PPO USA: disclosed hospital rates

iDirect answer

Based on the published hospital price files, PPO USA appears in disclosed negotiated rates across 2 hospitals and 310 services. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

310 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
""Y SET"" TUBING Outpatient	CHRISTUS Ochsner Lake Area Hospital	A4719 HCPCS	—	—	—	—
""Y SET"" TUBING Outpatient	CHRISTUS Ochsner St. Patrick Hospital	A4719 HCPCS	—	—	—	—
<50% TOTAL PT OUTPT RA ENCTS Outpatient	CHRISTUS Ochsner Lake Area Hospital	M1008 HCPCS	—	—	—	—
<50% TOTAL PT OUTPT RA ENCTS Outpatient	CHRISTUS Ochsner St. Patrick Hospital	M1008 HCPCS	—	—	—	—
<6YR NEW ONSET HD ACHE Outpatient	CHRISTUS Ochsner Lake Area Hospital	G2193 HCPCS	—	—	—	—
<6YR NEW ONSET HD ACHE Outpatient	CHRISTUS Ochsner St. Patrick Hospital	G2193 HCPCS	—	—	—	—
>= 2 SAME HI-RSK MED NOT ORD Outpatient	CHRISTUS Ochsner Lake Area Hospital	G9368 HCPCS	—	—	—	—
>= 2 SAME HI-RSK MED NOT ORD Outpatient	CHRISTUS Ochsner St. Patrick Hospital	G9368 HCPCS	—	—	—	—
>= 2 SAME HI-RSK MED ORD Outpatient	CHRISTUS Ochsner Lake Area Hospital	G9367 HCPCS	—	—	—	—
>= 2 SAME HI-RSK MED ORD Outpatient	CHRISTUS Ochsner St. Patrick Hospital	G9367 HCPCS	—	—	—	—
>=2 SAME HI-RSK MED W/O DIAG Outpatient	CHRISTUS Ochsner Lake Area Hospital	M1209 HCPCS	—	—	—	—
>=2 SAME HI-RSK MED W/O DIAG Outpatient	CHRISTUS Ochsner St. Patrick Hospital	M1209 HCPCS	—	—	—	—
>=2 SAME MEDS TBL4 NOT ORD Outpatient	CHRISTUS Ochsner Lake Area Hospital	M1210 HCPCS	—	—	—	—
>=2 SAME MEDS TBL4 NOT ORD Outpatient	CHRISTUS Ochsner St. Patrick Hospital	M1210 HCPCS	—	—	—	—
>=50% TOTAL PT OUTPT RA ENCT Outpatient	CHRISTUS Ochsner Lake Area Hospital	M1007 HCPCS	—	—	—	—
>=50% TOTAL PT OUTPT RA ENCT Outpatient	CHRISTUS Ochsner St. Patrick Hospital	M1007 HCPCS	—	—	—	—
>=86Y NO HX COLO CA/RSN SCOP Outpatient	CHRISTUS Ochsner Lake Area Hospital	G9659 HCPCS	—	—	—	—
>=86Y NO HX COLO CA/RSN SCOP Outpatient	CHRISTUS Ochsner St. Patrick Hospital	G9659 HCPCS	—	—	—	—
>55 YRS TEMP HD ACHE Outpatient	CHRISTUS Ochsner Lake Area Hospital	G2192 HCPCS	—	—	—	—
>55 YRS TEMP HD ACHE Outpatient	CHRISTUS Ochsner St. Patrick Hospital	G2192 HCPCS	—	—	—	—
1 ADMN RSV MONOC ANTB IM NJX Outpatient	CHRISTUS Ochsner St. Patrick Hospital	96381 CPT	—	—	$70.00 – $70.00	—
1 BOD TEMP >=35.5 Outpatient	CHRISTUS Ochsner Lake Area Hospital	G9773 HCPCS	—	—	—	—
1 BOD TEMP >=35.5 Outpatient	CHRISTUS Ochsner St. Patrick Hospital	G9773 HCPCS	—	—	—	—
1 BODYTEMP >=35.5CW/IN 30MIN Outpatient	CHRISTUS Ochsner Lake Area Hospital	4559F CPT	—	—	—	—
1 BODYTEMP >=35.5CW/IN 30MIN Outpatient	CHRISTUS Ochsner St. Patrick Hospital	4559F CPT	—	—	—	—