Ochsner St Martin Hospital

210 Champagne Boulevard, Breaux Bridge, LA 70517 · (337) 332-2178

Critical Access HospitalsVoluntary non-profit - PrivateLafayette, LA metro

Price file

Prices published

File dated 2026-04-01

2,330 price rows for 56 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines · metro median $22

$20

cash

$8 to $62

26 negotiated rates

$68

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 2 lines · metro median $859

$859

cash

$630 to $2,604

26 negotiated rates

$2,862

list

CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $476

$476

cash

$223 to $1,444

26 negotiated rates

$1,587

list

CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines · metro median $571

$571

cash

$366 to $1,731

26 negotiated rates

$1,902

list

Cataract surgery with lens implant

CPT 66984 · metro median $2,522

$3,265

cash

$864 to $3,555

12 negotiated rates

$10,883

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$2,500 to $5,225

3 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 8 lines · metro median $31

$31

cash

$22 to $128

104 negotiated rates

$102

list

Colonoscopy (diagnostic)

CPT 45378 · lowest of 2 lines · metro median $544

$544

cash

$399 to $1,649

26 negotiated rates

$1,812

list

Colonoscopy with biopsy

CPT 45380 · lowest of 2 lines · metro median $544

$544

cash

$399 to $1,649

26 negotiated rates

$1,812

list

Colonoscopy with polyp removal

CPT 45385 · lowest of 2 lines · metro median $544

$544

cash

$399 to $1,649

26 negotiated rates

$1,812

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines · metro median $20

$20

cash

$8 to $62

26 negotiated rates

$68

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines · metro median $28

$27

cash

$11 to $82

26 negotiated rates

$90

list

Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 3 lines · metro median $69

$88

cash

$57 to $384

50 negotiated rates

$292

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

$536 to $7,146

11 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 6 lines · metro median $43

$42

cash

$31 to $194

78 negotiated rates

$141

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$13,398 to $19,239

2 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392 · lowest of 3 lines · metro median $3,092

$7,072

cash

$5,545 to $21,424

27 negotiated rates

$23,573

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$8,518 to $9,060

2 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

$662 to $9,635

12 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881 · metro median $2,570

$3,507

cash

$662 to $4,415

12 negotiated rates

$11,691

list

Laser treatment after cataract surgery (YAG)

CPT 66821

—

cash

$468 to $805

12 negotiated rates

—

list

Left heart catheterization

CPT 93452

—

cash

$2,807 to $14,821

5 negotiated rates

—

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines · metro median $39

$39

cash

$13 to $119

26 negotiated rates

$131

list

Liver function panel

CPT 80076 · lowest of 2 lines · metro median $21

$39

cash

$8 to $119

26 negotiated rates

$131

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines · metro median $1,306

$1,507

cash

$755 to $4,570

26 negotiated rates

$5,022

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 2 lines · metro median $1,163

$1,277

cash

$472 to $3,873

26 negotiated rates

$4,256

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 2 lines · metro median $801

$801

cash

$472 to $2,431

26 negotiated rates

$2,671

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines · metro median $801

$801

cash

$472 to $2,431

26 negotiated rates

$2,671

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$16,823 to $20,621

2 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 2 lines · metro median $551

$551

cash

$404 to $1,671

26 negotiated rates

$1,836

list

New patient office visit (about 30 minutes)

CPT 99203 · lowest of 4 lines · metro median $42

$38

cash

$38 to $314

75 negotiated rates

$126

list

New patient office visit (about 45 minutes)

CPT 99204 · lowest of 4 lines · metro median $57

$57

cash

$57 to $384

75 negotiated rates

$190

list

New patient office visit (about 60 minutes)

CPT 99205 · lowest of 3 lines · metro median $76

$76

cash

$57 to $384

50 negotiated rates

$254

list

PSA test (prostate)

CPT 84153 · lowest of 10 lines · metro median $16

$16

cash

$12 to $116

130 negotiated rates

$54

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 4 lines · metro median $6

cash

$4 to $22

52 negotiated rates

$20

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 6 lines · metro median $23

$34

cash

$11 to $260

78 negotiated rates

$113

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 2 lines · metro median $104

$120

cash

$88 to $363

26 negotiated rates

$399

list

Preventive visit, new patient age 18 to 39

CPT 99385 · lowest of 2 lines · metro median $62

$41

cash

$13 to $126

44 negotiated rates

$138

list

Preventive visit, new patient age 40 to 64

CPT 99386 · lowest of 2 lines · metro median $75

$50

cash

$13 to $151

44 negotiated rates

$166

list

Prostate biopsy

CPT 55700 · lowest of 2 lines · metro median $246

$1,509

cash

$468 to $4,576

26 negotiated rates

$5,029

list

Prostate removal (laparoscopic)

CPT 55866

—

cash

$5,083 to $7,305

5 negotiated rates

—

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 10 lines · metro median $4

cash

$3 to $57

130 negotiated rates

$12

list

Removal of a breast lump (biopsy by excision)

CPT 19120

—

cash

$536 to $6,286

12 negotiated rates

—

list

Screening mammogram (both breasts)

CPT 77067 · lowest of 2 lines · metro median $106

$123

cash

$79 to $372

26 negotiated rates

$409

list

Shoulder arthroscopy with decompression

CPT 29826

—

cash

$210 to $4,415

12 negotiated rates

—

list

Spinal injection, lower back, no imaging guidance

CPT 62322

—

cash

$350 to $1,113

11 negotiated rates

—

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 2 lines · metro median $1,008

$1,364

cash

$350 to $4,139

26 negotiated rates

$4,548

list

TSH test (thyroid)

CPT 84443 · lowest of 8 lines · metro median $29

$29

cash

$17 to $194

104 negotiated rates

$96

list

Tonsils and adenoids removal (under age 12)

CPT 42820

—

cash

$536 to $3,708

12 negotiated rates

—

list

Transvaginal ultrasound

CPT 76830 · lowest of 2 lines · metro median $184

$213

cash

$156 to $645

26 negotiated rates

$709

list

Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines · metro median $248

$248

cash

$182 to $753

26 negotiated rates

$828

list

Upper endoscopy (EGD)

CPT 43235 · lowest of 2 lines · metro median $765

$491

cash

$350 to $1,488

26 negotiated rates

$1,635

list

Upper endoscopy with biopsy

CPT 43239 · lowest of 2 lines · metro median $491

$491

cash

$360 to $1,488

26 negotiated rates

$1,635

list

Urinalysis with microscope

CPT 81001 · lowest of 5 lines · metro median $2

cash

$1 to $43

77 negotiated rates

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$2,100 to $3,663

3 negotiated rates

—

list

X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 2 lines · metro median $96

$111

cash

$79 to $337

26 negotiated rates

$370

list

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.

https://ochsner-craft.s3.amazonaws.com/core/264626264_st-martin-hospital-inc-_standardcharges.csv.csv
Ochsner St. Martin Hospital · parsed · wide v3.0.0 · file dated 2026-04-01 · 386.2 MB · 2330 price rows read · read Nov 2026