Our Lady of the Lake Health — price list
← Hospital overviewVerified from Our Lady of the Lake Health’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.
128 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| E-Z DISK 700 MG TABLET Outpatient | 100992_ERX CDM | $12.18 | $6.09 | $3.52 – $11.57 | $7.68 | |
| FACTOR IX, COMPLEX, PER I.U. Outpatient | 10008_ERX CDM | $50.00 | $25.00 | $1.41 – $47.50 | $27.00 | |
| FLUMAZENIL 0.1 MG/ML VIAL Outpatient | 10055_ERX CDM | $68.88 | $34.44 | $19.93 – $65.44 | $1.72 | |
| FLUORESCITE 10% VIAL Outpatient | 10059_ERX CDM | $274 | $137 | $79.12 – $260 | $1.72 | |
| GOSERELIN ACETATE IMPLANT, PER 3.6 MG Outpatient | 10137_ERX CDM | $2,723 | $1,361 | $697 – $2,586 | $1,470 | |
| HC Anchor/Screw Bn/Bn Tis/Bn Outpatient | 1002602_SUP CDM | $1,286 | $643 | $372 – $1,221 | $3,920 | |
| HC Anchor/Screw Bn/Bn Tis/Bn Outpatient | 1015106_SUP CDM | $2,364 | $1,182 | $684 – $2,245 | $3,920 | |
| HC Cath Interspinal Outpatient | 1011971_SUP CDM | $92.90 | $46.45 | $26.88 – $88.26 | $305 | |
| HC Gastro/Jejuno Tube Outpatient | 1015512_SUP CDM | $93.25 | $46.63 | $26.98 – $88.59 | $305 | |
| HC Guide Wire Outpatient | 1001978_SUP CDM | $185 | $92.71 | $53.64 – $176 | $305 | |
| HC Guide Wire Outpatient | 1023675_SUP CDM | $93.50 | $46.75 | $27.05 – $88.83 | $305 | |
| HC Guide Wire Outpatient | 1023990_SUP CDM | $720 | $360 | $208 – $684 | $305 | |
| HC Guide Wire Outpatient | 1024638_SUP CDM | $575 | $288 | $166 – $546 | $305 | |
| HC Joint Device Outpatient | 1004752_SUP CDM | $14,531 | $7,265 | $4,204 – $13,804 | $3,920 | |
| HC Joint Device Outpatient | 1017240_SUP CDM | $3,300 | $1,650 | $955 – $3,135 | $3,920 | |
| HC Joint Device Outpatient | 1017727_SUP CDM | $3,300 | $1,650 | $955 – $3,135 | $3,920 | |
| HC Joint Device Outpatient | 1018427_SUP CDM | $3,300 | $1,650 | $955 – $3,135 | $3,920 | |
| HC Joint Device Outpatient | 1019150_SUP CDM | $3,366 | $1,683 | $974 – $3,198 | $3,920 | |
| HC Joint Device Outpatient | 1019266_SUP CDM | $3,366 | $1,683 | $974 – $3,198 | $3,920 | |
| HC Joint Device Outpatient | 1020299_SUP CDM | $3,366 | $1,683 | $974 – $3,198 | $3,920 | |
| HC Joint Device Outpatient | 1020311_SUP CDM | $3,300 | $1,650 | $955 – $3,135 | $3,920 | |
| HC Joint Device Outpatient | 1020702_SUP CDM | $3,300 | $1,650 | $955 – $3,135 | $3,920 | |
| HC Joint Device Outpatient | 1020766_SUP CDM | $3,366 | $1,683 | $974 – $3,198 | $3,920 | |
| HC Joint Device Outpatient | 1021011_SUP CDM | $3,300 | $1,650 | $955 – $3,135 | $3,920 | |
| HC Joint Device Outpatient | 1021101_SUP CDM | $3,300 | $1,650 | $955 – $3,135 | $3,920 | |
| HC Joint Device Outpatient | 1021619_SUP CDM | $3,300 | $1,650 | $955 – $3,135 | $3,920 | |
| HC Joint Device Outpatient | 1021711_SUP CDM | $3,300 | $1,650 | $955 – $3,135 | $3,920 | |
| HC Joint Device Outpatient | 1021714_SUP CDM | $3,366 | $1,683 | $974 – $3,198 | $3,920 | |
| HC Medical Supplies Outpatient | 1006682_SUP CDM | $64.12 | $32.06 | $18.55 – $60.91 | $94.98 | |
| HC Medical Supplies Outpatient | 1011935_SUP CDM | $280 | $140 | $81.09 – $266 | $94.98 |