LOUISIANA HOSPITAL INFORM | A SERVICE FROM THE LOUISIANA HOSPITAL ASSOCIATION

Outpatient Services

 

  • Medicare statistics for the most frequent outpatient services / Definitions
  • Medicare outpatient billing data are for the 12 months ending 12/31/2017.
  • This report is consistent with CMS Data Release policies.
Sabine Medical Center
240 Highland Drive
Many, LA 71449
(318) 256-5691

The following statistics are based on actual Medicare data and are provided as a general reference.
  Hospital's Charge Range
Description (APC) Units Lower Higher
Gastrointestinal       
Upper gastrointestinal scope with a biopsy, excision, or other procedure  (05301)  48  $2,859  $3,647
Lower gastrointestinal scope with a biopsy, excision, or other procedure  (05312)  44  $3,627  $4,278
       
Ophthalmology/Eye       
Simple eye procedures  (05491)  36  $2,615  $2,615
       
Radiology       
Lowest complexity image without contrast (eg chest xray)  (05521)  1,461  $130  $181
Mid complexity image without contrast (eg pelvic ultrasound)  (05522)  513  $347  $1,143
Higher complexity image without contrast (eg vascular study)  (05523)  126  $1,113  $2,169
Highest complexity image without contrast (eg mri of brain)  (05524)  32  $2,187  $2,187
Lowest complexity image with contrast (ct of abdomen)  (05571)  156  $1,439  $2,297
Higher complexity image with contrast (eg xray of hip)  (05572)  12  $2,444  $2,444
CT or CTA without contrast (eg angiography)  (08005)  170  $1,086  $1,148
CT or CTA with contrast (eg angiography)  (08006)  21  $983  $1,501