Colonoscopy, flexible; with biopsy, single or multiple 45380 $2,548.00 $0.00
Injection into the lower back with help of imaging of some type 62323 $5,682.00 $0.00
Epidural steroid injections for lower back pain 64483 $3,235.00 $0.00
Laser removal of cataracts in eyes 66821 $2,131.00 $0.00
CT scan of the head or brain without contrast or dye 70450 $2,100.00 $0.00
MRI scan of the brain with and without contrast 70553 $4,760.00 $0.00
X-ray of the chest, 2 views 71046 $340.00 $0.00
X-ray of the lower spine with 4 or more views 72110 $586.00 $0.00
CT scan of the pelvis with contrast or dye 72193 $3,489.00 $0.00
CT scan of the abdomen with contrast or dye 74160 $3,750.00 $0.00
Ultrasound of the abdomen 76700 $1,161.00 $0.00
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $255.00 $0.00
Mammogram of both breasts 77067 $327.00 $0.00
Basic Metabolic Panel 80048 $230.00 $0.00
Comprehensive Metabolic Panel 80053 $243.00 $0.00
Comprehensive Metabolic Panel 80053 $30.00 $0.00
Lipid Panel 80061 $80.00 $0.00
Lipid Panel 80061 $175.00 $0.00
Urinalysis, by dipstick or tablet reagent not automated without a microscope 81001 $99.00 $0.00
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $110.00 $0.00
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $31.00 $0.00
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $51.00 $0.00
Blood test that measures gases in the blood including the acidity, or pH, and the levels of oxygen (O2) and carbon dioxide (CO2) from an artery. 82805 $81.00 $0.00
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $117.00 $0.00
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $134.00 $0.00
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $227.00 $0.00
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $48.00 $0.00
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $95.00 $0.00
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $117.00 $0.00
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $57.00 $0.00
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $32.00 $0.00
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $253.00 $0.00
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $115.00 $0.00
Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110 $66.00 $0.00
Training for walking to 1 or more areas for 15 minutes 97116 $66.00 $0.00
Physical therapy evaluation session for 20 minutes 97161 $293.00 $0.00
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $490.00 $0.00
Emergency department visit facility fees for a visit of moderate severity 99283 $724.00 $0.00
Emergency department visit facility fees for a visit of high to moderate severity 99284 $1,236.00 $0.00