Does Ochsner St Mary have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Ochsner St Mary. In a medical emergency, call 911.

Where is Ochsner St Mary?

1125 Marguerite Street, Morgan City, LA 70380, in St. Mary Parish, Louisiana.

What is the phone number of Ochsner St Mary?

(985) 384-2200, as listed by Medicare (CMS).

What is the Medicare star rating of Ochsner St Mary?

2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).

Does Medicare reduce its payments to Ochsner St Mary for hospital-acquired conditions?

Yes. For fiscal year 2026, CMS applies a 1-percent reduction to Medicare payments to Ochsner St Mary under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.7081; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Ochsner St Mary — Phone, Address, ER & Ratings

Quick answers

Does Ochsner St Mary have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Ochsner St Mary. In a medical emergency, call 911.
Where is Ochsner St Mary?: 1125 Marguerite Street, Morgan City, LA 70380, in St. Mary Parish, Louisiana.
What is the phone number of Ochsner St Mary?: (985) 384-2200, as listed by Medicare (CMS).
What is the Medicare star rating of Ochsner St Mary?: 2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Ochsner St Mary for hospital-acquired conditions?: Yes. For fiscal year 2026, CMS applies a 1-percent reduction to Medicare payments to Ochsner St Mary under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.7081; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas^[4]

Cardiology
General surgery
Pulmonary services
Women's services
Psychiatry
Behavioral health (adults 18+)
Radiology
Cardiopulmonary
Colon and rectal surgery
Emergency medicine
Hyperbarics and wound care
Infusion services
Inpatient rehabilitation
Mammogram
Critical care (ICU)
Physical medicine and rehabilitation
Primary care
Sleep disorders
Smoking cessation
Pain management
Podiatry

Conditions treated^[4]

Treatments^[4]

Infusion services
Inpatient rehabilitation
Physical, occupational and speech therapy
Wound care
MRI
Digital mammography
Low-dose CT
CT scan
Ultrasound
Nuclear medicine
Sleep study
Full service laboratory testing
Physical therapy
Occupational therapy

Procedures^[4]

Ambulatory surgery
Surgery and anesthesia
Minimally invasive gynecologic surgery
General radiology

Programs and centers^[4]

Intensive Care Unit
Sleep study
Emergency department (24-hour)
Inpatient behavioral health unit (adults)
Inpatient rehabilitation center (10-bed)
Ambulatory surgery
Wound care center
Sleep center
Cardiopulmonary department

Emergency care (hospital website)^[4]

Emergency room	Yes
Open 24/7	Yes

Recognition^[4]

"A" Leapfrog Hospital Safety Grade (Spring 2026)

Doctors and clinicians (141)

141 doctors and other clinicians list Ochsner St Mary 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

And 117 more: the button below opens the full list.

Other emergency rooms nearby

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

Fmol Health Our Lady of the Lake Assumption Commu20 mi · Napoleonville, LA · Rural Emergency Hospital
Bayou Bend Health System20 mi · Franklin, LA · Critical Access Hospital
Thibodaux Regional Medical Center24 mi · Thibodaux, LA · Acute Care Hospital
Terrebonne General Medical Center - Parish25 mi · Houma, LA · Acute Care Hospital
Prevost Memorial Hospital29 mi · Donaldsonville, LA · Critical Access Hospital

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Morgan City

Compass Behavioral Center of Houma, LLC26 mi · Houma, LA · Psychiatric Hospital
Physicians Medical Center28 mi · Houma, LA · Acute Care Hospital

Hospitals in St. Mary Parish · Hospitals near me

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

Legacy Nursing and Rehabilitation of Morgan City1.5 mi · Morgan City, LA · 2 of 5 stars
Patterson Healthcare Center6.9 mi · Patterson, LA · 1 of 5 stars
Chateau Napoleon Caring, LLC20 mi · Napoleonville, LA · 1 of 5 stars

All nursing homes in the state →

Hospice providers

Heart of Hospice19 mi · Franklin, LA

All hospice providers in the state →

Home health agencies

Nursing Care Home Health6.7 mi · Morgan City, LA · 3.5 of 5 stars
Vitalcaring Group6.7 mi · Morgan City, LA · 3.5 of 5 stars

All home health agencies in the state →

Dialysis facilities

Morgan City Dialysis Center6.7 mi · Morgan City, LA · 2 of 5 stars
Fmcna - Franklin19 mi · Franklin, LA · 3 of 5 stars

All dialysis facilities 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

Teche Health @ Morgan City0.2 mi · Morgan City, LA · Community health center
Teche Health @ Pierre Part17 mi · Pierre Part, LA · Community health center
Teche Health @ Franklin19 mi · Franklin, LA · Community health center

Clinics and urgent care

Patterson Total Care Clinic7.0 mi · Patterson, LA · Rural health clinic
Reddy Family Medical Clinic - Pierre Part14 mi · Pierre Part, LA · Rural health clinic
Fmol Health Assumption Rural Health16 mi · Napoleonville, LA · Rural health clinic

Pharmacies

Southern Oaks Pharmacy2.4 mi · Berwick, LA · Community/retail pharmacy
Jeanne Group LLC6.7 mi · Morgan City, LA · Community/retail pharmacy
M.C. Clinic Pharmacy Inc.6.7 mi · Morgan City, LA · Community/retail 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 Ochsner St Mary 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.

Summary star rating (all survey topics)	4 of 5 stars
Overall rating of the hospital	4 of 5 stars
Would recommend the hospital	3 of 5 stars
Nurses communicated well	3 of 5 stars
Doctors communicated well	4 of 5 stars
Patients got help quickly from staff	3 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Restfulness of Environment	4 of 5 stars
Care Coordination	4 of 5 stars
Symptoms After Stay	5 of 5 stars
Rated the hospital 9 or 10 out of 10	72%National average: 72%
Would definitely recommend the hospital	68%National average: 71%
Nurses “always” communicated well	77%National average: 80%
Doctors “always” communicated well	84%National average: 80%
“Always” got help as soon as they wanted	63%National average: 64%
Staff “always” explained medicines before giving them	63%National average: 62%
Were given information about recovery at home	89%National average: 86%
Room and bathroom “always” clean	74%National average: 73%
Completed surveys	153Response rate: 19%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 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.

Clostridioides difficile (C. diff) intestinal infections	0No different from the national benchmark
Not reported to Medicare	Central line bloodstream infections (CLABSI); Catheter-associated urinary tract infections (CAUTI); Surgical site infections after colon surgery; Surgical site infections after abdominal hysterectomy; MRSA bloodstream infections

Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 2025.

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 failure patients	9.9%
Deaths within 30 days: pneumonia patients	18.3%
Deaths within 30 days: COPD patients	10.1%
Serious complications (patient safety indicator PSI-90)	0.96No different from the national rate
Not reported to Medicare	Deaths within 30 days: heart attack patients; Deaths within 30 days: coronary bypass surgery (CABG); Complications after hip or knee replacement
Too few cases to report	Deaths within 30 days: stroke patients

Source: Complications and Deaths - Hospital — CMS, released October 20, 2026; data from July 2022 to June 2025.

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)	16.4%
Readmitted within 30 days: heart failure	21.4%
Readmitted within 30 days: pneumonia	18.6%
Readmitted within 30 days: COPD	20.7%
Not reported to Medicare	Readmitted within 30 days: heart attack; Readmitted within 30 days: coronary bypass surgery; Readmitted within 30 days: hip or knee replacement

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.

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.

Emergency room volume (patients per year)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	88 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	72%National average: 66%

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

Medicare payment programs

Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Ochsner St Mary, fiscal year 2026 (October 2025 to September 2026).

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.

CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.

Medicare payment reduction, fiscal year 2026	YesCMS applies a 1-percent payment reduction to this hospital.
Total HAC Score	0.7081Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.

Hospital Readmissions Reduction Program

What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.

CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).

Heart failure	1.0057More readmissions than expected
Pneumonia	1.0195More readmissions than expected
COPD (chronic lung disease)	1.0312More readmissions than expected
No result published	Heart attack; Hip or knee replacement; Coronary bypass surgery (CABG) (not reported, or too few cases)

Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.

Hospital Value-Based Purchasing Program

What this means: Medicare scores hospitals in four areas, each from 0 to 100, and combines them into a Total Performance Score from 0 to 100. A higher score means better results on these measures. Medicare uses the score to adjust what it pays the hospital.

CMS says: This program adjusts payments to hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver.

Total Performance Score	20.33 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)	3.33 out of 100
Person and community engagement (patient survey)	58.00 out of 100
Safety (infections and sepsis care)	20.00 out of 100
Efficiency and cost reduction (Medicare spending)	0.00 out of 100

Source: Hospital Value-Based Purchasing (HVBP) - Total Performance Score — CMS, released January 26, 2026, fiscal year 2026. Program description: The Hospital Value-Based Purchasing (VBP) Program — CMS, page last modified September 10, 2024.

Medicare spending per patient (MSPB)

What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.

CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.

Medicare spending per patient, ratio	1.16Above the national median hospital (1.00): Medicare spent more

Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

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 75 common services exactly as Ochsner St Mary 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 →

Show the prices of 75 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: HC OFFICE/OUTPT VISIT, NEW, LEVL III, 30-44 MIN	$166	$33.20	$37.83 – $221.10
New patient office visit (about 30–44 minutes): 10 of 20 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $38.96 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $141.56 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $38.96 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $198.25 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $191.20 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $207.27 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $198.25 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $191.20 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $221.10 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $221.10
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) In the file: HC OFFICE/OUTPT VISIT, NEW, LEVL III, 30-44 MIN	$166	$33.20	Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: HC OFFICE/OUTPT VISIT, NEW, LEVL IV, 45-59 MIN	$175	$35	$42 – $321.70
New patient office visit (about 45–59 minutes): 10 of 20 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $58.47 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $149.24 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $58.47 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $288.45 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $278.21 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $301.57 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $288.45 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $278.21 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $321.70 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $321.70
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) In the file: HC OFFICE/OUTPT VISIT, NEW, LEVL IV, 45-59 MIN	$175	$35	Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: HC OFFICE/OUTPT VISIT, NEW, LEVL V, 60-74 MIN	$184	$36.80	$44.16 – $321.70
New patient office visit (about 60–74 minutes): 10 of 20 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $58.47 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $156.92 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $58.47 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $288.45 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $278.21 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $301.57 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $288.45 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $278.21 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $321.70 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $321.70
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) In the file: HC OFFICE/OUTPT VISIT, NEW, LEVL V, 60-74 MIN	$184	$36.80	Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: HC OFFICE/OUTPT VISIT, EST, LEVL III, 20-29 MIN	$139	$27.80	$33.36 – $221.10
Established patient office visit (about 20–29 minutes): 10 of 20 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $38.96 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $118.54 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $38.96 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $198.25 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $191.20 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $207.27 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $198.25 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $191.20 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $221.10 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $221.10
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) In the file: HC OFFICE/OUTPT VISIT, EST, LEVL III, 20-29 MIN	$139	$27.80	Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: HC OFFICE/OUTPT VISIT, EST, LEVL IV, 30-39 MIN	$146	$29.20	$35.04 – $321.70
Established patient office visit (about 30–39 minutes): 10 of 20 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $58.47 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $124.51 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $58.47 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $288.45 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $278.21 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $301.57 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $288.45 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $278.21 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $321.70 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $321.70
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) In the file: HC OFFICE/OUTPT VISIT, EST, LEVL IV, 30-39 MIN	$146	$29.20	Not listed in the file
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: HC EMER ROOM LEVEL III	$939	$187.80	$106.76 – $1,250
Emergency room visit (moderate): 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $122.44 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $251.94 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $800.78 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $251.94 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $122.44 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $425.03 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $409.93 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $444.37 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $425.03 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $409.93
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) In the file: HC EMER ROOM LEVEL III	$939	$187.80	Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: HC EMER ROOM LEVEL IV	$1,831	$366.20	$164.18 – $2,936
Emergency room visit (moderately high): 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $238.76 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $387.45 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,561.48 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $387.45 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $238.76 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $739.57 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $713.31 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $773.23 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $739.57 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $713.31
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) In the file: HC EMER ROOM LEVEL IV	$1,831	$366.20	Not listed in the file
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: HC EMER ROOM LEVEL V	$2,345	$469	$236.39 – $2,936
Emergency room visit (high): 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $305.78 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $557.85 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,999.82 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $557.85 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $305.78 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $739.57 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $713.31 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $773.23 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $739.57 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $713.31
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) In the file: HC EMER ROOM LEVEL V	$2,345	$469	Not listed in the file

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: HC BASIC METABOLIC PANEL(8 TESTS)	$61	$12.20	$7.59 – $52.02
Basic metabolic panel (blood test): 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $8.71 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $8.46 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $52.02 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $8.46 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $8.71 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $18.65 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $17.78 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $18.65 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $18.65 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $17.78
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) In the file: HC BASIC METABOLIC PANEL(8 TESTS)	$61	$12.20	Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: HC COMPREHENSIVE METABOLIC PAN 14	$67	$13.40	$9.47 – $57.14
Comprehensive metabolic panel (blood test): 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $10.88 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $10.56 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $57.14 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $10.56 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $10.88 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $20.33 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $19.38 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $20.33 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $20.33 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $19.38
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) In the file: HC COMPREHENSIVE METABOLIC PAN 14	$67	$13.40	Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: HC LIPID PROFILE	$68	$13.60	$12.01 – $57.99
Cholesterol panel (lipid panel): 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $13.79 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $13.39 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $57.99 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $13.39 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $13.79 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $20.70 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $19.74 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $20.70 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $20.70 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $19.74
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: HC NMR LIPIDS	$68	$13.60	$12.01 – $57.99
Cholesterol panel (lipid panel): 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $13.79 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $13.39 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $57.99 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $13.39 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $13.79 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $20.70 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $19.74 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $20.70 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $20.70 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $19.74
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) In the file: HC LIPID PROFILE	$68	$13.60	Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: HC RENAL FUNCTION PANEL	$58	$11.60	$7.79 – $49.46
Kidney function panel: 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $8.94 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $8.68 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $49.46 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $8.68 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $8.94 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $17.77 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $16.94 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $17.77 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $17.77 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $16.94
Kidney function panel CPT 80069 · Inpatient (hospital stay) In the file: HC RENAL FUNCTION PANEL	$58	$11.60	Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HC HEPATIC FUNCTION PANEL,7 TESTS	$43	$8.60	$7.33 – $36.67
Liver function panel: 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $8.42 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $8.17 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $36.67 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $8.17 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $8.42 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $12.94 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $12.34 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $12.94 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $12.94 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $12.34
Liver function panel CPT 80076 · Inpatient (hospital stay) In the file: HC HEPATIC FUNCTION PANEL,7 TESTS	$43	$8.60	Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: HC URINALYSIS, AUTO W/MICRO	$16	$3.20	$2.84 – $13.64
Urine test (automated, with microscope): 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $3.27 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $3.17 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $13.64 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $3.17 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $3.27 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $4.87 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $4.65 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $4.87 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $4.87 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $4.65
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) In the file: HC URINALYSIS, AUTO W/MICRO	$16	$3.20	Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · modifier PBBFAC In the file: PR URINALYSIS, AUTO, W/SCOPE	$16	$3.20	$2.84 – $13.64
Urine test (automated, with microscope): 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $3.27 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $3.17 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $13.64 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $3.17 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $3.27 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $4.87 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $4.65 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $4.87 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $4.87 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $4.65
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · modifier PBBFAC In the file: PR URINALYSIS NONAUTO W/O SCOPE	$30	$6	$3.12 – $25.58
Urine test (manual, without microscope): 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $3.71 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $3.48 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $25.58 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $3.48 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $3.71 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $3.45 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $3.29 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $3.45 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $3.45 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $3.29
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: HC URINE W/O MICRO, AUTO	$14	$2.80	$2.02 – $11.94
Urine test (automated, without microscope): 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $2.32 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $2.25 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $11.94 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $2.25 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $2.32 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $4.04 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $3.85 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $4.04 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $4.04 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $3.85
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) In the file: HC URINE W/O MICRO, AUTO	$14	$2.80	Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · modifier PBBFAC In the file: PR URINALYSIS, AUTO, W/O SCOPE	$14	$2.80	$2.02 – $11.94
Urine test (automated, without microscope): 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $2.32 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $2.25 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $11.94 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $2.25 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $2.32 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $4.04 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $3.85 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $4.04 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $4.04 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $3.85
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: HC PSA, DIAGNOSTIC	$108	$21.60	$16.49 – $92.10
PSA (prostate specific antigen) blood test: 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $18.94 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $18.39 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $92.10 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $18.39 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $18.94 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $33.02 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $31.48 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $33.02 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $33.02 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $31.48
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: HC PSA, SCREENING	$108	$21.60	$16.49 – $92.10
PSA (prostate specific antigen) blood test: 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $18.94 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $18.39 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $92.10 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $18.39 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $18.94 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $33.02 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $31.48 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $33.02 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $33.02 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $31.48
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: HC PSA, TOTAL	$108	$21.60	$16.49 – $92.10
PSA (prostate specific antigen) blood test: 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $18.94 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $18.39 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $92.10 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $18.39 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $18.94 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $33.02 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $31.48 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $33.02 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $33.02 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $31.48
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: HC TSH	$112	$22.40	$15.06 – $95.51
Thyroid stimulating hormone (TSH) test: 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $17.30 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $16.80 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $95.51 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $16.80 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $17.30 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $34.32 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $32.72 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $34.32 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $34.32 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $32.72
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: HC CU INDEX-TSH ASSAY	$112	$22.40	$15.06 – $95.51
Thyroid stimulating hormone (TSH) test: 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $17.30 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $16.80 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $95.51 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $16.80 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $17.30 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $34.32 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $32.72 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $34.32 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $34.32 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $32.72
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: HC TSH - SENSITIVE, SERUM - RL	$112	$22.40	$15.06 – $95.51
Thyroid stimulating hormone (TSH) test: 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $17.30 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $16.80 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $95.51 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $16.80 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $17.30 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $34.32 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $32.72 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $34.32 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $34.32 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $32.72
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: HC COMPL CBC W/PLT W/AUTOM DIFF	$48	$9.60	$6.97 – $40.93
Complete blood count (CBC) with differential: 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $8 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $7.77 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $40.93 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $7.77 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $8 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $14.67 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $13.98 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $14.67 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $14.67 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $13.98
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) In the file: HC COMPL CBC W/PLT W/AUTOM DIFF	$48	$9.60	Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: HC HEMATOLOGY PROFILE	$38	$7.60	$5.80 – $32.41
Complete blood count (CBC), automated: 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $6.66 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $6.47 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $32.41 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $6.47 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $6.66 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $11.63 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $11.09 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $11.63 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $11.63 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $11.09
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) In the file: HC HEMATOLOGY PROFILE	$38	$7.60	Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: HC PROTHROMBIN TIME	$23	$4.60	$3.84 – $19.61
Blood clotting time test (prothrombin time, PT): 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $4.42 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $4.29 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $19.61 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $4.29 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $4.42 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $7.05 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $6.72 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $7.05 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $7.05 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $6.72
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: HC LUPUS PT - RL	$23	$4.60	$3.84 – $19.61
Blood clotting time test (prothrombin time, PT): 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $4.42 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $4.29 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $19.61 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $4.29 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $4.42 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $7.05 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $6.72 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $7.05 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $7.05 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $6.72
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) In the file: HC PROTHROMBIN TIME	$23	$4.60	Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: HC PARTIAL THROMBOPLASTIN TIME	$37	$7.40	$5.39 – $31.55
Blood clotting test (partial thromboplastin time, PTT): 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $6.19 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $6.01 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $31.55 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $6.01 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $6.19 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $11.31 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $10.79 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $11.31 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $11.31 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $10.79
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: HC LUPUS PTT - RL	$37	$7.40	$5.39 – $31.55
Blood clotting test (partial thromboplastin time, PTT): 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $6.19 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $6.01 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $31.55 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $6.01 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $6.19 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $11.31 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $10.79 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $11.31 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $11.31 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $10.79
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) In the file: HC PARTIAL THROMBOPLASTIN TIME	$37	$7.40	Not listed in the file

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 · Outpatient (no overnight stay) In the file: HC CT HEAD W/O CONTRAST	$853	$170.60	$41 – $1,485
CT scan of the head or brain, without contrast: 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $111.23 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $96.76 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $727.44 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $96.76 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $111.23 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $285.61 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $272.43 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $285.61 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $285.61 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $272.43
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) In the file: HC CT HEAD W/O CONTRAST	$853	$170.60	Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: HC MRI BRAIN W/WO CONTRAST	$2,778	$555.60	$137.70 – $2,369.08
MRI of the brain, before and after contrast: 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $362.25 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $324.95 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $2,369.08 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $324.95 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $362.25 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $1,023.18 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $975.96 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $1,023.18 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $1,023.18 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $975.96
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) In the file: HC MRI BRAIN W/WO CONTRAST	$2,778	$555.60	Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: HC XRAY, CHEST, 2 VIEWS	$258	$51.60	$32.66 – $220.02
Chest X-ray, 2 views: 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $33.64 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $80.11 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $220.02 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $80.11 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $33.64 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $36.53 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $34.85 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $36.53 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $36.53 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $34.85
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) In the file: HC XRAY, CHEST, 2 VIEWS	$258	$51.60	Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: HC SPINE LUMBAR COMP 5 VIEW	$487	$97.40	$41 – $415.31
X-ray of the lower spine, at least 4 views: 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $63.50 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $96.76 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $415.31 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $96.76 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $63.50 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $68.96 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $65.78 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $68.96 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $68.96 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $65.78
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) In the file: HC SPINE LUMBAR COMP 5 VIEW	$487	$97.40	Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: HC MRI SPINE LUMBAR WITHOUT CONTRAST	$1,813	$362.60	$93.20 – $2,330
MRI of the lower back (lumbar spine), without contrast: 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $236.41 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $219.94 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,546.13 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $219.94 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $236.41 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $667.84 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $637.02 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $667.84 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $667.84 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $637.02
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) In the file: HC MRI SPINE LUMBAR WITHOUT CONTRAST	$1,813	$362.60	Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: HC CT PELVIS W CONTRAST	$1,300	$260	$68.64 – $1,485
CT scan of the pelvis, with contrast: 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $169.52 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $161.98 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,108.64 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $161.98 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $169.52 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $435.33 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $415.24 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $435.33 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $435.33 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $415.24
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) In the file: HC CT PELVIS W CONTRAST	$1,300	$260	Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: HC MRI LOW EXT JT W/O CONTR	$1,813	$362.60	$93.20 – $2,330
MRI of a leg joint (such as the knee), without contrast: 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $236.41 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $219.94 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,546.13 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $219.94 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $236.41 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $667.84 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $637.02 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $667.84 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $667.84 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $637.02
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) In the file: HC MRI LOW EXT JT W/O CONTR	$1,813	$362.60	Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: HC CT ABD PELVIS WITH CONTRAST	$2,127	$425.40	$137.70 – $1,813.91
CT scan of the abdomen and pelvis, with contrast: 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $277.36 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $324.95 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,813.91 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $324.95 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $277.36 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $712.33 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $679.46 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $712.33 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $712.33 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $679.46
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) In the file: HC CT ABD PELVIS WITH CONTRAST	$2,127	$425.40	Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: HC US, ABD, B-SCAN, COMPLETE	$381	$76.20	$41 – $324.92
Ultrasound of the abdomen, complete: 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $49.68 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $96.76 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $324.92 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $96.76 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $49.68 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $175.21 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $167.12 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $175.21 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $175.21 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $167.12
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) In the file: HC US, ABD, B-SCAN, COMPLETE	$381	$76.20	Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: HC US, OB 14+WKS, TRANSABD, SINGLE GESTATION	$382	$76.40	$41 – $325.77
Pregnancy ultrasound (after the first trimester): 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $49.81 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $96.76 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $325.77 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $96.76 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $49.81 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $175.90 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $167.78 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $175.90 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $175.90 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $167.78
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) In the file: HC US, OB 14+WKS, TRANSABD, SINGLE GESTATION	$382	$76.40	Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · modifier PBBFAC In the file: PR US, OB 14+WKS, TRANSABD, SINGLE GESTATION	$382	$76.40	$41 – $325.77
Pregnancy ultrasound (after the first trimester): 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $49.81 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $96.76 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $325.77 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $96.76 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $49.81 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $175.90 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $167.78 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $175.90 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $175.90 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $167.78
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: HC US TRANSVAGINAL NON OB	$470	$94	$41 – $400.82
Transvaginal ultrasound: 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $61.29 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $96.76 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $400.82 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $96.76 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $61.29 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $157.29 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $150.03 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $157.29 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $157.29 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $150.03
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) In the file: HC US TRANSVAGINAL NON OB	$470	$94	Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · modifier PBBFAC In the file: PR ECHOGRAPHY,TRANSVAGINAL	$470	$94	$41 – $400.82
Transvaginal ultrasound: 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $61.29 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $96.76 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $400.82 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $96.76 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $61.29 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $157.29 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $150.03 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $157.29 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $157.29 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $150.03
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: HC MAMMO W/WO CAD, DIAGNOSTIC, UNILAT	$225	$45	$28.48 – $204.01
Diagnostic mammogram, one breast: 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $29.34 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $75.01 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $191.88 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $75.01 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $29.34 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $105.49 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $100.63 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $105.49 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $105.49 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $100.63
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) In the file: HC MAMMO W/WO CAD, DIAGNOSTIC, UNILAT	$225	$45	Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: HC MAMMO W/WO CAD, DIAGNOSTIC, BILAT	$287	$57.40	$36.33 – $260.06
Diagnostic mammogram, both breasts: 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $37.42 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $95.53 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $244.75 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $95.53 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $37.42 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $132.41 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $126.30 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $132.41 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $132.41 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $126.30
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) In the file: HC MAMMO W/WO CAD, DIAGNOSTIC, BILAT	$287	$57.40	Not listed in the file
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: HC MAMMO W/WO CAD, SCREENING, BILAT	$293	$58.60	$37.09 – $249.87
Screening mammogram, both breasts: 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $38.21 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $78.97 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $249.87 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $78.97 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $38.21 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $97.91 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $93.39 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $97.91 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $97.91 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $93.39
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) In the file: HC MAMMO W/WO CAD, SCREENING, BILAT	$293	$58.60	Not listed in the file

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$1,240.12 – $12,428.63
Left heart catheterization (diagnostic): 10 of 27 insurance plan rates AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $2,926.55 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $2,926.55 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $11,144.13 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $10,748.35 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $11,651.24 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $11,144.13 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $10,748.35 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $12,428.63 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $2,926.55 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $12,428.63
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: ELECTROPHYSIOLOGY EVALUATION	Not listed in the file	Not listed in the file	$2,925.67 – $10,646
Heart rhythm study (electrophysiology evaluation): 10 of 27 insurance plan rates AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $6,904.26 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $6,904.26 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $6,697.59 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $6,459.73 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $7,002.36 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $6,697.59 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $6,459.73 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $7,469.57 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $6,904.26 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $7,469.57
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION	Not listed in the file	Not listed in the file	$9,458.67 – $40,898.89
Heart rhythm study with ablation for atrial fibrillation: 10 of 27 insurance plan rates AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $22,321.45 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $22,321.45 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $36,671.99 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $35,369.61 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $38,340.72 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $36,671.99 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $35,369.61 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $40,898.89 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $22,321.45 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $40,898.89
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: HC POLYSOMNOGRAPHY, 4 OR MORE	$18,859	$3,771.80	$308 – $16,082.96
Sleep study (overnight, in a sleep lab): 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $2,459.18 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $925.70 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $16,082.96 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $925.70 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $2,459.18 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $1,908.63 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $1,840.84 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $1,995.48 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $1,908.63 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $1,840.84
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) In the file: HC POLYSOMNOGRAPHY, 4 OR MORE	$18,859	$3,771.80	Not listed in the file

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: HC OT THERAPEUTIC EX EA 15MIN	$146	$29.20	$10.96 – $291
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $11.29 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $27.13 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $124.51 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $27.13 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $11.29 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $48.04 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $46.33 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $50.22 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $48.04 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $46.33
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: HC PT THERAPEUTIC EX EA 15MIN	$154	$30.80	$10.96 – $291
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $11.29 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $27.13 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $131.33 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $27.13 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $11.29 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $48.04 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $46.33 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $50.22 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $48.04 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $46.33
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) In the file: HC OT THERAPEUTIC EX EA 15MIN	$146	$29.20	Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: HC PT EVAL LOW COMPLEXITY 20 MINS	$233	$46.60	$74.48 – $291
Physical therapy evaluation (low complexity): 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $76.71 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $92.41 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $198.70 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $92.41 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $76.71 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $119.44 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $115.19 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $124.87 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $119.44 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $115.19
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) In the file: HC PT EVAL LOW COMPLEXITY 20 MINS	$233	$46.60	Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: HC PT EVAL, MOD COMPLEXITY 30 MINS	$233	$46.60	$74.48 – $291
Physical therapy evaluation (moderate complexity): 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $76.71 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $92.41 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $198.70 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $92.41 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $76.71 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $119.44 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $115.19 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $124.87 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $119.44 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $115.19
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) In the file: HC PT EVAL, MOD COMPLEXITY 30 MINS	$233	$46.60	Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: HC PT EVAL HIGH COMPLEXITY 45 MINS	$233	$46.60	$74.48 – $291
Physical therapy evaluation (high complexity): 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $76.71 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $92.41 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $198.70 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $92.41 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $76.71 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $119.44 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $115.19 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $124.87 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $119.44 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $115.19
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) In the file: HC PT EVAL HIGH COMPLEXITY 45 MINS	$233	$46.60	Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: HC PHP-PSYTX W/PATIENT, 30 MIN	$510	$102	$61.95 – $434.93
Psychotherapy, 30 minutes: 10 of 26 insurance plan rates AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $146.19 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $434.93 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $146.19 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $255 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $255 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $255 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $255 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $255 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $255 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $146.19
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) In the file: HC PHP-PSYTX W/PATIENT, 30 MIN	$510	$102	Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: HC PHP-PSYTX W/PATIENT, 45 MIN	$661	$132.20	$61.95 – $563.70
Psychotherapy, 45 minutes: 10 of 26 insurance plan rates AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $146.19 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $563.70 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $146.19 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $330.50 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $330.50 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $330.50 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $330.50 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $330.50 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $330.50 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $146.19
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) In the file: HC PHP-PSYTX W/PATIENT, 45 MIN	$661	$132.20	Not listed in the file
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: HC FAMILY PSYCHOTHERAPY W/PATIENT, 50 MIN	$1,515	$303	$61.95 – $1,291.99
Family psychotherapy, with the patient: 10 of 26 insurance plan rates AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $146.19 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,291.99 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $146.19 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $757.50 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $757.50 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $757.50 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $757.50 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $757.50 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $757.50 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $146.19
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) In the file: HC FAMILY PSYCHOTHERAPY W/PATIENT, 50 MIN	$1,515	$303	Not listed in the file
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: HC IOP-BMU GROUP PSYCHOTHERAPY	$1,289	$257.80	$35.66 – $1,099.26
Group psychotherapy: 10 of 28 insurance plan rates AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $84.16 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $1,099.26 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $84.16 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $263.06 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $253.72 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $275.03 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $263.06 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $253.72 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $293.38 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $84.16
Group psychotherapy CPT 90853 · Inpatient (hospital stay) In the file: HC IOP-BMU GROUP PSYCHOTHERAPY	$1,289	$257.80	Not listed in the file

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: REMOVAL OF BREAST LESION	$23,439.63	$4,687.93	$550.32 – $5,271.64
Removal of breast growth (open surgery): 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $566.83 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $3,484.19 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $3,484.19 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $566.83 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $4,726.81 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $4,558.94 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $4,941.90 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $4,726.81 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $4,558.94 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $5,271.64
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$4,960.93 – $17,627.54
Total hip replacement: 10 of 27 insurance plan rates AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $11,707.26 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $11,707.26 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $8,078.33 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $7,791.43 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $8,445.93 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $8,078.33 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $7,791.43 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $9,009.46 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $11,707.26 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $9,009.46
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$4,960.93 – $17,627.54
Total knee replacement: 10 of 27 insurance plan rates AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $11,707.26 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $11,707.26 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $12,852.52 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $12,396.07 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $13,437.37 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $12,852.52 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $12,396.07 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $14,333.93 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $11,707.26 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $14,333.93
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS	Not listed in the file	Not listed in the file	$399 – $3,702.11
Shoulder arthroscopy: shaving of shoulder bone: 10 of 21 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $566.83 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $566.83 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $3,319.50 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $3,201.61 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $3,470.55 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $3,319.50 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $3,201.61 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $3,702.11 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $3,702.11 BLUE CROSS BLUE SHIELD OF LOUISIANA- BLUE HIGH-PERFORMANCE N — ALL PAYOR: $3,319.50
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: KNEE ARTHROSCOPY/SURGERY	Not listed in the file	Not listed in the file	$679.83 – $7,733
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $700.22 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $2,952.21 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $2,952.21 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $700.22 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $3,319.50 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $3,201.61 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $3,470.55 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $3,319.50 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $3,201.61 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $3,702.11
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	$550.32 – $8,104.45
Removal of tonsils and adenoids (under age 12): 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $566.83 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $5,382.54 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $5,382.54 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $566.83 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $2,788.31 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $2,689.29 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $2,915.19 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $2,788.31 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $2,689.29 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $3,109.70
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: HC EGD DX (INCL BRUSH/WASH)	$5,100	$1,020	$359.35 – $4,349.28
Upper GI endoscopy (diagnostic): 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $370.13 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $853.07 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $4,349.28 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $853.07 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $370.13 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $945.98 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $912.38 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $989.02 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $945.98 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $912.38
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) In the file: HC EGD DX (INCL BRUSH/WASH)	$5,100	$1,020	Not listed in the file
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: HC EGD W/BX SGL OR MULT (BITE/COL	$5,100	$1,020	$361.49 – $4,349.28
Upper GI endoscopy with biopsy: 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $495.71 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $853.07 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $4,349.28 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $853.07 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $495.71 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $945.98 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $912.38 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $989.02 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $945.98 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $912.38
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) In the file: HC EGD W/BX SGL OR MULT (BITE/COL	$5,100	$1,020	Not listed in the file
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: HC COLON DX (INCL BRUSH/WASH)	$5,200	$1,040	$351.52 – $4,434.56
Colonoscopy (diagnostic): 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $495.71 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $829.55 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $4,434.56 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $829.55 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $495.71 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $1,048.53 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $1,011.29 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $1,096.24 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $1,048.53 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $1,011.29
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) In the file: HC COLON DX (INCL BRUSH/WASH)	$5,200	$1,040	Not listed in the file
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: HC COLON W/BX SGL OR MLT-BITE/CLD	$5,200	$1,040	$454.61 – $4,434.56
Colonoscopy with biopsy: 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $495.71 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $1,072.82 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $4,434.56 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $1,072.82 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $495.71 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $1,048.53 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $1,011.29 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $1,096.24 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $1,048.53 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $1,011.29
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) In the file: HC COLON W/BX SGL OR MLT-BITE/CLD	$5,200	$1,040	Not listed in the file
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: HC COLON W/REMOVAL BY SNARE TECH	$5,200	$1,040	$454.61 – $4,434.56
Colonoscopy with removal of polyps (snare): 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $495.71 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $1,072.82 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $4,434.56 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $1,072.82 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $495.71 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $1,048.53 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $1,011.29 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $1,096.24 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $1,048.53 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $1,011.29
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) In the file: HC COLON W/REMOVAL BY SNARE TECH	$5,200	$1,040	Not listed in the file
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	Not listed in the file	$454.61 – $2,616
Ultrasound of the lower bowel by endoscope: 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $495.71 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $1,072.82 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $1,072.82 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $495.71 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $1,048.53 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $1,011.29 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $1,096.24 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $1,048.53 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $1,011.29 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $1,169.38
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: HC COLONOSCOPY - AVERAGE RISK	$5,200	$1,040	$351.52 – $4,434.56
Screening colonoscopy (not high risk): 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $495.71 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $829.55 AETNA HEALTH INC. PPO/POS — ALL PAYOR: $4,434.56 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $829.55 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $495.71 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $1,479.15 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $1,426.62 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $1,546.46 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $1,479.15 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $1,426.62
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) In the file: HC COLONOSCOPY - AVERAGE RISK	$5,200	$1,040	Not listed in the file
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: LAPAROSCOPIC CHOLECYSTECTOMY	$40,101.59	$8,020.32	$550.32 – $10,646
Gallbladder removal by laparoscope: 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $566.83 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $5,308.57 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $5,308.57 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $566.83 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $5,373.53 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $5,182.70 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $5,618.05 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $5,373.53 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $5,182.70 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $5,992.90
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: PRP I/HERN INIT REDUC >5 YR	$39,864.26	$7,972.85	$679.83 – $8,080.06
Groin (inguinal) hernia repair, age 5 or older: 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $700.22 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $3,211.02 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $3,211.02 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $700.22 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $7,244.98 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $6,987.68 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $7,574.66 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $7,244.98 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $6,987.68 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $8,080.06
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: BIOPSY OF PROSTATE	Not listed in the file	Not listed in the file	$481.27 – $2,806.46
Prostate biopsy: 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $495.71 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $1,863.90 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $1,863.90 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $495.71 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $1,123.86 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $1,083.94 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $1,175 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $1,123.86 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $1,083.94 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $1,253.39
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: LAPARO RADICAL PROSTATECTOMY	Not listed in the file	Not listed in the file	$4,006.13 – $14,263.37
Prostate removal by laparoscope (radical prostatectomy): 10 of 27 insurance plan rates AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $9,472.96 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $9,472.96 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $4,153.64 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $4,006.13 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $4,342.65 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $4,153.64 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $4,006.13 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $4,632.40 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $9,472.96 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $4,632.40
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: HYSTEROSCOPY BIOPSY	$19,823.40	$3,964.68	$550.32 – $5,901.34
Hysteroscopy with biopsy of the uterus lining: 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $566.83 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $2,892.99 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $2,892.99 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $566.83 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $5,291.43 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $5,103.51 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $5,532.22 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $5,291.43 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $5,103.51 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $5,901.34
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	Not listed in the file	Not listed in the file	$267.01 – $2,311.71
Spinal injection, lower back (epidural), with imaging guidance: 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $370.13 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $630.11 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $630.11 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $370.13 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $2,072.79 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $1,999.18 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $2,167.11 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $2,072.79 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $1,999.18 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $2,311.71
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL	Not listed in the file	Not listed in the file	$343.26 – $1,219.70
Nerve root injection, lower back, with imaging guidance: 10 of 27 insurance plan rates AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $810.06 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $810.06 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $836.62 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $806.91 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $874.69 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $836.62 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $806.91 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $933.05 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $810.06 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $933.05
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$481.27 – $4,043
Carpal tunnel release: 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $495.71 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $1,776.79 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $1,776.79 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $495.71 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $2,113.70 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $2,038.63 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $2,209.88 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $2,113.70 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $2,038.63 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $2,357.33
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$211.52 – $1,516
Laser treatment of clouding after cataract surgery: 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $495.71 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $499.16 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $499.16 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $495.71 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $605.64 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $584.14 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $633.20 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $605.64 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $584.14 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $675.45
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: CATARACT SURG W/IOL 1 STAGE	$21,640.40	$4,328.08	$879.36 – $4,043
Cataract removal with lens implant: 10 of 33 insurance plan rates AETNA BETTER HEALTH (HEALTHY LOUISIANA) — ALL PAYOR: $914.71 AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $2,075.19 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $2,075.19 AMERIHEALTH CARITAS LOUISIANA (HEALTHY LOUISIANA) — ALL PAYOR: $914.71 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $2,672.74 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $2,577.82 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $2,794.36 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $2,672.74 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $2,577.82 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $2,980.81

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$11,050 – $119,943.87
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 22 insurance plan rates AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $93,703 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $93,702.84 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $107,764.18 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $103,054.45 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $111,180.67 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $107,764.18 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $103,054.45 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $118,457.60 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $91,217 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $119,943.87
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$12,350 – $23,432.99
Hip or knee replacement (major joint of the leg), without major complications: 10 of 22 insurance plan rates AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $18,306 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $18,306.38 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $21,053.49 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $20,133.37 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $21,720.96 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $21,053.49 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $20,133.37 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $23,142.63 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $17,466 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $23,432.99
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$15,506 – $29,422.05
Neck (cervical) spinal fusion, without complications: 10 of 22 insurance plan rates AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $22,985 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $22,985.16 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $26,434.39 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $25,279.10 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $27,272.45 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $26,434.39 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $25,279.10 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $29,057.47 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $22,043 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $29,422.05
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: MS DRG -UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC;APR DRG -UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEI	$61,399.32	$12,279.86	$7,148 – $52,189.42
Uterus and ovary surgery (not for cancer), without complications: 10 of 23 insurance plan rates AETNA HEALTH INC. - MEDICARE ADVANTAGE — ALL PAYOR: $11,638 AMERICAN HEALTH ADVANTAGE OF LOUISIANA (FORMERLY DIGNITY HEA — ALL PAYOR: $11,638.22 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 1 — ALL PAYOR: $13,385 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 2 — ALL PAYOR: $12,800 BLUE CROSS BLUE SHIELD OF LOUISIANA BLUE CONNECT 3 — ALL PAYOR: $13,809 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 1 — ALL PAYOR: $13,385 BLUE CROSS BLUE SHIELD OF LOUISIANA COMMUNITY BLUE 2 — ALL PAYOR: $12,800 BLUE CROSS BLUE SHIELD OF LOUISIANA HMO — ALL PAYOR: $14,713 BLUE CROSS BLUE SHIELD OF LOUISIANA MEDICARE ADVANTAGE PRODU — ALL PAYOR: $10,944 BLUE CROSS BLUE SHIELD OF LOUISIANA PPO — ALL PAYOR: $14,897

Source: Ochsner St Mary’s standard charges file (ochsner-craft.s3.amazonaws.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 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	Acute Care Hospital
Address	1125 Marguerite Street, Morgan City, LA 70380
Parish	St. Mary Parish
State	Louisiana
Phone	(985) 384‑2200
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	2 of 5 stars
CMS Certification Number	190014
Name in Medicare records	OCHSNER ST MARY
Profile level	Medicare data + hospital website
Name on the hospital’s website	Ochsner St. Mary Hospital
Official website	ochsner.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
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.

Ochsner St. Mary Hospital — ochsner.org

Ochsner St Mary

Summary

Profile from official sources

At a glance