Does Bienville Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Bienville Medical Center. In a medical emergency, call 911.

Where is Bienville Medical Center?

1175 Pine Street, Arcadia, LA 71001, in Bienville Parish, Louisiana.

What is the phone number of Bienville Medical Center?

(318) 263-4700, as listed by Medicare (CMS).

What is the Medicare star rating of Bienville Medical Center?

CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Bienville Medical Center — Arcadia, LA

Quick answers

Does Bienville Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Bienville Medical Center. In a medical emergency, call 911.
Where is Bienville Medical Center?: 1175 Pine Street, Arcadia, LA 71001, in Bienville Parish, Louisiana.
What is the phone number of Bienville Medical Center?: (318) 263-4700, as listed by Medicare (CMS).
What is the Medicare star rating of Bienville Medical Center?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^{[4][5][6][7][8][14]}

Emergency services
Diagnostic imaging
Laboratory
Rehabilitation (physical therapy)
Skilled bed program
Outpatient counseling
Radiology
Cardiopulmonary
Respiratory

Conditions treated^[12]

Depression

Treatments^{[6][7][13][14]}

Physical therapy
IV antibiotic therapy (skilled bed program)
Wound care (skilled bed program)
Wound care
Diabetic care
Nutritional counseling
Occupational therapy
Speech therapy
Case management

Procedures^[4][8][14]

X-rays
CT scans
Ultrasound
X-ray
Mammogram
Telemetry monitoring

Programs and centers^{[4][7][11][13]}

Skilled Bed Program
Inspirations Outpatient Counseling
The Circle (membership program for adults 50 and older)
Eligibility Services (financial and health coverage screening)

Emergency care (hospital website)^[5]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Interpreters and languages	Bilingual interpreter services are available for translation needs (financial eligibility page)^[11]

Doctors and clinicians (13)

13 doctors and other clinicians list Bienville Medical Center as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Northern Louisiana Medical Center17 mi · Ruston, LA · Acute Care Hospital
Claiborne Memorial Medical Center19 mi · Homer, LA · Acute Care Hospital
Minden Medical Center22 mi · Minden, LA · Acute Care Hospital
Jackson Parish Hospital24 mi · Jonesboro, LA · Critical Access Hospital
Reeves Memorial Medical Center24 mi · Bernice, LA · Critical Access Hospital

Other hospitals nearby

Serenity Springs Specialty Hospital18 mi · Ruston, LA · Psychiatric Hospital

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

Leslie Lakes Retirement Center0.1 mi · Arcadia, LA · 4 of 5 stars
Onyx Care of Arcadia0.5 mi · Arcadia, LA · 3 of 5 stars
Alpine Skilled Nursing and Rehabilitation13 mi · Ruston, LA · 2 of 5 stars

All nursing homes in the state →

Hospice providers

Premier Hospice2.6 mi · Arcadia, LA
Allegiance Hospice & Palliative Care16 mi · Ruston, LA · 4 of 5 stars
The Carpenter Hospice of Northwest Louisiana, LLC23 mi · Sibley, LA · 4 of 5 stars

All hospice providers in the state →

Home health agencies

Magnolia Home Health Care, Inc2.6 mi · Arcadia, LA · 4 of 5 stars
Elara Caring16 mi · Ruston, LA · 4 of 5 stars
Lagniappe Homecare Northern Louisiana16 mi · Ruston, LA · 3 of 5 stars

All home health agencies in the state →

Dialysis facilities

Fmcna - Lincoln Kidney Ctr16 mi · Ruston, LA · 4 of 5 stars
Fmcna - Ruston16 mi · Ruston, LA · 1 of 5 stars
Fmcna - Homer17 mi · Homer, LA · 3 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

Louisiana Surgery Center16 mi · Ruston, LA

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Mercy Medical Health Center of Arcadia and Mercy Medicine of Arcadia0.4 mi · Arcadia, LA · Community health center
Mercy Medical Health Center of Arcadia and Mercy Medicine of Arcadia0.4 mi · Arcadia, LA · Community health center
Phsc-Grambling Family Health Center12 mi · Ruston, LA · Community health center

Clinics and urgent care

Allegiance Medical Clinic of Ruston16 mi · Ruston, LA · Rural health clinic
Hulin Urgent Care Services, LLC16 mi · Ruston, LA · Urgent care center
Michael Brooks Family Clinic16 mi · Ruston, LA · Rural health clinic

Pharmacies

Arcadia Family Pharmacy LLC2.6 mi · Arcadia, LA · Community/retail pharmacy
Chris Cole Pharmacy Inc2.6 mi · Arcadia, LA · Community/retail pharmacy
Mercy Medical Health Center2.6 mi · Arcadia, LA · Clinic pharmacy

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Bienville Medical Center reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Not reported to Medicare

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	Not reported to Medicare

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients	Not reported to Medicare
Deaths within 30 days: heart failure patients	Not reported to Medicare
Deaths within 30 days: pneumonia patients	Too few cases to report
Deaths within 30 days: COPD patients	Not reported to Medicare
Deaths within 30 days: stroke patients	Not reported to Medicare
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	Not reported to Medicare
Complications after hip or knee replacement	Not reported to Medicare

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	Not reported to Medicare
Readmitted within 30 days: heart failure	Too few cases to report
Readmitted within 30 days: pneumonia	Too few cases to report
Readmitted within 30 days: COPD	Not reported to Medicare
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Not reported to Medicare

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Average (median) time patients spent in the emergency room before leaving (OP-18b)	100 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	Not reported to Medicare
Sepsis patients who got all the recommended early care (SEP-1)	Not reported to Medicare

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in Louisiana Best hospitals in Louisiana

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 33 common services exactly as Bienville Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

Hospital charge: The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price: The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates: The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees: A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) In the file: ER LEVEL 3	$302.50	$181.50	$17.75 – $400
Emergency room visit (moderate): 10 of 79 insurance plan rates AARP — AARP IP: $302.50 AARP — AARP OP: $302.50 AETNA — AETNA IP: $302.50 AETNA — AETNA OP: $302.50 AETNA MEDICARE — MCR AETNA IP: $163.35 AETNA MEDICARE — MCR AETNA OP: $163.35 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $302.50 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $302.50 AMBETTER — AMBETTER IP: $163.35 AMBETTER — AMBETTER OP: $163.35
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: ER LEVEL 3	$302.50	$181.50	$17.75 – $400
Emergency room visit (moderate): 10 of 79 insurance plan rates AARP — AARP IP: $302.50 AARP — AARP OP: $302.50 AETNA — AETNA IP: $302.50 AETNA — AETNA OP: $302.50 AETNA MEDICARE — MCR AETNA IP: $163.35 AETNA MEDICARE — MCR AETNA OP: $163.35 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $302.50 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $302.50 AMBETTER — AMBETTER IP: $163.35 AMBETTER — AMBETTER OP: $163.35
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) In the file: EMERGENCY DEPT VISIT LOW MDM	$302.50	$181.50	$17.75 – $400
Emergency room visit (moderate): 10 of 18 insurance plan rates CIGNA — CIGNA IP: $400 CIGNA — CIGNA OP: $400 HUMANA MEDICAID — MCD HUMANA IP: $195.32 HUMANA MEDICAID — MCD HUMANA OP: $195.32 MEDICAID LA — MEDICAID IP: $177.56 MEDICAID LA — MEDICAID OP: $177.56 MMD AETNA BETTER HLTH — MCD AETNA IP: $177.56 MMD AETNA BETTER HLTH — MCD AETNA OP: $177.56 MMD AMERIHEALTH CARITAS — MCD AMERIHEALTH IP: $177.56 MMD AMERIHEALTH CARITAS — MCD AMERIHEALTH OP: $177.56
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) In the file: ER LEVEL 4	$423.50	$254.10	$24.85 – $875
Emergency room visit (moderately high): 10 of 79 insurance plan rates AARP — AARP IP: $423.50 AARP — AARP OP: $423.50 AETNA — AETNA IP: $423.50 AETNA — AETNA OP: $423.50 AETNA MEDICARE — MCR AETNA IP: $228.69 AETNA MEDICARE — MCR AETNA OP: $228.69 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $423.50 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $423.50 AMBETTER — AMBETTER IP: $228.69 AMBETTER — AMBETTER OP: $228.69
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: ER LEVEL 4	$423.50	$254.10	$24.85 – $875
Emergency room visit (moderately high): 10 of 79 insurance plan rates AARP — AARP IP: $423.50 AARP — AARP OP: $423.50 AETNA — AETNA IP: $423.50 AETNA — AETNA OP: $423.50 AETNA MEDICARE — MCR AETNA IP: $228.69 AETNA MEDICARE — MCR AETNA OP: $228.69 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $423.50 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $423.50 AMBETTER — AMBETTER IP: $228.69 AMBETTER — AMBETTER OP: $228.69
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) In the file: EMERGENCY DEPT VISIT MOD MDM	$423.50	$254.10	$24.85 – $875
Emergency room visit (moderately high): 10 of 18 insurance plan rates CIGNA — CIGNA IP: $875 CIGNA — CIGNA OP: $875 HUMANA MEDICAID — MCD HUMANA IP: $273.45 HUMANA MEDICAID — MCD HUMANA OP: $273.45 MEDICAID LA — MEDICAID IP: $248.59 MEDICAID LA — MEDICAID OP: $248.59 MMD AETNA BETTER HLTH — MCD AETNA IP: $248.59 MMD AETNA BETTER HLTH — MCD AETNA OP: $248.59 MMD AMERIHEALTH CARITAS — MCD AMERIHEALTH IP: $248.59 MMD AMERIHEALTH CARITAS — MCD AMERIHEALTH OP: $248.59
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) In the file: ER LEVEL 5(TRANSFER)	$544.50	$326.70	$31.96 – $875
Emergency room visit (high): 10 of 79 insurance plan rates AARP — AARP IP: $544.50 AARP — AARP OP: $544.50 AETNA — AETNA IP: $544.50 AETNA — AETNA OP: $544.50 AETNA MEDICARE — MCR AETNA IP: $294.03 AETNA MEDICARE — MCR AETNA OP: $294.03 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $544.50 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $544.50 AMBETTER — AMBETTER IP: $294.03 AMBETTER — AMBETTER OP: $294.03
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: ER LEVEL 5(TRANSFER)	$544.50	$326.70	$31.96 – $875
Emergency room visit (high): 10 of 79 insurance plan rates AARP — AARP IP: $544.50 AARP — AARP OP: $544.50 AETNA — AETNA IP: $544.50 AETNA — AETNA OP: $544.50 AETNA MEDICARE — MCR AETNA IP: $294.03 AETNA MEDICARE — MCR AETNA OP: $294.03 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $544.50 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $544.50 AMBETTER — AMBETTER IP: $294.03 AMBETTER — AMBETTER OP: $294.03
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) In the file: EMERGENCY DEPT VISIT HI MDM	$544.50	$326.70	$31.96 – $875
Emergency room visit (high): 10 of 18 insurance plan rates CIGNA — CIGNA IP: $875 CIGNA — CIGNA OP: $875 HUMANA MEDICAID — MCD HUMANA IP: $351.58 HUMANA MEDICAID — MCD HUMANA OP: $351.58 MEDICAID LA — MEDICAID IP: $319.62 MEDICAID LA — MEDICAID OP: $319.62 MMD AETNA BETTER HLTH — MCD AETNA IP: $319.62 MMD AETNA BETTER HLTH — MCD AETNA OP: $319.62 MMD AMERIHEALTH CARITAS — MCD AMERIHEALTH IP: $319.62 MMD AMERIHEALTH CARITAS — MCD AMERIHEALTH OP: $319.62

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) In the file: BASIC METABOLIC PANEL	$183.50	$110.10	$8.46 – $183.50
Basic metabolic panel (blood test): 10 of 79 insurance plan rates AARP — AARP IP: $183.50 AARP — AARP OP: $183.50 AETNA — AETNA IP: $183.50 AETNA — AETNA OP: $183.50 AETNA MEDICARE — MCR AETNA IP: $99.09 AETNA MEDICARE — MCR AETNA OP: $99.09 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $183.50 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $183.50 AMBETTER — AMBETTER IP: $99.09 AMBETTER — AMBETTER OP: $99.09
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: BASIC METABOLIC PANEL	$183.50	$110.10	$8.46 – $183.50
Basic metabolic panel (blood test): 10 of 79 insurance plan rates AARP — AARP IP: $183.50 AARP — AARP OP: $183.50 AETNA — AETNA IP: $183.50 AETNA — AETNA OP: $183.50 AETNA MEDICARE — MCR AETNA IP: $99.09 AETNA MEDICARE — MCR AETNA OP: $99.09 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $183.50 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $183.50 AMBETTER — AMBETTER IP: $99.09 AMBETTER — AMBETTER OP: $99.09
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) In the file: BASIC METABOLIC PNL TOTAL CA	$183.50	$110.10	$8.46 – $183.50
Basic metabolic panel (blood test): 10 of 42 insurance plan rates AETNA MEDICARE — MCR AETNA IP: $8.54 AETNA MEDICARE — MCR AETNA OP: $8.54 AMBETTER — AMBETTER IP: $8.54 AMBETTER — AMBETTER OP: $8.54 HUMANA MEDICAID — MCD HUMANA IP: $9.31 HUMANA MEDICAID — MCD HUMANA OP: $9.31 MCR AMERICAN HLTH ADV — MCR AMERICAN HLTH ADV IP: $8.54 MCR AMERICAN HLTH ADV — MCR AMERICAN HLTH ADV OP: $8.54 MEDICAID LA — MEDICAID IP: $8.46 MEDICAID LA — MEDICAID OP: $8.46
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) In the file: COMP METABOLIC PANEL	$253	$151.80	$10.56 – $253
Comprehensive metabolic panel (blood test): 10 of 79 insurance plan rates AARP — AARP IP: $253 AARP — AARP OP: $253 AETNA — AETNA IP: $253 AETNA — AETNA OP: $253 AETNA MEDICARE — MCR AETNA IP: $136.62 AETNA MEDICARE — MCR AETNA OP: $136.62 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $253 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $253 AMBETTER — AMBETTER IP: $136.62 AMBETTER — AMBETTER OP: $136.62
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMP METABOLIC PANEL	$253	$151.80	$10.56 – $253
Comprehensive metabolic panel (blood test): 10 of 79 insurance plan rates AARP — AARP IP: $253 AARP — AARP OP: $253 AETNA — AETNA IP: $253 AETNA — AETNA OP: $253 AETNA MEDICARE — MCR AETNA IP: $136.62 AETNA MEDICARE — MCR AETNA OP: $136.62 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $253 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $253 AMBETTER — AMBETTER IP: $136.62 AMBETTER — AMBETTER OP: $136.62
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) In the file: COMPREHEN METABOLIC PANEL	$253	$151.80	$10.56 – $253
Comprehensive metabolic panel (blood test): 10 of 42 insurance plan rates AETNA MEDICARE — MCR AETNA IP: $10.67 AETNA MEDICARE — MCR AETNA OP: $10.67 AMBETTER — AMBETTER IP: $10.67 AMBETTER — AMBETTER OP: $10.67 HUMANA MEDICAID — MCD HUMANA IP: $11.62 HUMANA MEDICAID — MCD HUMANA OP: $11.62 MCR AMERICAN HLTH ADV — MCR AMERICAN HLTH ADV IP: $10.67 MCR AMERICAN HLTH ADV — MCR AMERICAN HLTH ADV OP: $10.67 MEDICAID LA — MEDICAID IP: $10.56 MEDICAID LA — MEDICAID OP: $10.56
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) In the file: LIPID PANEL	$139.50	$83.70	$8.18 – $139.50
Cholesterol panel (lipid panel): 10 of 79 insurance plan rates AARP — AARP IP: $139.50 AARP — AARP OP: $139.50 AETNA — AETNA IP: $139.50 AETNA — AETNA OP: $139.50 AETNA MEDICARE — MCR AETNA IP: $75.33 AETNA MEDICARE — MCR AETNA OP: $75.33 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $139.50 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $139.50 AMBETTER — AMBETTER IP: $75.33 AMBETTER — AMBETTER OP: $75.33
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PANEL	$139.50	$83.70	$8.18 – $139.50
Cholesterol panel (lipid panel): 10 of 79 insurance plan rates AARP — AARP IP: $139.50 AARP — AARP OP: $139.50 AETNA — AETNA IP: $139.50 AETNA — AETNA OP: $139.50 AETNA MEDICARE — MCR AETNA IP: $75.33 AETNA MEDICARE — MCR AETNA OP: $75.33 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $139.50 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $139.50 AMBETTER — AMBETTER IP: $75.33 AMBETTER — AMBETTER OP: $75.33
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · modifier QW In the file: LIPID PANEL	$139.50	$83.70	$13.52
Cholesterol panel (lipid panel): 10 of 26 insurance plan rates AETNA MEDICARE — MCR AETNA IP: $13.52 AETNA MEDICARE — MCR AETNA OP: $13.52 AMBETTER — AMBETTER IP: $13.52 AMBETTER — AMBETTER OP: $13.52 MCR AMERICAN HLTH ADV — MCR AMERICAN HLTH ADV IP: $13.52 MCR AMERICAN HLTH ADV — MCR AMERICAN HLTH ADV OP: $13.52 MEDICARE — MEDICARE NOV IP: $13.52 MEDICARE — MEDICARE NOV OP: $13.52 MEDICARE — MEDICARE NOV PT B IP ONLY: $13.52 MEDICARE — MEDICARE NOV SWING: $13.52
Kidney function panel CPT 80069 · Inpatient (hospital stay) In the file: RENAL FUNCTION PANEL	$242	$145.20	$8.68 – $242
Kidney function panel: 10 of 79 insurance plan rates AARP — AARP IP: $242 AARP — AARP OP: $242 AETNA — AETNA IP: $242 AETNA — AETNA OP: $242 AETNA MEDICARE — MCR AETNA IP: $130.68 AETNA MEDICARE — MCR AETNA OP: $130.68 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $242 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $242 AMBETTER — AMBETTER IP: $130.68 AMBETTER — AMBETTER OP: $130.68
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL FUNCTION PANEL	$242	$145.20	$8.68 – $242
Kidney function panel: 10 of 79 insurance plan rates AARP — AARP IP: $242 AARP — AARP OP: $242 AETNA — AETNA IP: $242 AETNA — AETNA OP: $242 AETNA MEDICARE — MCR AETNA IP: $130.68 AETNA MEDICARE — MCR AETNA OP: $130.68 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $242 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $242 AMBETTER — AMBETTER IP: $130.68 AMBETTER — AMBETTER OP: $130.68
Kidney function panel CPT 80069 · Inpatient (hospital stay) · modifier QW In the file: RENAL FUNCTION PANEL	$242	$145.20	$8.77
Kidney function panel: 10 of 26 insurance plan rates AETNA MEDICARE — MCR AETNA IP: $8.77 AETNA MEDICARE — MCR AETNA OP: $8.77 AMBETTER — AMBETTER IP: $8.77 AMBETTER — AMBETTER OP: $8.77 MCR AMERICAN HLTH ADV — MCR AMERICAN HLTH ADV IP: $8.77 MCR AMERICAN HLTH ADV — MCR AMERICAN HLTH ADV OP: $8.77 MEDICARE — MEDICARE NOV IP: $8.77 MEDICARE — MEDICARE NOV OP: $8.77 MEDICARE — MEDICARE NOV PT B IP ONLY: $8.77 MEDICARE — MEDICARE NOV SWING: $8.77
Liver function panel CPT 80076 · Inpatient (hospital stay) In the file: HEPATIC FUNCTION PANEL	$165	$99	$8.17 – $165
Liver function panel: 10 of 79 insurance plan rates AARP — AARP IP: $165 AARP — AARP OP: $165 AETNA — AETNA IP: $165 AETNA — AETNA OP: $165 AETNA MEDICARE — MCR AETNA IP: $89.10 AETNA MEDICARE — MCR AETNA OP: $89.10 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $165 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $165 AMBETTER — AMBETTER IP: $89.10 AMBETTER — AMBETTER OP: $89.10
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC FUNCTION PANEL	$165	$99	$8.17 – $165
Liver function panel: 10 of 79 insurance plan rates AARP — AARP IP: $165 AARP — AARP OP: $165 AETNA — AETNA IP: $165 AETNA — AETNA OP: $165 AETNA MEDICARE — MCR AETNA IP: $89.10 AETNA MEDICARE — MCR AETNA OP: $89.10 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $165 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $165 AMBETTER — AMBETTER IP: $89.10 AMBETTER — AMBETTER OP: $89.10
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) In the file: UA MICRO ONLY	$56	$33.60	$3.17 – $56
Urine test (automated, with microscope): 10 of 79 insurance plan rates AARP — AARP IP: $56 AARP — AARP OP: $56 AETNA — AETNA IP: $56 AETNA — AETNA OP: $56 AETNA MEDICARE — MCR AETNA IP: $30.24 AETNA MEDICARE — MCR AETNA OP: $30.24 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $56 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $56 AMBETTER — AMBETTER IP: $30.24 AMBETTER — AMBETTER OP: $30.24
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: UA MICRO ONLY	$56	$33.60	$3.17 – $56
Urine test (automated, with microscope): 10 of 79 insurance plan rates AARP — AARP IP: $56 AARP — AARP OP: $56 AETNA — AETNA IP: $56 AETNA — AETNA OP: $56 AETNA MEDICARE — MCR AETNA IP: $30.24 AETNA MEDICARE — MCR AETNA OP: $30.24 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $56 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $56 AMBETTER — AMBETTER IP: $30.24 AMBETTER — AMBETTER OP: $30.24
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) In the file: URINALYSIS AUTO W/SCOPE	$56	$33.60	$3.17 – $56
Urine test (automated, with microscope): 10 of 42 insurance plan rates AETNA MEDICARE — MCR AETNA IP: $3.20 AETNA MEDICARE — MCR AETNA OP: $3.20 AMBETTER — AMBETTER IP: $3.20 AMBETTER — AMBETTER OP: $3.20 HUMANA MEDICAID — MCD HUMANA IP: $3.49 HUMANA MEDICAID — MCD HUMANA OP: $3.49 MCR AMERICAN HLTH ADV — MCR AMERICAN HLTH ADV IP: $3.20 MCR AMERICAN HLTH ADV — MCR AMERICAN HLTH ADV OP: $3.20 MEDICAID LA — MEDICAID IP: $3.17 MEDICAID LA — MEDICAID OP: $3.17
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) In the file: KETONES UR AUTO	$77	$46.20	$2.25 – $123
Urine test (automated, without microscope): 10 of 79 insurance plan rates AARP — AARP IP: $77 AARP — AARP OP: $77 AETNA — AETNA IP: $77 AETNA — AETNA OP: $77 AETNA MEDICARE — MCR AETNA IP: $41.58 AETNA MEDICARE — MCR AETNA OP: $41.58 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $77 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $77 AMBETTER — AMBETTER IP: $41.58 AMBETTER — AMBETTER OP: $41.58
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) In the file: PH UR AUTO	$23	$13.80	$2.25 – $123
Urine test (automated, without microscope): 10 of 79 insurance plan rates AARP — AARP IP: $23 AARP — AARP OP: $23 AETNA — AETNA IP: $23 AETNA — AETNA OP: $23 AETNA MEDICARE — MCR AETNA IP: $12.42 AETNA MEDICARE — MCR AETNA OP: $12.42 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $23 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $23 AMBETTER — AMBETTER IP: $12.42 AMBETTER — AMBETTER OP: $12.42
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) In the file: UA DIPSTICK	$23	$13.80	$2.25 – $123
Urine test (automated, without microscope): 10 of 79 insurance plan rates AARP — AARP IP: $23 AARP — AARP OP: $23 AETNA — AETNA IP: $23 AETNA — AETNA OP: $23 AETNA MEDICARE — MCR AETNA IP: $12.42 AETNA MEDICARE — MCR AETNA OP: $12.42 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $23 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $23 AMBETTER — AMBETTER IP: $12.42 AMBETTER — AMBETTER OP: $12.42
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) In the file: PROS SPEC AG (PSA)	$183.50	$110.10	$10.77 – $183.50
PSA (prostate specific antigen) blood test: 10 of 79 insurance plan rates AARP — AARP IP: $183.50 AARP — AARP OP: $183.50 AETNA — AETNA IP: $183.50 AETNA — AETNA OP: $183.50 AETNA MEDICARE — MCR AETNA IP: $99.09 AETNA MEDICARE — MCR AETNA OP: $99.09 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $183.50 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $183.50 AMBETTER — AMBETTER IP: $99.09 AMBETTER — AMBETTER OP: $99.09
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PROS SPEC AG (PSA)	$183.50	$110.10	$10.77 – $183.50
PSA (prostate specific antigen) blood test: 10 of 79 insurance plan rates AARP — AARP IP: $183.50 AARP — AARP OP: $183.50 AETNA — AETNA IP: $183.50 AETNA — AETNA OP: $183.50 AETNA MEDICARE — MCR AETNA IP: $99.09 AETNA MEDICARE — MCR AETNA OP: $99.09 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $183.50 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $183.50 AMBETTER — AMBETTER IP: $99.09 AMBETTER — AMBETTER OP: $99.09
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) In the file: ASSAY OF PSA TOTAL	$183.50	$110.10	$10.77 – $183.50
PSA (prostate specific antigen) blood test: 10 of 42 insurance plan rates AETNA MEDICARE — MCR AETNA IP: $18.57 AETNA MEDICARE — MCR AETNA OP: $18.57 AMBETTER — AMBETTER IP: $18.57 AMBETTER — AMBETTER OP: $18.57 HUMANA MEDICAID — MCD HUMANA IP: $20.23 HUMANA MEDICAID — MCD HUMANA OP: $20.23 MCR AMERICAN HLTH ADV — MCR AMERICAN HLTH ADV IP: $18.57 MCR AMERICAN HLTH ADV — MCR AMERICAN HLTH ADV OP: $18.57 MEDICAID LA — MEDICAID IP: $18.39 MEDICAID LA — MEDICAID OP: $18.39
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) In the file: TSH	$141	$84.60	$8.27 – $141
Thyroid stimulating hormone (TSH) test: 10 of 79 insurance plan rates AARP — AARP IP: $141 AARP — AARP OP: $141 AETNA — AETNA IP: $141 AETNA — AETNA OP: $141 AETNA MEDICARE — MCR AETNA IP: $76.14 AETNA MEDICARE — MCR AETNA OP: $76.14 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $141 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $141 AMBETTER — AMBETTER IP: $76.14 AMBETTER — AMBETTER OP: $76.14
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: TSH	$141	$84.60	$8.27 – $141
Thyroid stimulating hormone (TSH) test: 10 of 79 insurance plan rates AARP — AARP IP: $141 AARP — AARP OP: $141 AETNA — AETNA IP: $141 AETNA — AETNA OP: $141 AETNA MEDICARE — MCR AETNA IP: $76.14 AETNA MEDICARE — MCR AETNA OP: $76.14 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $141 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $141 AMBETTER — AMBETTER IP: $76.14 AMBETTER — AMBETTER OP: $76.14
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) In the file: ASSAY THYROID STIM HORMONE	$141	$84.60	$8.27 – $141
Thyroid stimulating hormone (TSH) test: 10 of 42 insurance plan rates AETNA MEDICARE — MCR AETNA IP: $16.97 AETNA MEDICARE — MCR AETNA OP: $16.97 AMBETTER — AMBETTER IP: $16.97 AMBETTER — AMBETTER OP: $16.97 HUMANA MEDICAID — MCD HUMANA IP: $18.48 HUMANA MEDICAID — MCD HUMANA OP: $18.48 MCR AMERICAN HLTH ADV — MCR AMERICAN HLTH ADV IP: $16.97 MCR AMERICAN HLTH ADV — MCR AMERICAN HLTH ADV OP: $16.97 MEDICAID LA — MEDICAID IP: $16.80 MEDICAID LA — MEDICAID OP: $16.80
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) In the file: CBC AUTO DIFF	$106.50	$63.90	$6.25 – $106.50
Complete blood count (CBC) with differential: 10 of 79 insurance plan rates AARP — AARP IP: $106.50 AARP — AARP OP: $106.50 AETNA — AETNA IP: $106.50 AETNA — AETNA OP: $106.50 AETNA MEDICARE — MCR AETNA IP: $57.51 AETNA MEDICARE — MCR AETNA OP: $57.51 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $106.50 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $106.50 AMBETTER — AMBETTER IP: $57.51 AMBETTER — AMBETTER OP: $57.51
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: CBC AUTO DIFF	$106.50	$63.90	$6.25 – $106.50
Complete blood count (CBC) with differential: 10 of 79 insurance plan rates AARP — AARP IP: $106.50 AARP — AARP OP: $106.50 AETNA — AETNA IP: $106.50 AETNA — AETNA OP: $106.50 AETNA MEDICARE — MCR AETNA IP: $57.51 AETNA MEDICARE — MCR AETNA OP: $57.51 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $106.50 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $106.50 AMBETTER — AMBETTER IP: $57.51 AMBETTER — AMBETTER OP: $57.51
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) In the file: COMPLETE CBC W/AUTO DIFF WBC	$106.50	$63.90	$6.25 – $106.50
Complete blood count (CBC) with differential: 10 of 42 insurance plan rates AETNA MEDICARE — MCR AETNA IP: $7.85 AETNA MEDICARE — MCR AETNA OP: $7.85 AMBETTER — AMBETTER IP: $7.85 AMBETTER — AMBETTER OP: $7.85 HUMANA MEDICAID — MCD HUMANA IP: $8.55 HUMANA MEDICAID — MCD HUMANA OP: $8.55 MCR AMERICAN HLTH ADV — MCR AMERICAN HLTH ADV IP: $7.85 MCR AMERICAN HLTH ADV — MCR AMERICAN HLTH ADV OP: $7.85 MEDICAID LA — MEDICAID IP: $7.77 MEDICAID LA — MEDICAID OP: $7.77
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) In the file: CBC W/O DIFF	$106.50	$63.90	$6.25 – $106.50
Complete blood count (CBC), automated: 10 of 79 insurance plan rates AARP — AARP IP: $106.50 AARP — AARP OP: $106.50 AETNA — AETNA IP: $106.50 AETNA — AETNA OP: $106.50 AETNA MEDICARE — MCR AETNA IP: $57.51 AETNA MEDICARE — MCR AETNA OP: $57.51 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $106.50 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $106.50 AMBETTER — AMBETTER IP: $57.51 AMBETTER — AMBETTER OP: $57.51
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: CBC W/O DIFF	$106.50	$63.90	$6.25 – $106.50
Complete blood count (CBC), automated: 10 of 79 insurance plan rates AARP — AARP IP: $106.50 AARP — AARP OP: $106.50 AETNA — AETNA IP: $106.50 AETNA — AETNA OP: $106.50 AETNA MEDICARE — MCR AETNA IP: $57.51 AETNA MEDICARE — MCR AETNA OP: $57.51 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $106.50 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $106.50 AMBETTER — AMBETTER IP: $57.51 AMBETTER — AMBETTER OP: $57.51
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) In the file: COMPLETE CBC AUTOMATED	$106.50	$63.90	$6.25 – $106.50
Complete blood count (CBC), automated: 10 of 42 insurance plan rates AETNA MEDICARE — MCR AETNA IP: $6.53 AETNA MEDICARE — MCR AETNA OP: $6.53 AMBETTER — AMBETTER IP: $6.53 AMBETTER — AMBETTER OP: $6.53 HUMANA MEDICAID — MCD HUMANA IP: $7.12 HUMANA MEDICAID — MCD HUMANA OP: $7.12 MCR AMERICAN HLTH ADV — MCR AMERICAN HLTH ADV IP: $6.53 MCR AMERICAN HLTH ADV — MCR AMERICAN HLTH ADV OP: $6.53 MEDICAID LA — MEDICAID IP: $6.47 MEDICAID LA — MEDICAID OP: $6.47
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) In the file: PROTIME	$67	$40.20	$3.93 – $67
Blood clotting time test (prothrombin time, PT): 10 of 79 insurance plan rates AARP — AARP IP: $67 AARP — AARP OP: $67 AETNA — AETNA IP: $67 AETNA — AETNA OP: $67 AETNA MEDICARE — MCR AETNA IP: $36.18 AETNA MEDICARE — MCR AETNA OP: $36.18 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $67 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $67 AMBETTER — AMBETTER IP: $36.18 AMBETTER — AMBETTER OP: $36.18
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTIME	$67	$40.20	$3.93 – $67
Blood clotting time test (prothrombin time, PT): 10 of 79 insurance plan rates AARP — AARP IP: $67 AARP — AARP OP: $67 AETNA — AETNA IP: $67 AETNA — AETNA OP: $67 AETNA MEDICARE — MCR AETNA IP: $36.18 AETNA MEDICARE — MCR AETNA OP: $36.18 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $67 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $67 AMBETTER — AMBETTER IP: $36.18 AMBETTER — AMBETTER OP: $36.18
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) In the file: PROTHROMBIN TIME	$67	$40.20	$3.93 – $67
Blood clotting time test (prothrombin time, PT): 10 of 42 insurance plan rates AETNA MEDICARE — MCR AETNA IP: $4.33 AETNA MEDICARE — MCR AETNA OP: $4.33 AMBETTER — AMBETTER IP: $4.33 AMBETTER — AMBETTER OP: $4.33 HUMANA MEDICAID — MCD HUMANA IP: $4.72 HUMANA MEDICAID — MCD HUMANA OP: $4.72 MCR AMERICAN HLTH ADV — MCR AMERICAN HLTH ADV IP: $4.33 MCR AMERICAN HLTH ADV — MCR AMERICAN HLTH ADV OP: $4.33 MEDICAID LA — MEDICAID IP: $4.29 MEDICAID LA — MEDICAID OP: $4.29
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) In the file: PTT	$83.50	$50.10	$4.90 – $83.50
Blood clotting test (partial thromboplastin time, PTT): 10 of 79 insurance plan rates AARP — AARP IP: $83.50 AARP — AARP OP: $83.50 AETNA — AETNA IP: $83.50 AETNA — AETNA OP: $83.50 AETNA MEDICARE — MCR AETNA IP: $45.09 AETNA MEDICARE — MCR AETNA OP: $45.09 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $83.50 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $83.50 AMBETTER — AMBETTER IP: $45.09 AMBETTER — AMBETTER OP: $45.09
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: PTT	$83.50	$50.10	$4.90 – $83.50
Blood clotting test (partial thromboplastin time, PTT): 10 of 79 insurance plan rates AARP — AARP IP: $83.50 AARP — AARP OP: $83.50 AETNA — AETNA IP: $83.50 AETNA — AETNA OP: $83.50 AETNA MEDICARE — MCR AETNA IP: $45.09 AETNA MEDICARE — MCR AETNA OP: $45.09 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $83.50 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $83.50 AMBETTER — AMBETTER IP: $45.09 AMBETTER — AMBETTER OP: $45.09
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) In the file: THROMBOPLASTIN TIME PARTIAL	$83.50	$50.10	$4.90 – $83.50
Blood clotting test (partial thromboplastin time, PTT): 10 of 42 insurance plan rates AETNA MEDICARE — MCR AETNA IP: $6.07 AETNA MEDICARE — MCR AETNA OP: $6.07 AMBETTER — AMBETTER IP: $6.07 AMBETTER — AMBETTER OP: $6.07 HUMANA MEDICAID — MCD HUMANA IP: $6.61 HUMANA MEDICAID — MCD HUMANA OP: $6.61 MCR AMERICAN HLTH ADV — MCR AMERICAN HLTH ADV IP: $6.07 MCR AMERICAN HLTH ADV — MCR AMERICAN HLTH ADV OP: $6.07 MEDICAID LA — MEDICAID IP: $6.01 MEDICAID LA — MEDICAID OP: $6.01

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) In the file: CT HEAD/BRAIN W/O CONT	$1,973.50	$1,184.10	$231.68 – $3,947
CT scan of the head or brain, without contrast: 10 of 79 insurance plan rates AARP — AARP IP: $1,973.50 AARP — AARP OP: $1,973.50 AETNA — AETNA IP: $1,973.50 AETNA — AETNA OP: $1,973.50 AETNA MEDICARE — MCR AETNA IP: $1,065.69 AETNA MEDICARE — MCR AETNA OP: $1,065.69 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $1,973.50 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $1,973.50 AMBETTER — AMBETTER IP: $1,065.69 AMBETTER — AMBETTER OP: $1,065.69
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) In the file: CT HEAD/BRAIN WO FOR STROKE PROTOCOL	$1,973.50	$1,184.10	$231.68 – $3,947
CT scan of the head or brain, without contrast: 10 of 79 insurance plan rates AARP — AARP IP: $1,973.50 AARP — AARP OP: $1,973.50 AETNA — AETNA IP: $1,973.50 AETNA — AETNA OP: $1,973.50 AETNA MEDICARE — MCR AETNA IP: $1,065.69 AETNA MEDICARE — MCR AETNA OP: $1,065.69 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $1,973.50 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $1,973.50 AMBETTER — AMBETTER IP: $1,065.69 AMBETTER — AMBETTER OP: $1,065.69
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT HEAD/BRAIN W/O CONT	$1,973.50	$1,184.10	$231.68 – $3,947
CT scan of the head or brain, without contrast: 10 of 79 insurance plan rates AARP — AARP IP: $1,973.50 AARP — AARP OP: $1,973.50 AETNA — AETNA IP: $1,973.50 AETNA — AETNA OP: $1,973.50 AETNA MEDICARE — MCR AETNA IP: $1,065.69 AETNA MEDICARE — MCR AETNA OP: $1,065.69 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $1,973.50 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $1,973.50 AMBETTER — AMBETTER IP: $1,065.69 AMBETTER — AMBETTER OP: $1,065.69
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) In the file: XR CHEST 2 VIEWS	$344.50	$206.70	$73.34 – $1,249.50
Chest X-ray, 2 views: 10 of 79 insurance plan rates AARP — AARP IP: $344.50 AARP — AARP OP: $344.50 AETNA — AETNA IP: $344.50 AETNA — AETNA OP: $344.50 AETNA MEDICARE — MCR AETNA IP: $186.03 AETNA MEDICARE — MCR AETNA OP: $186.03 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $344.50 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $344.50 AMBETTER — AMBETTER IP: $186.03 AMBETTER — AMBETTER OP: $186.03
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) In the file: XR CHEST 2 LAT DECUBITUS BILAT	$545.50	$327.30	$73.34 – $1,249.50
Chest X-ray, 2 views: 10 of 79 insurance plan rates AARP — AARP IP: $545.50 AARP — AARP OP: $545.50 AETNA — AETNA IP: $545.50 AETNA — AETNA OP: $545.50 AETNA MEDICARE — MCR AETNA IP: $294.57 AETNA MEDICARE — MCR AETNA OP: $294.57 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $545.50 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $545.50 AMBETTER — AMBETTER IP: $294.57 AMBETTER — AMBETTER OP: $294.57
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) In the file: XR CHEST INSPIR/EXPIR	$359.50	$215.70	$73.34 – $1,249.50
Chest X-ray, 2 views: 10 of 79 insurance plan rates AARP — AARP IP: $359.50 AARP — AARP OP: $359.50 AETNA — AETNA IP: $359.50 AETNA — AETNA OP: $359.50 AETNA MEDICARE — MCR AETNA IP: $194.13 AETNA MEDICARE — MCR AETNA OP: $194.13 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $359.50 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $359.50 AMBETTER — AMBETTER IP: $194.13 AMBETTER — AMBETTER OP: $194.13
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) In the file: XR LUMBOSACRAL MIN 4 VIEW	$632.50	$379.50	$37.12 – $632.50
X-ray of the lower spine, at least 4 views: 10 of 79 insurance plan rates AARP — AARP IP: $632.50 AARP — AARP OP: $632.50 AETNA — AETNA IP: $632.50 AETNA — AETNA OP: $632.50 AETNA MEDICARE — MCR AETNA IP: $341.55 AETNA MEDICARE — MCR AETNA OP: $341.55 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $632.50 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $632.50 AMBETTER — AMBETTER IP: $341.55 AMBETTER — AMBETTER OP: $341.55
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: XR LUMBOSACRAL MIN 4 VIEW	$632.50	$379.50	$37.12 – $632.50
X-ray of the lower spine, at least 4 views: 10 of 79 insurance plan rates AARP — AARP IP: $632.50 AARP — AARP OP: $632.50 AETNA — AETNA IP: $632.50 AETNA — AETNA OP: $632.50 AETNA MEDICARE — MCR AETNA IP: $341.55 AETNA MEDICARE — MCR AETNA OP: $341.55 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $632.50 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $632.50 AMBETTER — AMBETTER IP: $341.55 AMBETTER — AMBETTER OP: $341.55
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) In the file: X-RAY EXAM L-2 SPINE 4/>VWS	$632.50	$379.50	$37.12 – $632.50
X-ray of the lower spine, at least 4 views: 10 of 16 insurance plan rates HUMANA MEDICAID — MCD HUMANA IP: $408.40 HUMANA MEDICAID — MCD HUMANA OP: $408.40 MEDICAID LA — MEDICAID IP: $371.27 MEDICAID LA — MEDICAID OP: $371.27 MMD AETNA BETTER HLTH — MCD AETNA IP: $371.27 MMD AETNA BETTER HLTH — MCD AETNA OP: $371.27 MMD AMERIHEALTH CARITAS — MCD AMERIHEALTH IP: $371.27 MMD AMERIHEALTH CARITAS — MCD AMERIHEALTH OP: $371.27 MMD HEALTHY BLUE — MCD HEALTHY BLUE IP: $371.27 MMD HEALTHY BLUE — MCD HEALTHY BLUE OP: $371.27
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) In the file: CT PELVIS WITH CONTRAST	$1,343	$805.80	$157.66 – $2,686
CT scan of the pelvis, with contrast: 10 of 79 insurance plan rates AARP — AARP IP: $1,343 AARP — AARP OP: $1,343 AETNA — AETNA IP: $1,343 AETNA — AETNA OP: $1,343 AETNA MEDICARE — MCR AETNA IP: $725.22 AETNA MEDICARE — MCR AETNA OP: $725.22 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $1,343 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $1,343 AMBETTER — AMBETTER IP: $725.22 AMBETTER — AMBETTER OP: $725.22
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) In the file: CT HIP BILAT WC	$1,343	$805.80	$157.66 – $2,686
CT scan of the pelvis, with contrast: 10 of 79 insurance plan rates AARP — AARP IP: $1,343 AARP — AARP OP: $1,343 AETNA — AETNA IP: $1,343 AETNA — AETNA OP: $1,343 AETNA MEDICARE — MCR AETNA IP: $725.22 AETNA MEDICARE — MCR AETNA OP: $725.22 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $1,343 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $1,343 AMBETTER — AMBETTER IP: $725.22 AMBETTER — AMBETTER OP: $725.22
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT PELVIS WITH CONTRAST	$1,343	$805.80	$157.66 – $2,686
CT scan of the pelvis, with contrast: 10 of 79 insurance plan rates AARP — AARP IP: $1,343 AARP — AARP OP: $1,343 AETNA — AETNA IP: $1,343 AETNA — AETNA OP: $1,343 AETNA MEDICARE — MCR AETNA IP: $725.22 AETNA MEDICARE — MCR AETNA OP: $725.22 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $1,343 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $1,343 AMBETTER — AMBETTER IP: $725.22 AMBETTER — AMBETTER OP: $725.22
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) In the file: CT ABD&PEL W CONTRAST	$1,422.50	$853.50	$83.50 – $1,422.50
CT scan of the abdomen and pelvis, with contrast: 10 of 79 insurance plan rates AARP — AARP IP: $1,422.50 AARP — AARP OP: $1,422.50 AETNA — AETNA IP: $1,422.50 AETNA — AETNA OP: $1,422.50 AETNA MEDICARE — MCR AETNA IP: $768.15 AETNA MEDICARE — MCR AETNA OP: $768.15 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $1,422.50 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $1,422.50 AMBETTER — AMBETTER IP: $768.15 AMBETTER — AMBETTER OP: $768.15
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ABD&PEL W CONTRAST	$1,422.50	$853.50	$83.50 – $1,422.50
CT scan of the abdomen and pelvis, with contrast: 10 of 79 insurance plan rates AARP — AARP IP: $1,422.50 AARP — AARP OP: $1,422.50 AETNA — AETNA IP: $1,422.50 AETNA — AETNA OP: $1,422.50 AETNA MEDICARE — MCR AETNA IP: $768.15 AETNA MEDICARE — MCR AETNA OP: $768.15 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $1,422.50 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $1,422.50 AMBETTER — AMBETTER IP: $768.15 AMBETTER — AMBETTER OP: $768.15
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) In the file: CT ABD & PELVIS W/CONTRAST	$1,422.50	$853.50	$83.50 – $1,422.50
CT scan of the abdomen and pelvis, with contrast: 10 of 16 insurance plan rates HUMANA MEDICAID — MCD HUMANA IP: $918.50 HUMANA MEDICAID — MCD HUMANA OP: $918.50 MEDICAID LA — MEDICAID IP: $835 MEDICAID LA — MEDICAID OP: $835 MMD AETNA BETTER HLTH — MCD AETNA IP: $835 MMD AETNA BETTER HLTH — MCD AETNA OP: $835 MMD AMERIHEALTH CARITAS — MCD AMERIHEALTH IP: $835 MMD AMERIHEALTH CARITAS — MCD AMERIHEALTH OP: $835 MMD HEALTHY BLUE — MCD HEALTHY BLUE IP: $835 MMD HEALTHY BLUE — MCD HEALTHY BLUE OP: $835
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) In the file: US ABDOMEN COMPLETE	$1,282.50	$769.50	$75.28 – $1,282.50
Ultrasound of the abdomen, complete: 10 of 79 insurance plan rates AARP — AARP IP: $1,282.50 AARP — AARP OP: $1,282.50 AETNA — AETNA IP: $1,282.50 AETNA — AETNA OP: $1,282.50 AETNA MEDICARE — MCR AETNA IP: $692.55 AETNA MEDICARE — MCR AETNA OP: $692.55 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $1,282.50 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $1,282.50 AMBETTER — AMBETTER IP: $692.55 AMBETTER — AMBETTER OP: $692.55
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US ABDOMEN COMPLETE	$1,282.50	$769.50	$75.28 – $1,282.50
Ultrasound of the abdomen, complete: 10 of 79 insurance plan rates AARP — AARP IP: $1,282.50 AARP — AARP OP: $1,282.50 AETNA — AETNA IP: $1,282.50 AETNA — AETNA OP: $1,282.50 AETNA MEDICARE — MCR AETNA IP: $692.55 AETNA MEDICARE — MCR AETNA OP: $692.55 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $1,282.50 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $1,282.50 AMBETTER — AMBETTER IP: $692.55 AMBETTER — AMBETTER OP: $692.55
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) In the file: US EXAM ABDOM COMPLETE	$1,282.50	$769.50	$75.28 – $1,282.50
Ultrasound of the abdomen, complete: 10 of 16 insurance plan rates HUMANA MEDICAID — MCD HUMANA IP: $828.11 HUMANA MEDICAID — MCD HUMANA OP: $828.11 MEDICAID LA — MEDICAID IP: $752.82 MEDICAID LA — MEDICAID OP: $752.82 MMD AETNA BETTER HLTH — MCD AETNA IP: $752.82 MMD AETNA BETTER HLTH — MCD AETNA OP: $752.82 MMD AMERIHEALTH CARITAS — MCD AMERIHEALTH IP: $752.82 MMD AMERIHEALTH CARITAS — MCD AMERIHEALTH OP: $752.82 MMD HEALTHY BLUE — MCD HEALTHY BLUE IP: $752.82 MMD HEALTHY BLUE — MCD HEALTHY BLUE OP: $752.82
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) In the file: US OB COMPLETE	$545.50	$327.30	$32.02 – $545.50
Pregnancy ultrasound (after the first trimester): 10 of 79 insurance plan rates AARP — AARP IP: $545.50 AARP — AARP OP: $545.50 AETNA — AETNA IP: $545.50 AETNA — AETNA OP: $545.50 AETNA MEDICARE — MCR AETNA IP: $294.57 AETNA MEDICARE — MCR AETNA OP: $294.57 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $545.50 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $545.50 AMBETTER — AMBETTER IP: $294.57 AMBETTER — AMBETTER OP: $294.57
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US OB COMPLETE	$545.50	$327.30	$32.02 – $545.50
Pregnancy ultrasound (after the first trimester): 10 of 79 insurance plan rates AARP — AARP IP: $545.50 AARP — AARP OP: $545.50 AETNA — AETNA IP: $545.50 AETNA — AETNA OP: $545.50 AETNA MEDICARE — MCR AETNA IP: $294.57 AETNA MEDICARE — MCR AETNA OP: $294.57 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $545.50 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $545.50 AMBETTER — AMBETTER IP: $294.57 AMBETTER — AMBETTER OP: $294.57
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) In the file: OB US >/= 14 WKS SNGL FETUS	$545.50	$327.30	$32.02 – $545.50
Pregnancy ultrasound (after the first trimester): 10 of 16 insurance plan rates HUMANA MEDICAID — MCD HUMANA IP: $352.22 HUMANA MEDICAID — MCD HUMANA OP: $352.22 MEDICAID LA — MEDICAID IP: $320.20 MEDICAID LA — MEDICAID OP: $320.20 MMD AETNA BETTER HLTH — MCD AETNA IP: $320.20 MMD AETNA BETTER HLTH — MCD AETNA OP: $320.20 MMD AMERIHEALTH CARITAS — MCD AMERIHEALTH IP: $320.20 MMD AMERIHEALTH CARITAS — MCD AMERIHEALTH OP: $320.20 MMD HEALTHY BLUE — MCD HEALTHY BLUE IP: $320.20 MMD HEALTHY BLUE — MCD HEALTHY BLUE OP: $320.20
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) In the file: ULTRASOUND TRANSVAGINAL	$545.50	$327.30	$64.04 – $1,091
Transvaginal ultrasound: 10 of 79 insurance plan rates AARP — AARP IP: $545.50 AARP — AARP OP: $545.50 AETNA — AETNA IP: $545.50 AETNA — AETNA OP: $545.50 AETNA MEDICARE — MCR AETNA IP: $294.57 AETNA MEDICARE — MCR AETNA OP: $294.57 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $545.50 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $545.50 AMBETTER — AMBETTER IP: $294.57 AMBETTER — AMBETTER OP: $294.57
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) In the file: US PELVIS TRNS ABD/VAG NON-OB	$545.50	$327.30	$64.04 – $1,091
Transvaginal ultrasound: 10 of 79 insurance plan rates AARP — AARP IP: $545.50 AARP — AARP OP: $545.50 AETNA — AETNA IP: $545.50 AETNA — AETNA OP: $545.50 AETNA MEDICARE — MCR AETNA IP: $294.57 AETNA MEDICARE — MCR AETNA OP: $294.57 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $545.50 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $545.50 AMBETTER — AMBETTER IP: $294.57 AMBETTER — AMBETTER OP: $294.57
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: ULTRASOUND TRANSVAGINAL	$545.50	$327.30	$64.04 – $1,091
Transvaginal ultrasound: 10 of 79 insurance plan rates AARP — AARP IP: $545.50 AARP — AARP OP: $545.50 AETNA — AETNA IP: $545.50 AETNA — AETNA OP: $545.50 AETNA MEDICARE — MCR AETNA IP: $294.57 AETNA MEDICARE — MCR AETNA OP: $294.57 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $545.50 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $545.50 AMBETTER — AMBETTER IP: $294.57 AMBETTER — AMBETTER OP: $294.57

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) In the file: THERAPEUTIC EXERCISE	$176	$105.60	$10.96 – $5,810.50
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 79 insurance plan rates AARP — AARP IP: $176 AARP — AARP OP: $176 AETNA — AETNA IP: $176 AETNA — AETNA OP: $176 AETNA MEDICARE — MCR AETNA IP: $95.04 AETNA MEDICARE — MCR AETNA OP: $95.04 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $176 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $176 AMBETTER — AMBETTER IP: $95.04 AMBETTER — AMBETTER OP: $95.04
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) In the file: PT THERAPEUTIC EXERCISE 30 MIN	$176	$105.60	$10.96 – $5,810.50
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 79 insurance plan rates AARP — AARP IP: $176 AARP — AARP OP: $176 AETNA — AETNA IP: $176 AETNA — AETNA OP: $176 AETNA MEDICARE — MCR AETNA IP: $95.04 AETNA MEDICARE — MCR AETNA OP: $95.04 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $176 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $176 AMBETTER — AMBETTER IP: $95.04 AMBETTER — AMBETTER OP: $95.04
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) In the file: PT THERAPEUTIC EXCERCISE 45 MIN	$176	$105.60	$10.96 – $5,810.50
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 79 insurance plan rates AARP — AARP IP: $176 AARP — AARP OP: $176 AETNA — AETNA IP: $176 AETNA — AETNA OP: $176 AETNA MEDICARE — MCR AETNA IP: $95.04 AETNA MEDICARE — MCR AETNA OP: $95.04 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $176 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $176 AMBETTER — AMBETTER IP: $95.04 AMBETTER — AMBETTER OP: $95.04
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) In the file: PT EVALUATION INITIAL - LOW	$384	$230.40	$22.54 – $384
Physical therapy evaluation (low complexity): 10 of 79 insurance plan rates AARP — AARP IP: $384 AARP — AARP OP: $384 AETNA — AETNA IP: $384 AETNA — AETNA OP: $384 AETNA MEDICARE — MCR AETNA IP: $207.36 AETNA MEDICARE — MCR AETNA OP: $207.36 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $384 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $384 AMBETTER — AMBETTER IP: $207.36 AMBETTER — AMBETTER OP: $207.36
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: PT EVALUATION INITIAL - LOW	$384	$230.40	$22.54 – $384
Physical therapy evaluation (low complexity): 10 of 79 insurance plan rates AARP — AARP IP: $384 AARP — AARP OP: $384 AETNA — AETNA IP: $384 AETNA — AETNA OP: $384 AETNA MEDICARE — MCR AETNA IP: $207.36 AETNA MEDICARE — MCR AETNA OP: $207.36 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $384 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $384 AMBETTER — AMBETTER IP: $207.36 AMBETTER — AMBETTER OP: $207.36
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) In the file: PT EVAL LOW COMPLEX 20 MIN	$384	$230.40	$22.54 – $384
Physical therapy evaluation (low complexity): 10 of 16 insurance plan rates HUMANA MEDICAID — MCD HUMANA IP: $81.93 HUMANA MEDICAID — MCD HUMANA OP: $81.93 MEDICAID LA — MEDICAID IP: $74.48 MEDICAID LA — MEDICAID OP: $74.48 MMD AETNA BETTER HLTH — MCD AETNA IP: $74.48 MMD AETNA BETTER HLTH — MCD AETNA OP: $74.48 MMD AMERIHEALTH CARITAS — MCD AMERIHEALTH IP: $74.48 MMD AMERIHEALTH CARITAS — MCD AMERIHEALTH OP: $74.48 MMD HEALTHY BLUE — MCD HEALTHY BLUE IP: $74.48 MMD HEALTHY BLUE — MCD HEALTHY BLUE OP: $74.48
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) In the file: PT EVALUATION INITIAL - MOD	$384	$230.40	$22.54 – $384
Physical therapy evaluation (moderate complexity): 10 of 79 insurance plan rates AARP — AARP IP: $384 AARP — AARP OP: $384 AETNA — AETNA IP: $384 AETNA — AETNA OP: $384 AETNA MEDICARE — MCR AETNA IP: $207.36 AETNA MEDICARE — MCR AETNA OP: $207.36 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $384 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $384 AMBETTER — AMBETTER IP: $207.36 AMBETTER — AMBETTER OP: $207.36
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: PT EVALUATION INITIAL - MOD	$384	$230.40	$22.54 – $384
Physical therapy evaluation (moderate complexity): 10 of 79 insurance plan rates AARP — AARP IP: $384 AARP — AARP OP: $384 AETNA — AETNA IP: $384 AETNA — AETNA OP: $384 AETNA MEDICARE — MCR AETNA IP: $207.36 AETNA MEDICARE — MCR AETNA OP: $207.36 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $384 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $384 AMBETTER — AMBETTER IP: $207.36 AMBETTER — AMBETTER OP: $207.36
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) In the file: PT EVAL MOD COMPLEX 30 MIN	$384	$230.40	$22.54 – $384
Physical therapy evaluation (moderate complexity): 10 of 16 insurance plan rates HUMANA MEDICAID — MCD HUMANA IP: $81.93 HUMANA MEDICAID — MCD HUMANA OP: $81.93 MEDICAID LA — MEDICAID IP: $74.48 MEDICAID LA — MEDICAID OP: $74.48 MMD AETNA BETTER HLTH — MCD AETNA IP: $74.48 MMD AETNA BETTER HLTH — MCD AETNA OP: $74.48 MMD AMERIHEALTH CARITAS — MCD AMERIHEALTH IP: $74.48 MMD AMERIHEALTH CARITAS — MCD AMERIHEALTH OP: $74.48 MMD HEALTHY BLUE — MCD HEALTHY BLUE IP: $74.48 MMD HEALTHY BLUE — MCD HEALTHY BLUE OP: $74.48
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) In the file: PT EVALUATION INITIAL - HIGH	$384	$230.40	$22.54 – $384
Physical therapy evaluation (high complexity): 10 of 79 insurance plan rates AARP — AARP IP: $384 AARP — AARP OP: $384 AETNA — AETNA IP: $384 AETNA — AETNA OP: $384 AETNA MEDICARE — MCR AETNA IP: $207.36 AETNA MEDICARE — MCR AETNA OP: $207.36 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $384 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $384 AMBETTER — AMBETTER IP: $207.36 AMBETTER — AMBETTER OP: $207.36
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: PT EVALUATION INITIAL - HIGH	$384	$230.40	$22.54 – $384
Physical therapy evaluation (high complexity): 10 of 79 insurance plan rates AARP — AARP IP: $384 AARP — AARP OP: $384 AETNA — AETNA IP: $384 AETNA — AETNA OP: $384 AETNA MEDICARE — MCR AETNA IP: $207.36 AETNA MEDICARE — MCR AETNA OP: $207.36 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $384 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $384 AMBETTER — AMBETTER IP: $207.36 AMBETTER — AMBETTER OP: $207.36
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) In the file: PT EVAL HIGH COMPLEX 45 MIN	$384	$230.40	$22.54 – $384
Physical therapy evaluation (high complexity): 10 of 16 insurance plan rates HUMANA MEDICAID — MCD HUMANA IP: $81.93 HUMANA MEDICAID — MCD HUMANA OP: $81.93 MEDICAID LA — MEDICAID IP: $74.48 MEDICAID LA — MEDICAID OP: $74.48 MMD AETNA BETTER HLTH — MCD AETNA IP: $74.48 MMD AETNA BETTER HLTH — MCD AETNA OP: $74.48 MMD AMERIHEALTH CARITAS — MCD AMERIHEALTH IP: $74.48 MMD AMERIHEALTH CARITAS — MCD AMERIHEALTH OP: $74.48 MMD HEALTHY BLUE — MCD HEALTHY BLUE IP: $74.48 MMD HEALTHY BLUE — MCD HEALTHY BLUE OP: $74.48
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) In the file: IOP IND PSYCH 20-30 MIN	$461	$276.60	$27.06 – $461
Psychotherapy, 30 minutes: 10 of 79 insurance plan rates AARP — AARP IP: $461 AARP — AARP OP: $461 AETNA — AETNA IP: $461 AETNA — AETNA OP: $461 AETNA MEDICARE — MCR AETNA IP: $248.94 AETNA MEDICARE — MCR AETNA OP: $248.94 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $461 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $461 AMBETTER — AMBETTER IP: $248.94 AMBETTER — AMBETTER OP: $248.94
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: IOP IND PSYCH 20-30 MIN	$461	$276.60	$27.06 – $461
Psychotherapy, 30 minutes: 10 of 79 insurance plan rates AARP — AARP IP: $461 AARP — AARP OP: $461 AETNA — AETNA IP: $461 AETNA — AETNA OP: $461 AETNA MEDICARE — MCR AETNA IP: $248.94 AETNA MEDICARE — MCR AETNA OP: $248.94 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $461 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $461 AMBETTER — AMBETTER IP: $248.94 AMBETTER — AMBETTER OP: $248.94
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) In the file: IOP IND PSYCH 45-50 MIN	$675.50	$405.30	$93.15 – $1,586.96
Psychotherapy, 45 minutes: 10 of 79 insurance plan rates AARP — AARP IP: $675.50 AARP — AARP OP: $675.50 AETNA — AETNA IP: $675.50 AETNA — AETNA OP: $675.50 AETNA MEDICARE — MCR AETNA IP: $364.77 AETNA MEDICARE — MCR AETNA OP: $364.77 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $675.50 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $675.50 AMBETTER — AMBETTER IP: $364.77 AMBETTER — AMBETTER OP: $364.77
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) In the file: IOP TELEMED INDIVIDUAL 45-50	$455.73	$273.43	$93.15 – $1,586.96
Psychotherapy, 45 minutes: 10 of 79 insurance plan rates AARP — AARP IP: $455.73 AARP — AARP OP: $455.73 AETNA — AETNA IP: $455.73 AETNA — AETNA OP: $455.73 AETNA MEDICARE — MCR AETNA IP: $246.09 AETNA MEDICARE — MCR AETNA OP: $246.09 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $455.73 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $455.73 AMBETTER — AMBETTER IP: $246.09 AMBETTER — AMBETTER OP: $246.09
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) In the file: IOP AUDIO ONLY INDIVIDUAL 45-50	$455.73	$273.43	$93.15 – $1,586.96
Psychotherapy, 45 minutes: 10 of 79 insurance plan rates AARP — AARP IP: $455.73 AARP — AARP OP: $455.73 AETNA — AETNA IP: $455.73 AETNA — AETNA OP: $455.73 AETNA MEDICARE — MCR AETNA IP: $246.09 AETNA MEDICARE — MCR AETNA OP: $246.09 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $455.73 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $455.73 AMBETTER — AMBETTER IP: $246.09 AMBETTER — AMBETTER OP: $246.09
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) In the file: IOP FAMILY W/O PATIENT	$659	$395.40	$92.18 – $1,570.46
Family psychotherapy, without the patient: 10 of 79 insurance plan rates AARP — AARP IP: $659 AARP — AARP OP: $659 AETNA — AETNA IP: $659 AETNA — AETNA OP: $659 AETNA MEDICARE — MCR AETNA IP: $355.86 AETNA MEDICARE — MCR AETNA OP: $355.86 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $659 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $659 AMBETTER — AMBETTER IP: $355.86 AMBETTER — AMBETTER OP: $355.86
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) In the file: IOP TELEMED FAMILY W/O PATIENT	$455.73	$273.43	$92.18 – $1,570.46
Family psychotherapy, without the patient: 10 of 79 insurance plan rates AARP — AARP IP: $455.73 AARP — AARP OP: $455.73 AETNA — AETNA IP: $455.73 AETNA — AETNA OP: $455.73 AETNA MEDICARE — MCR AETNA IP: $246.09 AETNA MEDICARE — MCR AETNA OP: $246.09 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $455.73 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $455.73 AMBETTER — AMBETTER IP: $246.09 AMBETTER — AMBETTER OP: $246.09
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) In the file: IOP AUDIO ONLY FAMILY W/O PATIENT	$455.73	$273.43	$92.18 – $1,570.46
Family psychotherapy, without the patient: 10 of 79 insurance plan rates AARP — AARP IP: $455.73 AARP — AARP OP: $455.73 AETNA — AETNA IP: $455.73 AETNA — AETNA OP: $455.73 AETNA MEDICARE — MCR AETNA IP: $246.09 AETNA MEDICARE — MCR AETNA OP: $246.09 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $455.73 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $455.73 AMBETTER — AMBETTER IP: $246.09 AMBETTER — AMBETTER OP: $246.09
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) In the file: IOP FAMILY WITH PATIENT	$808.50	$485.10	$100.95 – $1,719.96
Family psychotherapy, with the patient: 10 of 79 insurance plan rates AARP — AARP IP: $808.50 AARP — AARP OP: $808.50 AETNA — AETNA IP: $808.50 AETNA — AETNA OP: $808.50 AETNA MEDICARE — MCR AETNA IP: $436.59 AETNA MEDICARE — MCR AETNA OP: $436.59 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $808.50 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $808.50 AMBETTER — AMBETTER IP: $436.59 AMBETTER — AMBETTER OP: $436.59
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) In the file: IOP TELEMED FAMILY WITH PATIENT	$455.73	$273.43	$100.95 – $1,719.96
Family psychotherapy, with the patient: 10 of 79 insurance plan rates AARP — AARP IP: $455.73 AARP — AARP OP: $455.73 AETNA — AETNA IP: $455.73 AETNA — AETNA OP: $455.73 AETNA MEDICARE — MCR AETNA IP: $246.09 AETNA MEDICARE — MCR AETNA OP: $246.09 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $455.73 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $455.73 AMBETTER — AMBETTER IP: $246.09 AMBETTER — AMBETTER OP: $246.09
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) In the file: IOP AUDIO ONLY FAMILY WITH PATIENT	$455.73	$273.43	$100.95 – $1,719.96
Family psychotherapy, with the patient: 10 of 79 insurance plan rates AARP — AARP IP: $455.73 AARP — AARP OP: $455.73 AETNA — AETNA IP: $455.73 AETNA — AETNA OP: $455.73 AETNA MEDICARE — MCR AETNA IP: $246.09 AETNA MEDICARE — MCR AETNA OP: $246.09 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $455.73 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $455.73 AMBETTER — AMBETTER IP: $246.09 AMBETTER — AMBETTER OP: $246.09
Group psychotherapy CPT 90853 · Inpatient (hospital stay) In the file: IOP GROUP THERAPY	$378.50	$227.10	$22.21 – $378.50
Group psychotherapy: 10 of 79 insurance plan rates AARP — AARP IP: $378.50 AARP — AARP OP: $378.50 AETNA — AETNA IP: $378.50 AETNA — AETNA OP: $378.50 AETNA MEDICARE — MCR AETNA IP: $204.39 AETNA MEDICARE — MCR AETNA OP: $204.39 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $378.50 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $378.50 AMBETTER — AMBETTER IP: $204.39 AMBETTER — AMBETTER OP: $204.39
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: IOP GROUP THERAPY	$378.50	$227.10	$22.21 – $378.50
Group psychotherapy: 10 of 79 insurance plan rates AARP — AARP IP: $378.50 AARP — AARP OP: $378.50 AETNA — AETNA IP: $378.50 AETNA — AETNA OP: $378.50 AETNA MEDICARE — MCR AETNA IP: $204.39 AETNA MEDICARE — MCR AETNA OP: $204.39 ALLEGIANCE HEALTH MANAGME — GULF SOUTH IP: $378.50 ALLEGIANCE HEALTH MANAGME — GULF SOUTH OP: $378.50 AMBETTER — AMBETTER IP: $204.39 AMBETTER — AMBETTER OP: $204.39

Source: Bienville Medical Center’s standard charges file (bienvillemedicalcenter.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on May 28, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital type	Critical Access Hospital
Address	1175 Pine Street, Arcadia, LA 71001
Parish	Bienville Parish
State	Louisiana
Phone	(318) 263‑4700
Emergency services	Yes
Ownership	Proprietary
Medicare overall rating	Not rated by CMS
CMS Certification Number	191320
Name in Medicare records	BIENVILLE MEDICAL CENTER
Profile level	Medicare data + hospital website
Official website	bienvillemedicalcenter.net
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

Bienville Medical Center | Arcadia, LA — bienvillemedicalcenter.net
Emergency Services | Bienville Medical Center — bienvillemedicalcenter.net
Rehabilitation Center | Bienville Medical Center | Hospital, Specialized Medical Services & Emergency Care | Arcadia, LA — bienvillemedicalcenter.net
Skilled Bed Program | Bienville Medical Center | Hospital, Specialized Medical Services & Emergency Care | Arcadia, LA — bienvillemedicalcenter.net
Diagnostic Imaging | Bienville Medical Center | Hospital, Specialized Medical Services & Emergency Care | Arcadia, LA — bienvillemedicalcenter.net
Eligibility Services | Bienville Medical Center | Hospital, Specialized Medical Services & Emergency Care | Arcadia, LA — bienvillemedicalcenter.net
Inspirations Outpatient Counseling | Bienville Medical Center | Hospital, Specialized Medical Services & Emergency Care — bienvillemedicalcenter.net
The Circle | Bienville Medical Center | Hospital, Specialized Medical Services & Emergency Care | Arcadia, LA — bienvillemedicalcenter.net
Services | Bienville Medical Center | Hospital, Specialized Medical Services & Emergency Care | Arcadia, LA — bienvillemedicalcenter.net

Bienville Medical Center

Summary

Profile from official sources

At a glance