Ochsner Choctaw General Hospital — price list

← Hospital overviewVerified from Ochsner Choctaw General Hospital’s published price file

Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.

How to read these columns

List: The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
Cash: The discounted self-pay price for paying directly, without insurance.
Negotiated: Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.

These are the hospital’s published reference prices, not a personalized estimate of your bill.

141 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
Acetaminophen 120 mg rect supp Inpatient	J3490 HCPCS	$3.10	$2.36	—	—
Acetaminophen 325 mg oral tab Inpatient	J8499 HCPCS	$3.10	$2.36	—	—
Acetaminophen 500 mg oral tab Inpatient	J8499 HCPCS	$3.10	$2.36	—	—
Acetaminophen 650 mg rect supp Inpatient	J3490 HCPCS	$3.10	$2.36	—	—
Acetaminophen-codeine 300-30 mg oral tab Inpatient	J8499 HCPCS	$3.10	$2.36	—	—
Atorvastatin 10 mg oral tab Inpatient	J8499 HCPCS	$3.10	$2.36	—	—
Atorvastatin 20 mg oral tab Inpatient	J8499 HCPCS	$3.10	$2.36	—	—
Atorvastatin 40 mg oral tab Inpatient	J8499 HCPCS	$3.10	$2.36	—	—
Bag zip closure clr 12x15 2mil Inpatient	SUP-ZB12152 CDM	$0.42	$0.32	—	—
Bag zip closure clr 12x15 2mil Outpatient	SUP-ZB12152 CDM	$0.42	$0.32	$0.17 – $0.34	—
Bag zip wht writ on 2mil 10x12 Inpatient	SUP-NONZIP1012 CDM	$0.63	$0.48	—	—
Bag zip wht writ on 2mil 10x12 Outpatient	SUP-NONZIP1012 CDM	$0.63	$0.48	$0.25 – $0.51	—
Bisacodyl 5 mg oral tbec Inpatient	J8499 HCPCS	$3.10	$2.36	—	—
Bisacodyl 10 mg rect supp Inpatient	J3490 HCPCS	$3.10	$2.36	—	—
Calcium carbonate 500 mg calcium (1,250 mg) oral tab Inpatient	J8499 HCPCS	$3.10	$2.36	—	—
Calcium carbonate-vitamin d3 500 mg-5 mcg (200 unit) oral tab Inpatient	J8499 HCPCS	$3.10	$2.36	—	—
Carbamazepine 100 mg oral chew Inpatient	J8499 HCPCS	$3.10	$2.36	—	—
Carvedilol 12.5 mg oral tab Inpatient	J8499 HCPCS	$3.10	$2.36	—	—
Chlordiazepoxide hcl 5 mg oral cap Inpatient	J8499 HCPCS	$3.10	$2.36	—	—
Cholecalciferol (vitamin d3) 5000 units oral tab Inpatient	J8499 HCPCS	$3.10	$2.36	—	—
Citalopram 20 mg oral tab Inpatient	J8499 HCPCS	$3.10	$2.36	—	—
Clindamycin hcl 150 mg oral cap Inpatient	J8499 HCPCS	$3.10	$2.36	—	—
Clonidine hcl 0.1 mg oral tab Inpatient	J8499 HCPCS	$3.10	$2.36	—	—
Cyanocobalamin (vitamin b-12) 100 mcg oral tab Inpatient	J8499 HCPCS	$3.10	$2.36	—	—
Cyanocobalamin (vitamin b-12) 500 mcg oral tab Inpatient	J8499 HCPCS	$3.10	$2.36	—	—
Cyanocobalamin (vitamin b-12) 1000 mcg oral tab Inpatient	J8499 HCPCS	$3.10	$2.36	—	—
Donepezil 5 mg oral tab Inpatient	J8499 HCPCS	$3.10	$2.36	—	—
Drain penrose xray 12 x 1/2 st Inpatient	C1729 HCPCS	$2.60	$1.98	$2.21 – $2.21	—
Drain penrose xray 12 x 1/2 st Outpatient	C1729 HCPCS	$2.60	$1.98	$1.02 – $2.12	—
Drain penrose xray 18 x 1 st Inpatient	C1729 HCPCS	$2.46	$1.87	$2.09 – $2.09	—