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Acute Care Hospital

Physicians Medical Center

Houma, Louisiana · Terrebonne Parish

  • 218 Corporate Drive, Houma, LA 70360 · Directions
  • (985) 853‑1390
  • Emergency room: not listed
  • Medicare overall rating: not rated
  • Medicare payment reduction for hospital-acquired conditions (fiscal year 2026): yes · Medicare payment programs
  • Hospital type: Acute Care Hospital · Ownership: Physician

Physicians Medical Center is an acute care hospital at 218 Corporate Drive, Houma, LA 70360. Phone: (985) 853-1390. Medicare data does not list an emergency department.

Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked November 2, 2026).

Summary

Physicians Medical Center is an acute care hospital in Houma, Louisiana. Medicare data does not list emergency services. Its official website lists 18 services, specialties and programs. Medicare lists 63 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

Compare

Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-11-02). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

Not listedEmergency services
Not ratedNot rated by CMSMedicare rating
18Services listed

Quick answers

Does Physicians Medical Center have an emergency room?
Medicare (CMS) data does not list emergency services at Physicians Medical Center. The closest hospitals that do: Terrebonne General Medical Center - Parish (3.6 mi), Leonard J Chabert Medical Center (3.6 mi) and Thibodaux Regional Medical Center (13 mi). In a medical emergency, call 911.
Where is Physicians Medical Center?
218 Corporate Drive, Houma, LA 70360, in Terrebonne Parish, Louisiana.
What is the phone number of Physicians Medical Center?
(985) 853-1390, as listed by Medicare (CMS).
What is the Medicare star rating of Physicians Medical Center?
CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.
Does Medicare reduce its payments to Physicians Medical Center for hospital-acquired conditions?
Yes. For fiscal year 2026, CMS applies a 1-percent reduction to Medicare payments to Physicians Medical Center under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 1.1080; 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]

Doctors and clinicians (63)

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

Main specialties

Doctors with a page on this site (63)

And 39 more: the button below opens the full list.

Nearest emergency rooms

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

Find the closest emergency room to where you are →

Other hospitals near Houma

All hospitals in Houma · Hospitals in Terrebonne 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

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

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

What patients said (patient survey)

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

Rated the hospital 9 or 10 out of 1075%National average: 72%
Would definitely recommend the hospital71%National average: 71%
Nurses “always” communicated well81%National average: 80%
Doctors “always” communicated well78%National average: 80%
“Always” got help as soon as they wanted74%National average: 64%
Staff “always” explained medicines before giving them77%National average: 62%
Were given information about recovery at home92%National average: 86%
Room and bathroom “always” clean81%National average: 73%
Not reported to MedicareSummary star rating (all survey topics); Overall rating of the hospital; Would recommend the hospital; Nurses communicated well; Doctors communicated well; Patients got help quickly from staff; Staff explained medicines; Information about recovery at home; Room and bathroom kept clean; Restfulness of Environment; Care Coordination; Symptoms After Stay
Completed surveys41Response rate: 27%

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

Serious complications (patient safety indicator PSI-90)0.98No different from the national rate
Not reported to MedicareDeaths within 30 days: heart attack patients; Deaths within 30 days: heart failure patients; Deaths within 30 days: pneumonia patients; Deaths within 30 days: COPD patients; Deaths within 30 days: stroke patients; Deaths within 30 days: coronary bypass surgery (CABG)
Too few cases to reportComplications after hip or knee replacement

Source: Complications and Deaths - Hospital — CMS, released October 20, 2026; data from July 2023 to June 2025.

Not reported to Medicare: infections caught in the hospital, readmissions, emergency room times and sepsis care. For these topics Medicare shows no result for this hospital (not reported, or too few cases).

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 Physicians Medical Center, 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 2026YesCMS applies a 1-percent payment reduction to this hospital.
Total HAC Score1.1080Lower 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.

No result for this hospital: Hospital Readmissions Reduction Program; Hospital Value-Based Purchasing Program; Medicare spending per patient. This is normal when a hospital is paid under another Medicare system (for example critical access, children’s or psychiatric hospitals), is not in the program that year, or has too few cases.

ER wait times and Medicare ratings nearby

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

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 40 common services exactly as Physicians Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Show the prices of 40 common services

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD/BRAIN; WO CONTRAST MAT $1,482 $1,027.32 $139.16 – $1,224.87
CT scan of the head or brain, without contrast: 10 of 18 insurance plan rates
  • Aetna — Aetna: $165.67
  • Aetna Managed Care Medicare — Aetna Managed Care Medicare: $92.69
  • Amerihealth — AmeriHealth: $228.23
  • BCBS HMO — BCBS HMO: $139.16
  • BCBS PPO — BCBS PPO: $139.16
  • Blue Advantage — Blue Advantage: $92.69
  • Cigna — Cigna: $630
  • Healthy Blue Medicaid — Healthy Blue Medicaid: $228.23
  • Humana Managed Medicare — Humana Managed Medicare: $88.08
  • Louisiana Healthcare Connections — Louisiana Healthcare Connections: $228.23
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT HEAD/BRAIN; WO CONTRAST MAT $1,482 $1,027.32 Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Radiologic examination, chest; single view $215 $149.04 $33.11 – $99.09
Chest X-ray, 2 views: 10 of 17 insurance plan rates
  • Aetna — Aetna: $137.90
  • Aetna Managed Care Medicare — Aetna Managed Care Medicare: $77.16
  • Amerihealth — AmeriHealth: $33.11
  • BCBS HMO — BCBS HMO: $99.09
  • BCBS PPO — BCBS PPO: $99.09
  • Blue Advantage — Blue Advantage: $77.16
  • Healthy Blue Medicaid — Healthy Blue Medicaid: $33.11
  • Humana Managed Medicare — Humana Managed Medicare: $73.31
  • Louisiana Healthcare Connections — Louisiana Healthcare Connections: $33.11
  • Medicaid — Medicaid: $33.11
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Radiologic examination, chest; single view $215 $149.04 Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RADIOLOGIC EXAM, SPINE, THORACIC, TWO VIEWS $271 $187.86 $41.73 – $139.16
X-ray of the lower spine, at least 4 views: 10 of 17 insurance plan rates
  • Aetna — Aetna: $165.67
  • Aetna Managed Care Medicare — Aetna Managed Care Medicare: $92.69
  • Amerihealth — AmeriHealth: $41.73
  • BCBS HMO — BCBS HMO: $139.16
  • BCBS PPO — BCBS PPO: $139.16
  • Blue Advantage — Blue Advantage: $92.69
  • Healthy Blue Medicaid — Healthy Blue Medicaid: $41.73
  • Humana Managed Medicare — Humana Managed Medicare: $88.08
  • Louisiana Healthcare Connections — Louisiana Healthcare Connections: $41.73
  • Medicaid — Medicaid: $41.73
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RADIOLOGIC EXAM, SPINE, THORACIC, TWO VIEWS $271 $187.86 Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast materia $432 $299.46 $66.53 – $289.34
MRI of the lower back (lumbar spine), without contrast: 10 of 17 insurance plan rates
  • Aetna — Aetna: $378.09
  • Aetna Managed Care Medicare — Aetna Managed Care Medicare: $211.55
  • Amerihealth — AmeriHealth: $66.53
  • BCBS HMO — BCBS HMO: $289.34
  • BCBS PPO — BCBS PPO: $289.34
  • Blue Advantage — Blue Advantage: $211.55
  • Healthy Blue Medicaid — Healthy Blue Medicaid: $66.53
  • Humana Managed Medicare — Humana Managed Medicare: $201.02
  • Louisiana Healthcare Connections — Louisiana Healthcare Connections: $66.53
  • Medicaid — Medicaid: $66.53
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast materia $432 $299.46 Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W/CONTRAST $2,504 $1,735.77 $226.24 – $2,069.56
CT scan of the pelvis, with contrast: 10 of 18 insurance plan rates
  • Aetna — Aetna: $277.94
  • Aetna Managed Care Medicare — Aetna Managed Care Medicare: $155.52
  • Amerihealth — AmeriHealth: $385.62
  • BCBS HMO — BCBS HMO: $226.24
  • BCBS PPO — BCBS PPO: $226.24
  • Blue Advantage — Blue Advantage: $155.52
  • Cigna — Cigna: $630
  • Healthy Blue Medicaid — Healthy Blue Medicaid: $385.62
  • Humana Managed Medicare — Humana Managed Medicare: $147.78
  • Louisiana Healthcare Connections — Louisiana Healthcare Connections: $385.62
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT PELVIS W/CONTRAST $2,504 $1,735.77 Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT - Computed tomography, abdomen and pelvis; with contrast material(s) $3,784 $2,623.07 $474.10 – $3,127.48
CT scan of the abdomen and pelvis, with contrast: 10 of 18 insurance plan rates
  • Aetna — Aetna: $552.82
  • Aetna Managed Care Medicare — Aetna Managed Care Medicare: $309.33
  • Amerihealth — AmeriHealth: $582.74
  • BCBS HMO — BCBS HMO: $474.10
  • BCBS PPO — BCBS PPO: $474.10
  • Blue Advantage — Blue Advantage: $309.33
  • Cigna — Cigna: $630
  • Healthy Blue Medicaid — Healthy Blue Medicaid: $582.74
  • Humana Managed Medicare — Humana Managed Medicare: $293.92
  • Louisiana Healthcare Connections — Louisiana Healthcare Connections: $582.74
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT - Computed tomography, abdomen and pelvis; with contrast material(s) $3,784 $2,623.07 Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US GENERAL ABDOMEN $957 $663.39 $115.44 – $147.38
Ultrasound of the abdomen, complete: 10 of 17 insurance plan rates
  • Aetna — Aetna: $165.67
  • Aetna Managed Care Medicare — Aetna Managed Care Medicare: $92.69
  • Amerihealth — AmeriHealth: $147.38
  • BCBS HMO — BCBS HMO: $139.16
  • BCBS PPO — BCBS PPO: $139.16
  • Blue Advantage — Blue Advantage: $92.69
  • Healthy Blue Medicaid — Healthy Blue Medicaid: $147.38
  • Humana Managed Medicare — Humana Managed Medicare: $88.08
  • Louisiana Healthcare Connections — Louisiana Healthcare Connections: $147.38
  • Medicaid — Medicaid: $147.38
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US GENERAL ABDOMEN $957 $663.39 Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US OB $769 $533.07 $115.44 – $139.16
Pregnancy ultrasound (after the first trimester): 10 of 17 insurance plan rates
  • Aetna — Aetna: $165.67
  • Aetna Managed Care Medicare — Aetna Managed Care Medicare: $92.69
  • Amerihealth — AmeriHealth: $118.43
  • BCBS HMO — BCBS HMO: $139.16
  • BCBS PPO — BCBS PPO: $139.16
  • Blue Advantage — Blue Advantage: $92.69
  • Healthy Blue Medicaid — Healthy Blue Medicaid: $118.43
  • Humana Managed Medicare — Humana Managed Medicare: $88.08
  • Louisiana Healthcare Connections — Louisiana Healthcare Connections: $118.43
  • Medicaid — Medicaid: $118.43
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US OB $769 $533.07 Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US PELVIC - TRANSVAGINAL $593 $411.07 $91.32 – $139.16
Transvaginal ultrasound: 10 of 17 insurance plan rates
  • Aetna — Aetna: $165.67
  • Aetna Managed Care Medicare — Aetna Managed Care Medicare: $92.69
  • Amerihealth — AmeriHealth: $91.32
  • BCBS HMO — BCBS HMO: $139.16
  • BCBS PPO — BCBS PPO: $139.16
  • Blue Advantage — Blue Advantage: $92.69
  • Healthy Blue Medicaid — Healthy Blue Medicaid: $91.32
  • Humana Managed Medicare — Humana Managed Medicare: $88.08
  • Louisiana Healthcare Connections — Louisiana Healthcare Connections: $91.32
  • Medicaid — Medicaid: $91.32
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US PELVIC - TRANSVAGINAL $593 $411.07 Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral $539 $373.63 $71.32 – $133.51
Diagnostic mammogram, one breast: 10 of 17 insurance plan rates
  • Aetna — Aetna: $133.51
  • Aetna Managed Care Medicare — Aetna Managed Care Medicare: $75.07
  • Amerihealth — AmeriHealth: $83.01
  • BCBS HMO — BCBS HMO: $103.36
  • BCBS PPO — BCBS PPO: $103.36
  • Blue Advantage — Blue Advantage: $75.07
  • Healthy Blue Medicaid — Healthy Blue Medicaid: $83.01
  • Humana Managed Medicare — Humana Managed Medicare: $71.32
  • Louisiana Healthcare Connections — Louisiana Healthcare Connections: $83.01
  • Medicaid — Medicaid: $83.01
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral $539 $373.63 Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral $688 $476.92 $91.51 – $171.31
Diagnostic mammogram, both breasts: 10 of 17 insurance plan rates
  • Aetna — Aetna: $171.31
  • Aetna Managed Care Medicare — Aetna Managed Care Medicare: $96.32
  • Amerihealth — AmeriHealth: $105.95
  • BCBS HMO — BCBS HMO: $131.72
  • BCBS PPO — BCBS PPO: $131.72
  • Blue Advantage — Blue Advantage: $96.32
  • Healthy Blue Medicaid — Healthy Blue Medicaid: $105.95
  • Humana Managed Medicare — Humana Managed Medicare: $91.51
  • Louisiana Healthcare Connections — Louisiana Healthcare Connections: $105.95
  • Medicaid — Medicaid: $105.95
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral $688 $476.92 Not listed in the file
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Screening Papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to la $68 $47.14 $10.47 – $119
Screening mammogram, both breasts: 10 of 17 insurance plan rates
  • Aetna — Aetna: $119
  • Aetna Managed Care Medicare — Aetna Managed Care Medicare: $66.64
  • Amerihealth — AmeriHealth: $10.47
  • BCBS HMO — BCBS HMO: $68
  • BCBS PPO — BCBS PPO: $68
  • Blue Advantage — Blue Advantage: $66.64
  • Healthy Blue Medicaid — Healthy Blue Medicaid: $10.47
  • Humana Managed Medicare — Humana Managed Medicare: $66.64
  • Louisiana Healthcare Connections — Louisiana Healthcare Connections: $10.47
  • Medicaid — Medicaid: $10.47
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Screening Papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to la $68 $47.14 Not listed in the file

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM, ROUTINE ECG 12 LEADS $230 $159.44 $16.89 – $126.50
Electrocardiogram (ECG/EKG) with reading: 10 of 12 insurance plan rates
  • Aetna — Aetna: $16.89
  • Aetna Managed Care Medicare — Aetna Managed Care Medicare: $16.89
  • Amerihealth — AmeriHealth: $35.42
  • BCBS HMO — BCBS HMO: $68.30
  • BCBS PPO — BCBS PPO: $68.30
  • Blue Advantage — Blue Advantage: $115
  • Cigna — Cigna: $126.50
  • Healthy Blue Medicaid — Healthy Blue Medicaid: $35.42
  • Louisiana Healthcare Connections — Louisiana Healthcare Connections: $35.42
  • Medicaid — Medicaid: $35.42
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM, ROUTINE ECG 12 LEADS $230 $159.44 Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOMNOGRAPHY; SLEEP - CPAP $4,309 $2,987 $663.59 – $2,369.95
Sleep study (overnight, in a sleep lab): 10 of 18 insurance plan rates
  • Aetna — Aetna: $1,360.78
  • Aetna Managed Care Medicare — Aetna Managed Care Medicare: $761.40
  • Amerihealth — AmeriHealth: $663.59
  • BCBS HMO — BCBS HMO: $1,128.55
  • BCBS PPO — BCBS PPO: $1,128.55
  • Blue Advantage — Blue Advantage: $761.40
  • Cigna — Cigna: $2,369.95
  • Healthy Blue Medicaid — Healthy Blue Medicaid: $663.59
  • Humana Managed Medicare — Humana Managed Medicare: $723.48
  • Louisiana Healthcare Connections — Louisiana Healthcare Connections: $663.59
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: POLYSOMNOGRAPHY; SLEEP - CPAP $4,309 $2,987 Not listed in the file

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EXCISION BREAST BIOPSY/REMOVAL OF MASS $3,543 $2,456.01 $1,391 – $3,761.49
Removal of breast growth (open surgery): 10 of 13 insurance plan rates
  • Aetna — Aetna: $6,204.47
  • Aetna Managed Care Medicare — Aetna Managed Care Medicare: $3,471.59
  • BCBS HMO — BCBS HMO: $3,761.49
  • BCBS PPO — BCBS PPO: $3,761.49
  • Blue Advantage — Blue Advantage: $3,471.59
  • Cigna — Cigna: $1,391
  • Humana Managed Medicare — Humana Managed Medicare: $3,298.72
  • Medicare — Medicare: $3,488.68
  • Peoples Health — Peoples Health: $3,528.04
  • UHC VA - CNN — UHC VA - CNN: $3,528.04
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EXCISION BREAST BIOPSY/REMOVAL OF MASS $3,543 $2,456.01 Not listed in the file
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: EXCISION OF BILATERAL BREAST CYST, FIBROADENOMA OR OTHER BENIGN OR MALIGNANT TUMOR, ABERRANT BREAST $7,110 $4,928.65 $1,391 – $3,761.49
Removal of breast growth (open surgery): 10 of 13 insurance plan rates
  • Aetna — Aetna: $6,204.47
  • Aetna Managed Care Medicare — Aetna Managed Care Medicare: $3,471.59
  • BCBS HMO — BCBS HMO: $3,761.49
  • BCBS PPO — BCBS PPO: $3,761.49
  • Blue Advantage — Blue Advantage: $3,471.59
  • Cigna — Cigna: $1,391
  • Humana Managed Medicare — Humana Managed Medicare: $3,298.72
  • Medicare — Medicare: $3,488.68
  • Peoples Health — Peoples Health: $3,528.04
  • UHC VA - CNN — UHC VA - CNN: $3,528.04
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHROPLASTY,ACETABULAR AND PROXIMAL FEMORAL PROSTHETIC REPLACMENT (TOTAL HIP ARTHROPLASTY) WITH OR $22,554 $15,634.43 $2,888 – $14,775.92
Total hip replacement: 10 of 13 insurance plan rates
  • Aetna — Aetna: $20,344.41
  • Aetna Managed Care Medicare — Aetna Managed Care Medicare: $11,371.77
  • BCBS HMO — BCBS HMO: $14,775.92
  • BCBS PPO — BCBS PPO: $14,775.92
  • Blue Advantage — Blue Advantage: $11,371.77
  • Cigna — Cigna: $2,888
  • Humana Managed Medicare — Humana Managed Medicare: $10,804.92
  • Medicare — Medicare: $11,427.59
  • Peoples Health — Peoples Health: $11,568.42
  • UHC VA - CNN — UHC VA - CNN: $11,568.42
Total hip replacement CPT 27130 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ARTHROPLASTY,ACETABULAR AND PROXIMAL FEMORAL PROSTHETIC REPLACMENT (TOTAL HIP ARTHROPLASTY) WITH OR $22,554 $15,634.43 Not listed in the file
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella res $11,271 $7,813.06 $2,888 – $14,775.92
Total knee replacement: 10 of 13 insurance plan rates
  • Aetna — Aetna: $20,344.41
  • Aetna Managed Care Medicare — Aetna Managed Care Medicare: $11,371.77
  • BCBS HMO — BCBS HMO: $14,775.92
  • BCBS PPO — BCBS PPO: $14,775.92
  • Blue Advantage — Blue Advantage: $11,371.77
  • Cigna — Cigna: $2,888
  • Humana Managed Medicare — Humana Managed Medicare: $10,804.92
  • Medicare — Medicare: $11,427.59
  • Peoples Health — Peoples Health: $11,568.42
  • UHC VA - CNN — UHC VA - CNN: $11,568.42
Total knee replacement CPT 27447 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella res $11,271 $7,813.06 Not listed in the file
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella res $22,541 $15,625.42 $2,888 – $14,775.92
Total knee replacement: 10 of 13 insurance plan rates
  • Aetna — Aetna: $20,344.41
  • Aetna Managed Care Medicare — Aetna Managed Care Medicare: $11,383.33
  • BCBS HMO — BCBS HMO: $14,775.92
  • BCBS PPO — BCBS PPO: $14,775.92
  • Blue Advantage — Blue Advantage: $11,383.33
  • Cigna — Cigna: $2,888
  • Humana Managed Medicare — Humana Managed Medicare: $10,816.47
  • Medicare — Medicare: $11,439.37
  • Peoples Health — Peoples Health: $11,568.42
  • UHC VA - CNN — UHC VA - CNN: $11,568.42
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHROSCOPY SHOULDER DECOMPRESSION OF SUBACROMIAL SPACE WITH PARTIAL ACROMIOPLASTY WITH OR WITHOUT C $11,635 $8,065.38 $210 – $7,427.19
Shoulder arthroscopy: shaving of shoulder bone: rates for 4 insurance plans
  • BCBS HMO — BCBS HMO: $7,427.19
  • BCBS PPO — BCBS PPO: $7,427.19
  • Cigna — Cigna: $210
  • United Healthcare — United Healthcare: $513
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ARTHROSCOPY SHOULDER DECOMPRESSION OF SUBACROMIAL SPACE WITH PARTIAL ACROMIOPLASTY WITH OR WITHOUT C $11,635 $8,065.38 Not listed in the file
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHROSCOPY-KNEE-MENISC-MEDIAL OR LATERA $7,110 $4,928.65 $1,890 – $3,588
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 13 insurance plan rates
  • Aetna — Aetna: $5,184.88
  • Aetna Managed Care Medicare — Aetna Managed Care Medicare: $2,901.10
  • BCBS HMO — BCBS HMO: $3,398.82
  • BCBS PPO — BCBS PPO: $3,398.82
  • Blue Advantage — Blue Advantage: $2,901.10
  • Cigna — Cigna: $1,890
  • Humana Managed Medicare — Humana Managed Medicare: $2,756.64
  • Medicare — Medicare: $2,915.39
  • Peoples Health — Peoples Health: $2,948.27
  • UHC VA - CNN — UHC VA - CNN: $2,948.27
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ARTHROSCOPY-KNEE-MENISC-MEDIAL OR LATERA $7,110 $4,928.65 Not listed in the file
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TONSILLECTOMY AGE 12 OR OVER $4,863 $3,371.03 $1,391 – $6,022.42
Removal of tonsils and adenoids (under age 12): 10 of 13 insurance plan rates
  • Aetna — Aetna: $9,380.68
  • Aetna Managed Care Medicare — Aetna Managed Care Medicare: $5,248.77
  • BCBS HMO — BCBS HMO: $6,022.42
  • BCBS PPO — BCBS PPO: $6,022.42
  • Blue Advantage — Blue Advantage: $5,248.77
  • Cigna — Cigna: $1,391
  • Humana Managed Medicare — Humana Managed Medicare: $4,987.40
  • Medicare — Medicare: $5,274.62
  • Peoples Health — Peoples Health: $5,334.12
  • UHC VA - CNN — UHC VA - CNN: $5,334.12
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TONSILLECTOMY AGE 12 OR OVER $4,863 $3,371.03 Not listed in the file
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD (ESOPHAGO GASTRO DUODENOSCOPY) $2,264 $1,569.40 $975.80 – $1,179
Upper GI endoscopy (diagnostic): 10 of 13 insurance plan rates
  • Aetna — Aetna: $1,437.22
  • Aetna Managed Care Medicare — Aetna Managed Care Medicare: $804.17
  • BCBS HMO — BCBS HMO: $975.80
  • BCBS PPO — BCBS PPO: $975.80
  • Blue Advantage — Blue Advantage: $804.17
  • Cigna — Cigna: $1,080
  • Humana Managed Medicare — Humana Managed Medicare: $764.13
  • Medicare — Medicare: $808.13
  • Peoples Health — Peoples Health: $817.25
  • UHC VA - CNN — UHC VA - CNN: $817.25
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EGD (ESOPHAGO GASTRO DUODENOSCOPY) $2,264 $1,569.40 Not listed in the file
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 53 In the file: ATTEMPTED EGD $2,264 $1,569.40 $975.80 – $1,179
Upper GI endoscopy (diagnostic): 10 of 13 insurance plan rates
  • Aetna — Aetna: $1,437.22
  • Aetna Managed Care Medicare — Aetna Managed Care Medicare: $804.17
  • BCBS HMO — BCBS HMO: $975.80
  • BCBS PPO — BCBS PPO: $975.80
  • Blue Advantage — Blue Advantage: $804.17
  • Cigna — Cigna: $1,080
  • Humana Managed Medicare — Humana Managed Medicare: $764.13
  • Medicare — Medicare: $808.13
  • Peoples Health — Peoples Health: $817.25
  • UHC VA - CNN — UHC VA - CNN: $817.25
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD WITH BIOPSY $3,030 $2,100.40 $975.80 – $1,179
Upper GI endoscopy with biopsy: 10 of 13 insurance plan rates
  • Aetna — Aetna: $1,437.22
  • Aetna Managed Care Medicare — Aetna Managed Care Medicare: $804.17
  • BCBS HMO — BCBS HMO: $975.80
  • BCBS PPO — BCBS PPO: $975.80
  • Blue Advantage — Blue Advantage: $804.17
  • Cigna — Cigna: $1,080
  • Humana Managed Medicare — Humana Managed Medicare: $764.13
  • Medicare — Medicare: $808.13
  • Peoples Health — Peoples Health: $817.25
  • UHC VA - CNN — UHC VA - CNN: $817.25
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EGD WITH BIOPSY $3,030 $2,100.40 Not listed in the file
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY $3,824 $2,650.80 $948.43 – $1,179
Colonoscopy (diagnostic): 10 of 13 insurance plan rates
  • Aetna — Aetna: $1,473.62
  • Aetna Managed Care Medicare — Aetna Managed Care Medicare: $824.54
  • BCBS HMO — BCBS HMO: $948.43
  • BCBS PPO — BCBS PPO: $948.43
  • Blue Advantage — Blue Advantage: $824.54
  • Cigna — Cigna: $1,080
  • Humana Managed Medicare — Humana Managed Medicare: $783.48
  • Medicare — Medicare: $828.60
  • Peoples Health — Peoples Health: $837.95
  • UHC VA - CNN — UHC VA - CNN: $837.95
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY $3,824 $2,650.80 Not listed in the file
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 51 In the file: COLONOSCOPY-MULTIPLE PROCEDURE $3,824 $2,650.80 $948.43 – $1,179
Colonoscopy (diagnostic): 10 of 13 insurance plan rates
  • Aetna — Aetna: $1,473.62
  • Aetna Managed Care Medicare — Aetna Managed Care Medicare: $824.54
  • BCBS HMO — BCBS HMO: $948.43
  • BCBS PPO — BCBS PPO: $948.43
  • Blue Advantage — Blue Advantage: $824.54
  • Cigna — Cigna: $1,080
  • Humana Managed Medicare — Humana Managed Medicare: $783.48
  • Medicare — Medicare: $828.60
  • Peoples Health — Peoples Health: $837.95
  • UHC VA - CNN — UHC VA - CNN: $837.95
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY WITH BIOPSY $4,269 $2,959.27 $1,080 – $1,246.84
Colonoscopy with biopsy: 10 of 13 insurance plan rates
  • Aetna — Aetna: $1,896.21
  • Aetna Managed Care Medicare — Aetna Managed Care Medicare: $1,061
  • BCBS HMO — BCBS HMO: $1,246.84
  • BCBS PPO — BCBS PPO: $1,246.84
  • Blue Advantage — Blue Advantage: $1,061
  • Cigna — Cigna: $1,080
  • Humana Managed Medicare — Humana Managed Medicare: $1,008.17
  • Medicare — Medicare: $1,066.21
  • Peoples Health — Peoples Health: $1,078.25
  • UHC VA - CNN — UHC VA - CNN: $1,078.25
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY WITH BIOPSY $4,269 $2,959.27 Not listed in the file
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY WITH POLYPECTOMY $4,863 $3,371.03 $1,080 – $1,246.84
Colonoscopy with removal of polyps (snare): 10 of 13 insurance plan rates
  • Aetna — Aetna: $1,896.21
  • Aetna Managed Care Medicare — Aetna Managed Care Medicare: $1,061
  • BCBS HMO — BCBS HMO: $1,246.84
  • BCBS PPO — BCBS PPO: $1,246.84
  • Blue Advantage — Blue Advantage: $1,061
  • Cigna — Cigna: $1,080
  • Humana Managed Medicare — Humana Managed Medicare: $1,008.17
  • Medicare — Medicare: $1,066.21
  • Peoples Health — Peoples Health: $1,078.25
  • UHC VA - CNN — UHC VA - CNN: $1,078.25
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY WITH POLYPECTOMY $4,863 $3,371.03 Not listed in the file
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLORECTAL CANCER SCREENGIN, COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK $3,824 $2,650.80 $871 – $948.43
Screening colonoscopy (not high risk): 10 of 13 insurance plan rates
  • Aetna — Aetna: $1,473.62
  • Aetna Managed Care Medicare — Aetna Managed Care Medicare: $821.19
  • BCBS HMO — BCBS HMO: $948.43
  • BCBS PPO — BCBS PPO: $948.43
  • Blue Advantage — Blue Advantage: $821.19
  • Cigna — Cigna: $924
  • Humana Managed Medicare — Humana Managed Medicare: $780.13
  • Medicare — Medicare: $825.23
  • Peoples Health — Peoples Health: $837.95
  • UHC VA - CNN — UHC VA - CNN: $837.95
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLORECTAL CANCER SCREENGIN, COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK $3,824 $2,650.80 Not listed in the file
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECSYTECTOMY $10,987 $7,616.19 $2,982 – $6,001.53
Gallbladder removal by laparoscope: 10 of 13 insurance plan rates
  • Aetna — Aetna: $9,579.87
  • Aetna Managed Care Medicare — Aetna Managed Care Medicare: $5,360.22
  • BCBS HMO — BCBS HMO: $6,001.53
  • BCBS PPO — BCBS PPO: $6,001.53
  • Blue Advantage — Blue Advantage: $5,360.22
  • Cigna — Cigna: $2,982
  • Humana Managed Medicare — Humana Managed Medicare: $5,093.30
  • Medicare — Medicare: $5,386.62
  • Peoples Health — Peoples Health: $5,447.38
  • UHC VA - CNN — UHC VA - CNN: $5,447.38
Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECSYTECTOMY $10,987 $7,616.19 Not listed in the file
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REPAIR INGUINAL HERNIA, 6 MO. TO 5 YRS $6,652 $4,611.17 $1,890 – $3,860.56
Groin (inguinal) hernia repair, age 5 or older: 10 of 13 insurance plan rates
  • Aetna — Aetna: $5,673.57
  • Aetna Managed Care Medicare — Aetna Managed Care Medicare: $3,174.54
  • BCBS HMO — BCBS HMO: $3,860.56
  • BCBS PPO — BCBS PPO: $3,860.56
  • Blue Advantage — Blue Advantage: $3,174.54
  • Cigna — Cigna: $1,890
  • Humana Managed Medicare — Humana Managed Medicare: $3,016.46
  • Medicare — Medicare: $3,190.17
  • Peoples Health — Peoples Health: $3,226.16
  • UHC VA - CNN — UHC VA - CNN: $3,226.16
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient (hospital stay) · Hospital (facility) fee In the file: REPAIR INGUINAL HERNIA, 6 MO. TO 5 YRS $6,652 $4,611.17 Not listed in the file
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: REPAIR INITIAL BILATERAL INGUINAL HERNIA, AGE 6 MONTHS TO UNDER 5 $13,343 $9,249.37 $1,890 – $3,860.56
Groin (inguinal) hernia repair, age 5 or older: 10 of 13 insurance plan rates
  • Aetna — Aetna: $9,620.07
  • Aetna Managed Care Medicare — Aetna Managed Care Medicare: $5,382.72
  • BCBS HMO — BCBS HMO: $3,860.56
  • BCBS PPO — BCBS PPO: $3,860.56
  • Blue Advantage — Blue Advantage: $5,382.72
  • Cigna — Cigna: $1,890
  • Humana Managed Medicare — Humana Managed Medicare: $5,114.68
  • Medicare — Medicare: $5,409.23
  • Peoples Health — Peoples Health: $5,470.24
  • UHC VA - CNN — UHC VA - CNN: $5,470.24
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE $1,671 $1,158.34 $300.78 – $1,179
Prostate biopsy: rates for 7 insurance plans
  • Aetna — Aetna: $300.78
  • Aetna Managed Care Medicare — Aetna Managed Care Medicare: $300.78
  • BCBS HMO — BCBS HMO: $835.50
  • BCBS PPO — BCBS PPO: $835.50
  • Blue Advantage — Blue Advantage: $835.50
  • Cigna — Cigna: $1,080
  • United Healthcare — United Healthcare: $1,179
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE $1,671 $1,158.34 Not listed in the file
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY WITH SAMPLING(BIOPSY) OF ENDOMETRIUM AND/OR POLYPECTOMY W/WO D & C $6,129 $4,248.62 $1,391 – $3,101.64
Hysteroscopy with biopsy of the uterus lining: 10 of 13 insurance plan rates
  • Aetna — Aetna: $5,129.62
  • Aetna Managed Care Medicare — Aetna Managed Care Medicare: $2,870.17
  • BCBS HMO — BCBS HMO: $3,101.64
  • BCBS PPO — BCBS PPO: $3,101.64
  • Blue Advantage — Blue Advantage: $2,870.17
  • Cigna — Cigna: $1,391
  • Humana Managed Medicare — Humana Managed Medicare: $2,727.25
  • Medicare — Medicare: $2,884.31
  • Peoples Health — Peoples Health: $2,916.84
  • UHC VA - CNN — UHC VA - CNN: $2,916.84
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HYSTEROSCOPY WITH SAMPLING(BIOPSY) OF ENDOMETRIUM AND/OR POLYPECTOMY W/WO D & C $6,129 $4,248.62 Not listed in the file
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, ster $2,978 $2,064.35 $776.06 – $924
Spinal injection, lower back (epidural), with imaging guidance: 10 of 13 insurance plan rates
  • Aetna — Aetna: $1,118.55
  • Aetna Managed Care Medicare — Aetna Managed Care Medicare: $625.86
  • BCBS HMO — BCBS HMO: $776.06
  • BCBS PPO — BCBS PPO: $776.06
  • Blue Advantage — Blue Advantage: $625.86
  • Cigna — Cigna: $924
  • Humana Managed Medicare — Humana Managed Medicare: $594.70
  • Medicare — Medicare: $628.94
  • Peoples Health — Peoples Health: $636.04
  • UHC VA - CNN — UHC VA - CNN: $636.04
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, ster $2,978 $2,064.35 Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LUMBAR OR SACRAL SINGLE LEVEL $1,506 $1,043.96 $871 – $1,008.24
Nerve root injection, lower back, with imaging guidance: 10 of 13 insurance plan rates
  • Aetna — Aetna: $1,401.56
  • Aetna Managed Care Medicare — Aetna Managed Care Medicare: $784.21
  • BCBS HMO — BCBS HMO: $1,008.24
  • BCBS PPO — BCBS PPO: $1,008.24
  • Blue Advantage — Blue Advantage: $784.21
  • Cigna — Cigna: $924
  • Humana Managed Medicare — Humana Managed Medicare: $745.16
  • Medicare — Medicare: $788.08
  • Peoples Health — Peoples Health: $796.96
  • UHC VA - CNN — UHC VA - CNN: $796.96
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LUMBAR OR SACRAL SINGLE LEVEL $1,506 $1,043.96 Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: INJECTION,BILATERAL,ANESTHETIC AGENT AND/OR STERIOD, TRANSFORAMINAL EPIDURAL, LUMBAR OR SACRAL, SING $3,865 $2,679.22 $871 – $1,008.24
Nerve root injection, lower back, with imaging guidance: 10 of 13 insurance plan rates
  • Aetna — Aetna: $2,102.33
  • Aetna Managed Care Medicare — Aetna Managed Care Medicare: $1,176.31
  • BCBS HMO — BCBS HMO: $1,008.24
  • BCBS PPO — BCBS PPO: $1,008.24
  • Blue Advantage — Blue Advantage: $1,176.31
  • Cigna — Cigna: $924
  • Humana Managed Medicare — Humana Managed Medicare: $1,117.74
  • Medicare — Medicare: $1,182.11
  • Peoples Health — Peoples Health: $1,195.44
  • UHC VA - CNN — UHC VA - CNN: $1,195.44
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL NEUROPLASTY $5,494 $3,808.44 $1,391 – $2,420
Carpal tunnel release: 10 of 13 insurance plan rates
  • Aetna — Aetna: $3,094.33
  • Aetna Managed Care Medicare — Aetna Managed Care Medicare: $1,731.37
  • BCBS HMO — BCBS HMO: $2,134.75
  • BCBS PPO — BCBS PPO: $2,134.75
  • Blue Advantage — Blue Advantage: $1,731.37
  • Cigna — Cigna: $1,391
  • Humana Managed Medicare — Humana Managed Medicare: $1,645.15
  • Medicare — Medicare: $1,739.90
  • Peoples Health — Peoples Health: $1,759.52
  • UHC VA - CNN — UHC VA - CNN: $1,759.52
Carpal tunnel release CPT 64721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARPAL TUNNEL NEUROPLASTY $5,494 $3,808.44 Not listed in the file
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: *CARPAL TUNNEL NEUROPLASTY $10,976 $7,608.56 $1,391 – $2,420
Carpal tunnel release: 10 of 13 insurance plan rates
  • Aetna — Aetna: $3,094.33
  • Aetna Managed Care Medicare — Aetna Managed Care Medicare: $1,731.37
  • BCBS HMO — BCBS HMO: $2,134.75
  • BCBS PPO — BCBS PPO: $2,134.75
  • Blue Advantage — Blue Advantage: $1,731.37
  • Cigna — Cigna: $1,391
  • Humana Managed Medicare — Humana Managed Medicare: $1,645.15
  • Medicare — Medicare: $1,739.90
  • Peoples Health — Peoples Health: $1,759.52
  • UHC VA - CNN — UHC VA - CNN: $1,759.52
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LENS INCISION DISCISSION SECONDARY MEMBRANE CATARACT-LASER SURGERY $3,879 $2,688.92 $629.40 – $924
Laser treatment of clouding after cataract surgery: 10 of 13 insurance plan rates
  • Aetna — Aetna: $871.53
  • Aetna Managed Care Medicare — Aetna Managed Care Medicare: $487.65
  • BCBS HMO — BCBS HMO: $629.40
  • BCBS PPO — BCBS PPO: $629.40
  • Blue Advantage — Blue Advantage: $487.65
  • Cigna — Cigna: $924
  • Humana Managed Medicare — Humana Managed Medicare: $463.37
  • Medicare — Medicare: $490.05
  • Peoples Health — Peoples Health: $495.58
  • UHC VA - CNN — UHC VA - CNN: $495.58
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LENS INCISION DISCISSION SECONDARY MEMBRANE CATARACT-LASER SURGERY $3,879 $2,688.92 Not listed in the file
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EXTRACAPSULAR CATARACT (ECC) W/PHACO $4,242 $2,940.55 $1,391 – $2,510.34
Cataract removal with lens implant: 10 of 13 insurance plan rates
  • Aetna — Aetna: $3,657.03
  • Aetna Managed Care Medicare — Aetna Managed Care Medicare: $2,046.22
  • BCBS HMO — BCBS HMO: $2,510.34
  • BCBS PPO — BCBS PPO: $2,510.34
  • Blue Advantage — Blue Advantage: $2,046.22
  • Cigna — Cigna: $1,391
  • Humana Managed Medicare — Humana Managed Medicare: $1,944.33
  • Medicare — Medicare: $2,056.29
  • Peoples Health — Peoples Health: $2,079.49
  • UHC VA - CNN — UHC VA - CNN: $2,079.49
Cataract removal with lens implant CPT 66984 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EXTRACAPSULAR CATARACT (ECC) W/PHACO $4,242 $2,940.55 Not listed in the file
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: EXRTRACAPSULAR CATARACT REMOVAL WITH INSERTION OF INTRAOCULAR LENS PROSTHESIS, BILATERAL $3,960 $2,745.07 $1,391 – $2,510.34
Cataract removal with lens implant: 10 of 13 insurance plan rates
  • Aetna — Aetna: $3,657.03
  • Aetna Managed Care Medicare — Aetna Managed Care Medicare: $2,046.22
  • BCBS HMO — BCBS HMO: $2,510.34
  • BCBS PPO — BCBS PPO: $2,510.34
  • Blue Advantage — Blue Advantage: $2,046.22
  • Cigna — Cigna: $1,391
  • Humana Managed Medicare — Humana Managed Medicare: $1,944.33
  • Medicare — Medicare: $2,056.29
  • Peoples Health — Peoples Health: $2,079.49
  • UHC VA - CNN — UHC VA - CNN: $2,079.49

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee 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 $54,441.28 – $81,197.24
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 13 insurance plan rates
  • Aetna — Aetna: $81,197.24
  • Aetna Managed Care Medicare — Aetna Managed Care Medicare: $59,539.38
  • BCBS HMO — BCBS HMO: $60,849.02
  • BCBS PPO — BCBS PPO: $69,653.54
  • Blue Advantage — Blue Advantage: $59,539.38
  • Cigna — Cigna: $54,441.28
  • Humana Managed Medicare — Humana Managed Medicare: $56,562.41
  • Medicare — Medicare: $59,539.38
  • Peoples Health — Peoples Health: $60,719.04
  • UHC VA - CNN — UHC VA - CNN: $60,719.04
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC Not listed in the file Not listed in the file $21,169.97 – $22,703.53
Spinal fusion (not neck), without major complications: rates for 8 insurance plans
  • Aetna Managed Care Medicare — Aetna Managed Care Medicare: $22,284.18
  • Blue Advantage — Blue Advantage: $22,284.18
  • Humana Managed Medicare — Humana Managed Medicare: $21,169.97
  • Medicare — Medicare: $22,284.18
  • Peoples Health — Peoples Health: $22,703.53
  • UHC VA - CNN — UHC VA - CNN: $22,703.53
  • United Healthcare managed care medicare — United Healthcare Managed Care Medicare: $22,284.18
  • WellCare — WellCare: $22,284.18
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee 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 $10,734.33 – $16,009.87
Hip or knee replacement (major joint of the leg), without major complications: 10 of 13 insurance plan rates
  • Aetna — Aetna: $16,009.87
  • Aetna Managed Care Medicare — Aetna Managed Care Medicare: $11,767.40
  • BCBS HMO — BCBS HMO: $11,997.76
  • BCBS PPO — BCBS PPO: $13,733.77
  • Blue Advantage — Blue Advantage: $11,767.40
  • Cigna — Cigna: $10,734.33
  • Humana Managed Medicare — Humana Managed Medicare: $11,179.03
  • Medicare — Medicare: $11,767.40
  • Peoples Health — Peoples Health: $11,972.12
  • UHC VA - CNN — UHC VA - CNN: $11,972.12
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $13,585.83 – $20,262.79
Neck (cervical) spinal fusion, without complications: 10 of 13 insurance plan rates
  • Aetna — Aetna: $20,262.79
  • Aetna Managed Care Medicare — Aetna Managed Care Medicare: $14,884.11
  • BCBS HMO — BCBS HMO: $15,184.89
  • BCBS PPO — BCBS PPO: $17,382.06
  • Blue Advantage — Blue Advantage: $14,884.11
  • Cigna — Cigna: $13,585.83
  • Humana Managed Medicare — Humana Managed Medicare: $14,139.91
  • Medicare — Medicare: $14,884.11
  • Peoples Health — Peoples Health: $15,152.44
  • UHC VA - CNN — UHC VA - CNN: $15,152.44
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $6,904.50 – $10,297.81
Uterus and ovary surgery (not for cancer), without complications: 10 of 13 insurance plan rates
  • Aetna — Aetna: $10,297.81
  • Aetna Managed Care Medicare — Aetna Managed Care Medicare: $7,581.38
  • BCBS HMO — BCBS HMO: $7,717.16
  • BCBS PPO — BCBS PPO: $8,833.78
  • Blue Advantage — Blue Advantage: $7,581.38
  • Cigna — Cigna: $6,904.50
  • Humana Managed Medicare — Humana Managed Medicare: $7,202.31
  • Medicare — Medicare: $7,581.38
  • Peoples Health — Peoples Health: $7,700.67
  • UHC VA - CNN — UHC VA - CNN: $7,700.67

Source: Physicians Medical Center’s standard charges file (tghealthsystem.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on September 24, 2026; retrieved November 5, 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 typeAcute Care Hospital
Address218 Corporate Drive, Houma, LA 70360
ParishTerrebonne Parish
StateLouisiana
Phone(985) 853‑1390
Emergency servicesNot listed
OwnershipPhysician
Medicare overall ratingNot rated by CMS
CMS Certification Number190241
Name in Medicare recordsPHYSICIANS MEDICAL CENTER
Profile levelMedicare data + hospital website
Official websitetghealthsystem.com
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-11-02.

  1. Outpatient Surgery Services in Houma, LA | Physicians Medical Center — tghealthsystem.com