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Sabine Medical Center

240 Highland Drive, Many, LA 71449 · (318) 256-1232

Acute Care HospitalsProprietaryWebsite ↗

Price file

Prices published

File dated 2026-06-19

13,912 price rows for 39 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines

$29
cash
$86
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines

$40
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 3 lines

$55
cash
—
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 3 lines

$44
cash
Colonoscopy (diagnostic)

CPT 45378 · lowest of 2 lines

$278
cash
Colonoscopy with biopsy

CPT 45380 · lowest of 2 lines

$351
cash
Colonoscopy with polyp removal

CPT 45385 · lowest of 2 lines

$371
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 3 lines

$17
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines

$34
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 2 lines

$96
cash
Gallbladder removal (laparoscopic)

CPT 47562 · lowest of 3 lines

$562
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 3 lines

$45
cash
—
cash
—
cash
—
cash
Inguinal hernia repair (age 5 and up)

CPT 49505 · lowest of 2 lines

$445
cash
$27
cash
$35
cash
—
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 3 lines

$46
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 2 lines

$102
cash
PSA test (prostate)

CPT 84153 · lowest of 2 lines

$35
cash
$32
cash
$33
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 3 lines

$31
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 2 lines

$20
cash
Psychotherapy, 45 minutes

CPT 90834 · lowest of 2 lines

$99
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 3 lines

$33
cash
—
cash
TSH test (thyroid)

CPT 84443 · lowest of 2 lines

$28
cash
Transvaginal ultrasound

CPT 76830 · lowest of 2 lines

$33
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 3 lines

$38
cash
Upper endoscopy (EGD)

CPT 43235 · lowest of 2 lines

$232
cash
Upper endoscopy with biopsy

CPT 43239 · lowest of 2 lines

$302
cash
Urinalysis with microscope

CPT 81001 · lowest of 2 lines

$10
cash
—
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 3 lines

$13
cash

Source files

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