CHRISTUS Louisiana Surgical Hospital
651 N Bolton Ave, Alexandria, LA · Christushealth · · NPI 1164750840
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Ureter endoscopy CPT 50970 | not published | not published | $360.84 – $7,709.72 | 8 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $360.84 – $11,363.75 | 8 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $360.84 – $11,363.75 | 8 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $360.84 – $7,709.72 | 8 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $360.84 – $11,363.75 | 8 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $360.84 – $11,363.75 | 8 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $360.84 – $11,363.75 | 8 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $360.84 – $11,363.75 | 8 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $3,439.22 – $3,439.22 | 1 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $2,190.27 – $7,709.72 | 5 |
| Urethrocystography void s&i CPT 74455 | not published | not published | $229.93 – $540.34 | 6 |
| Urinalysis glass test CPT 81020 | not published | not published | $2.35 – $11.05 | 9 |
| Urinary pouch on barr w/flng HCPCS A5073 | not published | not published | $2.22 – $10.43 | 5 |
| Urinary pouch w/barrier HCPCS A5071 | not published | not published | $4.20 – $19.74 | 5 |
| Urinary reflex study CPT 51792 | not published | not published | $56.50 – $132.78 | 5 |
| Urinary suspensory HCPCS A5105 | not published | not published | $27.45 – $129.02 | 5 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $122.61 – $288.13 | 5 |
| Urine ost pouch w faucet/tap HCPCS A4428 | not published | not published | $4.56 – $21.41 | 5 |
| Urine screen for bacteria CPT 81007 | not published | not published | $3.30 – $70.45 | 9 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $3.00 – $21.36 | 6 |
| Urofollitropin, 75 iu HCPCS J3355 | not published | not published | $135.16 – $135.16 | 1 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $149.55 – $401.74 | 6 |
| Urokinase 250,000 iu inj HCPCS J3365 | not published | not published | $466.36 – $466.36 | 1 |
| Urokinase 5000 iu injection HCPCS J3364 | not published | not published | $9.32 – $9.32 | 1 |
| Use 1st target lesion CPT 76982 | not published | not published | $83.41 – $245.18 | 6 |
| User adjustable heel height HCPCS L5990 | not published | not published | $1,100.89 – $5,174.16 | 5 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | not published | not published | $12.14 – $32.54 | 6 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | not published | not published | $148.28 – $397.50 | 6 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $8,017.54 – $28,762.07 | 5 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $145.92 – $412.21 | 2 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $145.92 – $375.00 | 2 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | not published | $131.10 – $397.53 | 2 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $87.78 – $223.84 | 2 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $65.36 – $167.15 | 2 |
| Vaccine dtap < 7 years im CPT 90700 | not published | not published | $33.31 – $33.31 | 1 |
| Vaccine dtap-hep b-ipv im CPT 90723 | not published | not published | $117.41 – $117.41 | 1 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | not published | not published | $71.05 – $71.05 | 1 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | not published | not published | $177.69 – $177.69 | 1 |
| Vaccine dtap-ipv/hib im CPT 90698 | not published | not published | $136.15 – $136.15 | 1 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | not published | not published | $34.71 – $34.71 | 1 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | not published | not published | $14.87 – $14.87 | 1 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | not published | not published | $79.38 – $182.60 | 2 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | not published | not published | $150.69 – $150.69 | 1 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | not published | not published | $44.14 – $44.14 | 1 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | not published | not published | $26.01 – $26.01 | 1 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $78.30 – $191.62 | 2 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | not published | not published | $77.42 – $179.46 | 2 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $195.32 – $429.16 | 2 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | not published | not published | $34.84 – $78.46 | 2 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | not published | not published | $350.53 – $350.53 | 1 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | not published | not published | $182.45 – $182.45 | 1 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $21.86 – $55.74 | 2 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | not published | not published | $22.35 – $56.99 | 2 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $20.88 – $20.88 | 1 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $77.36 – $77.36 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $21.64 – $21.64 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | not published | not published | $22.35 – $22.35 | 1 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $10.44 – $10.44 | 1 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $27.79 – $27.79 | 1 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $73.40 – $73.40 | 1 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $36.85 – $93.96 | 2 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $10.93 – $27.87 | 2 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | not published | not published | $270.18 – $270.18 | 1 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | not published | not published | $236.20 – $236.20 | 1 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | not published | not published | $195.91 – $195.91 | 1 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | not published | not published | $189.95 – $189.95 | 1 |
| Vaccine mmr live subcutaneous CPT 90707 | not published | not published | $108.10 – $108.10 | 1 |
| Vaccine mmrv live subcutaneous CPT 90710 | not published | not published | $316.53 – $316.53 | 1 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | not published | not published | $287.27 – $646.58 | 2 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | not published | not published | $344.19 – $759.99 | 2 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | not published | not published | $50.85 – $50.85 | 1 |
| Vaccine rabies im CPT 90675 | not published | not published | $311.79 – $835.83 | 6 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | not published | not published | $349.75 – $349.75 | 1 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | not published | not published | $633.99 – $633.99 | 1 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | not published | not published | $633.99 – $633.99 | 1 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | not published | not published | $335.16 – $335.16 | 1 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | not published | not published | $167.46 – $167.46 | 1 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | not published | not published | $112.51 – $112.51 | 1 |
| Vaccine tdap >=7 years im CPT 90715 | not published | not published | $42.98 – $98.50 | 2 |
| Vaccine td preservative free >= 7 years im CPT 90714 | not published | not published | $37.36 – $85.38 | 2 |
| Vaccine typhoid vicps im CPT 90691 | not published | not published | $115.50 – $115.50 | 1 |
| Vaccine varicella live subcutaneous CPT 90716 | not published | not published | $208.48 – $208.48 | 1 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $160.35 – $160.35 | 1 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.02 | 5 |
| Vacuum drain bottle/tube kit HCPCS A7048 | not published | not published | $29.72 – $139.66 | 5 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | not published | not published | $284.07 – $1,335.11 | 5 |
| Vad cable power module dc input HCPCS Q0478 | not published | not published | $111.52 – $524.12 | 5 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | not published | not published | $2,534.73 – $11,913.23 | 5 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $3,087.49 – $11,034.78 | 5 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $3,087.49 – $11,034.78 | 5 |
| Vag hyst including t/o CPT 58262 | not published | not published | $2,657.34 – $11,034.78 | 5 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $4,747.72 – $16,530.11 | 5 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $3,087.49 – $11,034.78 | 5 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $3,087.49 – $11,034.78 | 5 |
| Vaginal bx CPT 58999 | not published | not published | $124.17 – $449.70 | 5 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $1,767.01 – $7,107.41 | 5 |
| Vaginal Delivery (full care) CPT 59400 | not published | not published | $1,767.01 – $1,767.01 | 1 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $2,657.34 – $11,034.78 | 5 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $1,767.01 – $7,107.41 | 5 |
| Vag inser rectal control sys HCPCS A4563 | not published | not published | $828.21 – $3,892.59 | 5 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.