Savoy Medical Center

801 Poinciana Avenue, Mamou, LA 70554 · (337) 468-5261

Acute Care HospitalsVoluntary non-profit - OtherCMS rating 4/5Website ↗

Price file

Prices published

File dated 2026-03-15

2,197 price rows for 68 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048

$160

cash

$8 to $187

22 negotiated rates

$266

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177

$3,297

cash

$348 to $3,847

23 negotiated rates

$5,496

list

CT scan of the head, no contrast

CPT 70450

$1,542

cash

$104 to $1,799

25 negotiated rates

$2,569

list

CT scan of the pelvis, with contrast

CPT 72193

$1,539

cash

$173 to $1,795

25 negotiated rates

$2,565

list

Cataract surgery with lens implant

CPT 66984

—

cash

$758 to $7,420

27 negotiated rates

—

list

Cesarean delivery with prenatal and postpartum care

CPT 59510

—

cash

$2,278 to $4,328

12 negotiated rates

—

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$742 to $8,000

25 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 2 lines

$20

cash

$21 to $421

40 negotiated rates

$34

list

Colonoscopy (diagnostic)

CPT 45378

—

cash

$425 to $2,474

27 negotiated rates

—

list

Colonoscopy with biopsy

CPT 45380

—

cash

$511 to $3,156

27 negotiated rates

—

list

Colonoscopy with polyp removal

CPT 45385

—

cash

$578 to $3,156

27 negotiated rates

—

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines

$111

cash

$8 to $149

40 negotiated rates

$185

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines

$234

cash

$11 to $274

40 negotiated rates

$391

list

Diagnostic mammogram (both breasts)

CPT 77066

$197

cash

$5 to $366

13 negotiated rates

$328

list

Electrocardiogram (ECG) with interpretation

CPT 93000

—

cash

$24 to $188

7 negotiated rates

—

list

Established patient office visit (about 40 minutes)

CPT 99215

—

cash

$103 to $185

8 negotiated rates

—

list

Family psychotherapy with the patient

CPT 90847

$154

cash

$131 to $430

22 negotiated rates

$257

list

Family psychotherapy without the patient

CPT 90846

—

cash

$106 to $430

16 negotiated rates

—

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

$794 to $15,619

27 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591

$254

cash

$35 to $421

22 negotiated rates

$424

list

Group psychotherapy

CPT 90853

$127

cash

$37 to $248

22 negotiated rates

$211

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$975 to $28,832

58 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$975 to $11,932

58 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$975 to $18,330

58 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

$552 to $9,447

27 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$696 to $8,686

27 negotiated rates

—

list

Laser treatment after cataract surgery (YAG)

CPT 66821

—

cash

$311 to $2,474

27 negotiated rates

—

list

Left heart catheterization

CPT 93452

—

cash

$3,131 to $9,452

15 negotiated rates

—

list

Lipid panel (cholesterol test)

CPT 80061

$117

cash

$13 to $239

22 negotiated rates

$195

list

Liver function panel

CPT 80076

$213

cash

$8 to $248

40 negotiated rates

$355

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines

$2,790

cash

$348 to $3,256

46 negotiated rates

$4,651

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 6 lines

$1,893

cash

$235 to $2,209

114 negotiated rates

$3,155

list

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

CPT 72148

$2,030

cash

$235 to $2,369

29 negotiated rates

$3,384

list

MRI of the neck (cervical spine), no contrast

CPT 72141

$2,366

cash

$235 to $2,760

29 negotiated rates

$3,943

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$975 to $36,201

58 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483

—

cash

$281 to $2,383

27 negotiated rates

—

list

New patient office visit (about 30 minutes)

CPT 99203

—

cash

$94 to $108

7 negotiated rates

—

list

New patient office visit (about 45 minutes)

CPT 99204

—

cash

$106 to $168

7 negotiated rates

—

list

New patient office visit (about 60 minutes)

CPT 99205

—

cash

$115 to $213

7 negotiated rates

—

list

PSA test (prostate)

CPT 84153

$144

cash

$18 to $220

22 negotiated rates

$240

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 2 lines

$60

cash

$6 to $365

40 negotiated rates

$101

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 2 lines

$90

cash

$33 to $171

26 negotiated rates

$149

list

Pregnancy ultrasound (after first trimester)

CPT 76805

$639

cash

$104 to $745

22 negotiated rates

$1,065

list

Preventive visit, new patient age 18 to 39

CPT 99385

—

cash

$125 to $328

8 negotiated rates

—

list

Preventive visit, new patient age 40 to 64

CPT 99386

—

cash

$147 to $399

8 negotiated rates

—

list

Prostate biopsy

CPT 55700

—

cash

$274 to $5,696

27 negotiated rates

—

list

Prostate removal (laparoscopic)

CPT 55866

—

cash

$2,165 to $27,871

27 negotiated rates

—

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 3 lines

$31

cash

$4 to $62

58 negotiated rates

$52

list

Psychotherapy, 30 minutes

CPT 90832

$80

cash

$58 to $430

20 negotiated rates

$133

list

Psychotherapy, 45 minutes

CPT 90834

$122

cash

$89 to $430

20 negotiated rates

$203

list

Psychotherapy, 60 minutes

CPT 90837

—

cash

$156 to $430

12 negotiated rates

—

list

Removal of a breast lump (biopsy by excision)

CPT 19120

—

cash

$489 to $10,251

27 negotiated rates

—

list

Screening mammogram (both breasts)

CPT 77067 · lowest of 5 lines

$46

cash

$4 to $328

65 negotiated rates

$77

list

Shoulder arthroscopy with decompression

CPT 29826

—

cash

$734 to $4,328

12 negotiated rates

—

list

Sleep study (overnight, attended)

CPT 95810

$2,163

cash

$862 to $3,033

22 negotiated rates

$3,605

list

Spinal injection, lower back, no imaging guidance

CPT 62322

—

cash

$867 to $2,383

23 negotiated rates

—

list

Spinal injection, lower back, with imaging guidance

CPT 62323

—

cash

$674 to $1,854

23 negotiated rates

—

list

TSH test (thyroid)

CPT 84443 · lowest of 2 lines

$64

cash

$17 to $201

40 negotiated rates

$106

list

Tonsils and adenoids removal (under age 12)

CPT 42820

—

cash

$320 to $15,836

27 negotiated rates

—

list

Transvaginal ultrasound

CPT 76830 · lowest of 2 lines

$497

cash

$104 to $580

40 negotiated rates

$828

list

Ultrasound of the abdomen (complete)

CPT 76700

$910

cash

$104 to $1,061

22 negotiated rates

$1,516

list

Upper endoscopy (EGD)

CPT 43235

—

cash

$320 to $2,510

27 negotiated rates

—

list

Upper endoscopy with biopsy

CPT 43239

—

cash

$371 to $2,510

27 negotiated rates

—

list

Urinalysis with microscope

CPT 81001

$76

cash

$3 to $89

22 negotiated rates

$127

list

Vaginal delivery after a previous cesarean

CPT 59610

—

cash

$2,119 to $4,328

12 negotiated rates

—

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$742 to $6,000

25 negotiated rates

—

list

Vaginal delivery with prenatal and postpartum care

CPT 59400

—

cash

$2,012 to $4,328

12 negotiated rates

—

list

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

CPT 72110

$573

cash

$60 to $668

22 negotiated rates

$954

list

Source files

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

https://mrfs.hyvehealthcare.com/EvangelineClinicalServices/800202027_savoy-medical-management-group,-inc._standardcharges.csv
Savoy Medical Center · parsed · tall v3.0.0 · file dated 2026-03-15 · 84.1 MB · 2197 price rows read · read Nov 2026