Jennifer Deleon

 
 Ochsner 
 Health 
 THIS IS NOT A BILL 
 James Russell Ladner 
 4351 1ST AVE 
 BAY ST LOUIS MS 39520 
 The following document contains the itemized services requested for your visit on August 25, 2022 for James 
 Russell Ladner (Guarantor #135953541). 
 Coverage(s) on file: 
 Aetna Managed Medicare - Aetna Medicare Plan PPO 
 Patient Name: 
 ADMITTING DATE: 22 November 2022 
 Discharge Day: 22 December 2022
 Facility: KENNER HOSPITAL 
 Account Class: Emergency 
 Provider: 
 Diagnosis: Gout, Deep Vein Thrombosis (DVT), initial encounter [S16.1XXA] 
 Svc Date 
 Code 
 Description 
 Qty 
 Amount 
 Charges 
 05 September 2021 
 73525 
 PR CT Scan, Cervical Spine, W/O Contrast 
 1 
 126.00 
 Questions? 
 Call 835-353-0359 or 535-352-4350, 
