Does Pointe Coupee General Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Pointe Coupee General Hospital. In a medical emergency, call 911.

Where is Pointe Coupee General Hospital?

2202 False River Drive, New Roads, LA 70760, in Pointe Coupee Parish, Louisiana.

What is the phone number of Pointe Coupee General Hospital?

(225) 638-6331, as listed by Medicare (CMS).

What is the Medicare star rating of Pointe Coupee General Hospital?

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.

Pointe Coupee General Hospital — Phone & Address

Quick answers

Does Pointe Coupee General Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Pointe Coupee General Hospital. In a medical emergency, call 911.
Where is Pointe Coupee General Hospital?: 2202 False River Drive, New Roads, LA 70760, in Pointe Coupee Parish, Louisiana.
What is the phone number of Pointe Coupee General Hospital?: (225) 638-6331, as listed by Medicare (CMS).
What is the Medicare star rating of Pointe Coupee General Hospital?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^[4][5][8]

Emergency medicine
Laboratory services
Wound care
Skilled rehabilitation
Nutrition and diabetes education
Sleep medicine

Conditions treated^[5][8]

Abdominal pain
Allergic reactions
Blood clots
Bronchitis
Chest pain
Dehydration
Heat-related illness
Irregular heart rhythms
Pneumonia
Serious infections
Shortness of breath
Tachycardia
Stroke
Diabetic, venous and pressure ulcers
Non-healing wounds
Osteomyelitis
Breast cancer (screening)

Treatments^[4][5][8]

Emergency care
Outpatient infusion therapy
Wound care
Skilled nursing and therapy care after hospital stay
Intravenous therapy
Medical nutrition therapy
Telestroke consultation

Procedures^[4][8]

Digital 3D mammography
Ultrasound
Sleep studies
Phlebotomy

Programs and centers^[5][6][8]

Skilled Rehabilitation Program
Outpatient Wound Care Clinic
Telestroke Program
Diabetes Education and Nutrition Program
Tobacco Cessation Program
Take-Back Kiosk for unused medication

Emergency care (hospital website)^[5]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Visiting	Visiting hours are 7:00 AM to 8:00 PM; children must be accompanied by an adult^[6]
Parking	Free parking is available campus-wide, near all public entrances^[6]
Interpreters and languages	Patients can ask staff for interpretive services; the site also offers Google Translate^[4][6]
Patient portal	MyChart

Recognition^[4][5][6]

Joint Commission Gold Seal of Approval (Critical Access Hospital accreditation)
Safe Haven for Babies

Doctors and clinicians (65)

65 doctors and other clinicians list Pointe Coupee General Hospital 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 41 more: the button below opens the full list.

Other emergency rooms nearby

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

West Feliciana Parish Hospital8.9 mi · Saint Francisville, LA · Critical Access Hospital
Lane Regional Medical Center18 mi · Zachary, LA · Acute Care Hospital
The General24 mi · Baton Rouge, LA · Acute Care Hospital
Fmol Health | Our Lady of the Lake29 mi · Baton Rouge, LA · Acute Care Hospital
Baton Rouge General Medical Center29 mi · Baton Rouge, LA · Acute Care Hospital

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

Other hospitals near New Roads

Eastern LA Mental Health System18 mi · Jackson, LA · Psychiatric Hospital
Zachary - A M G Specialty Hospital19 mi · Zachary, LA · Long-Term Acute Care Hospital
Bethesda Rehabilitation Hospital24 mi · Baton Rouge, LA · Inpatient Rehabilitation Hospital

Hospitals in Pointe Coupee 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

Lakeview Manor Nursing and Rehabilitation Center0.3 mi · New Roads, LA · 3 of 5 stars
Pointe Coupee Healthcare0.5 mi · New Roads, LA · 2 of 5 stars
St. Francisville Nursing and Rehab, LLC15 mi · Saint Francisville, LA · 1 of 5 stars

All nursing homes in the state →

Hospice providers

Pointe Coupee Hospice1.8 mi · New Roads, LA

All hospice providers in the state →

Home health agencies

Pointe Coupee Homebound Health1.8 mi · New Roads, LA · 2 of 5 stars
Feliciana Home Health18 mi · Zachary, LA · 3 of 5 stars
Lane Home Health An Affiliate of Lane Regional Medical18 mi · Zachary, LA · 3.5 of 5 stars

All home health agencies in the state →

Dialysis facilities

Fmcna - New Roads1.8 mi · New Roads, LA · 4 of 5 stars
Fmcna - Westport16 mi · Port Allen, LA · 3 of 5 stars
DaVita Scotlandville Dialysis17 mi · Baton Rouge, LA · 3 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Out Patient Surgery & Cosmetic Center18 mi · Zachary, LA
Surgery Center of Zachary, LLC18 mi · Zachary, LA

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

New Roads Community Health Center0.1 mi · New Roads, LA · Community health center
Rosenwald Elementary School2.1 mi · New Roads, LA · Community health center
Stem Magnet Academy of Pointe Coupee5.2 mi · New Roads, LA · Community health center

Clinics and urgent care

Hulin Urgent Care Services LLC1.8 mi · New Roads, LA · Urgent care center
Our Lady of the Lake Physician Group New Roads1.8 mi · New Roads, LA · Rural health clinic
Oxbow Family Practice1.8 mi · New Roads, LA · Rural health clinic

Pharmacies

Blanchard's Pharmacy, Inc.1.8 mi · New Roads, LA · Community/retail pharmacy
Brookshire Grocery Company1.8 mi · New Roads, LA · Community/retail pharmacy
Raymond M Garrett1.8 mi · New Roads, 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 Pointe Coupee General Hospital 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.

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)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	122 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Not reported to Medicare	Sepsis patients who got all the recommended early care (SEP-1)

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

Not reported to Medicare: the patient survey, infections caught in the hospital, complications and deaths, readmissions. For these topics Medicare shows no result for this hospital (not reported, or too few cases).

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Louisiana Best hospitals in Louisiana

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 50 common services exactly as Pointe Coupee General Hospital 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 50 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 · Inpatient or outpatient In the file: OFF.LEVEL 111	$143	$143	Not listed in the file
New patient office visit (about 30–44 minutes): rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: NEW PATIENT VISIT 30 MIN.- WOUND CLINIC	$132	$132	Not listed in the file
New patient office visit (about 30–44 minutes): rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: NEW PATIENT VISIT 45 MIN.- WOUND CLINIC	$192	$192	Not listed in the file
New patient office visit (about 45–59 minutes): rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: NEW PATIENT VISIT 60 MIN.- WOUND CLINIC	$192	$192	Not listed in the file
New patient office visit (about 60–74 minutes): rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: EST. PATIENT VISIT 15 MN- WOUND CLINIC	$132	$132	Not listed in the file
Established patient office visit (about 20–29 minutes): rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: EST. PT TELEHEALTH LEVEL 3	$132	$132	Not listed in the file
Established patient office visit (about 20–29 minutes): rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: EST. PATIENT VISIT 25 MN- WOUND CLINIC	$192	$192	Not listed in the file
Established patient office visit (about 30–39 minutes): rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient In the file: OUTPATIENT CONSULT NEW 40 MIN-WOUND CLIN	$300	$300	Not listed in the file
Office consultation with a specialist (moderate): rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient In the file: OUTPATIENT CONSULT NEW 60 MIN-WOUND CLIN	$450	$450	Not listed in the file
Office consultation with a specialist (moderate to high): rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: BASIC ER CHARGE - LEVEL 3	$723	$723	Not listed in the file
Emergency room visit (moderate): rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: ER PHY. - MIDDLE SEVERITY	$723	$723	Not listed in the file
Emergency room visit (moderate): rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: ED VISIT LEVEL 3	$723	$723	Not listed in the file
Emergency room visit (moderate): rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: BASIC ER CHARGE - LEVEL 4	$1,140	$1,140	Not listed in the file
Emergency room visit (moderately high): rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: ER PHY. - HIGH SEVERITY	$1,140	$1,140	Not listed in the file
Emergency room visit (moderately high): rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: ALLEGED ASSAULT/CORONERS CASE	$1,140	$1,140	Not listed in the file
Emergency room visit (moderately high): rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: BASIC ER CHARGE - LEVEL V	$1,634	$1,634	Not listed in the file
Emergency room visit (high): rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: ER PHY. - LIFE THREATENING	$1,634	$1,634	Not listed in the file
Emergency room visit (high): rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: ED VISIT LEVEL 5	$1,634	$1,634	Not listed in the file
Emergency room visit (high): rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: BASIC METABOLIC PANEL (BMP)	$169.41	$169.41	Not listed in the file
Basic metabolic panel (blood test): rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: BMP	$169.41	$169.41	Not listed in the file
Basic metabolic panel (blood test): rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: BASIC METABOLIC PANEL (LABCORP)	$169.41	$169.41	Not listed in the file
Basic metabolic panel (blood test): rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: COMP METABOLIC PANEL (CMP)	$182.24	$182.24	Not listed in the file
Comprehensive metabolic panel (blood test): rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: .HF CMP	$47.85	$47.85	Not listed in the file
Comprehensive metabolic panel (blood test): rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: .CMP TO REFERENCE LAB	$182.24	$182.24	Not listed in the file
Comprehensive metabolic panel (blood test): rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: .HF LIPID PANEL	$43	$43	Not listed in the file
Cholesterol panel (lipid panel): rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: .LIPID TO REF LAB	$137.94	$137.94	Not listed in the file
Cholesterol panel (lipid panel): rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: CORONARY RISK (LIPID)	$137.94	$137.94	Not listed in the file
Cholesterol panel (lipid panel): rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: RENAL FUNCTION PANEL	$83.60	$83.60	Not listed in the file
Kidney function panel: rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: RENAL FUNCTION PANEL-LABCORP	$83.60	$83.60	Not listed in the file
Kidney function panel: rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: CI-RENAL FUNCTION PANEL	$83.60	$83.60	Not listed in the file
Kidney function panel: rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Liver function panel CPT 80076 · Inpatient or outpatient In the file: DELETE LIVER PROFILE	$181.19	$181.19	Not listed in the file
Liver function panel: rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HFP (HEPATIC FUNCTION PANEL	$181.19	$181.19	Not listed in the file
Liver function panel: rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Liver function panel CPT 80076 · Inpatient or outpatient In the file: CI-HEPATIC FUNCTION PANEL	$181.19	$181.19	Not listed in the file
Liver function panel: rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: URINALYSIS W CULTURE IF INDICATED	$66.63	$66.63	Not listed in the file
Urine test (automated, with microscope): rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: URINALYSIS	$66.63	$66.63	Not listed in the file
Urine test (automated, with microscope): rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: URINE DIP STICK (VISUAL)	$25.20	$25.20	Not listed in the file
Urine test (manual, without microscope): rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: .KS COMBO COMPONENT (URINALYSIS)	$12.25	$12.25	Not listed in the file
Urine test (automated, without microscope): rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: .PSA TOTAL	$124.71	$124.71	Not listed in the file
PSA (prostate specific antigen) blood test: rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA TOTAL/REFLEX FREE	$75.90	$75.90	Not listed in the file
PSA (prostate specific antigen) blood test: rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: D-GRANT PSA	$60	$60	Not listed in the file
PSA (prostate specific antigen) blood test: rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: .HF TSH	$54	$54	Not listed in the file
Thyroid stimulating hormone (TSH) test: rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: TSH W/REFLEX T4 FREE	$101.33	$101.33	Not listed in the file
Thyroid stimulating hormone (TSH) test: rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: TSH- LABCORP	$94	$94	Not listed in the file
Thyroid stimulating hormone (TSH) test: rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC (AUTO HGB,HCT,RBC,WBC,PLT,AUTO DIFF)	$72.61	$72.61	Not listed in the file
Complete blood count (CBC) with differential: rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: DELETE - CBC/PLAT/DIFF	$27.50	$27.50	Not listed in the file
Complete blood count (CBC) with differential: rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: .HF CBC	$22	$22	Not listed in the file
Complete blood count (CBC) with differential: rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PT (PROTHROMBIN TIME)	$33.59	$33.59	Not listed in the file
Blood clotting time test (prothrombin time, PT): rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: PTT	$65.04	$65.04	Not listed in the file
Blood clotting test (partial thromboplastin time, PTT): rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT HEAD W/O CONTRAST	$1,186.55	$1,186.55	Not listed in the file
CT scan of the head or brain, without contrast: rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT CODE FAST HEAD W/O CONTRAST	$1,186.55	$1,186.55	Not listed in the file
CT scan of the head or brain, without contrast: rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI BRAIN W/WO CONTRAST	$2,388	$2,388	Not listed in the file
MRI of the brain, before and after contrast: rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: CHEST 2 VIEWS	$259	$259	Not listed in the file
Chest X-ray, 2 views: rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: L-SPINE 5 VIEWS	$425.12	$425.12	Not listed in the file
X-ray of the lower spine, at least 4 views: rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MRI LUMBAR W/O CONTRAST	$1,968	$1,968	Not listed in the file
MRI of the lower back (lumbar spine), without contrast: rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT PELVIS W/CONTRAST	$1,515.61	$1,515.61	Not listed in the file
CT scan of the pelvis, with contrast: rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier RT In the file: MRI HIP RIGHT W/O CONTRAST,right side	$1,968	$1,968	Not listed in the file
MRI of a leg joint (such as the knee), without contrast: rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier LT In the file: MRI HIP LEFT W/O CONTRAST,left side	$1,968	$1,968	Not listed in the file
MRI of a leg joint (such as the knee), without contrast: rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier LT In the file: MRI KNEE LEFT W/O CONTRAST,left side	$1,968	$1,968	Not listed in the file
MRI of a leg joint (such as the knee), without contrast: rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT ABDOMEN/PELVIS W/CONTRAST	$2,500	$2,500	Not listed in the file
CT scan of the abdomen and pelvis, with contrast: rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US ABDOMEN COMPLETE	$699.20	$699.20	Not listed in the file
Ultrasound of the abdomen, complete: rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: US OB GREATER THAN 14WKS SINGLE GEST	$563.76	$563.76	Not listed in the file
Pregnancy ultrasound (after the first trimester): rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: US PELVIS TRANS VAGINAL	$425.75	$425.75	Not listed in the file
Transvaginal ultrasound: rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier LT In the file: MM MAMMO DIAGNOSTIC UNILATERAL LEFT,left side	$275	$275	Not listed in the file
Diagnostic mammogram, one breast: rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier RT In the file: MM MAMMO DIAGNOSTIC UNILATERAL RIGHT,right side	$275	$275	Not listed in the file
Diagnostic mammogram, one breast: rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier LT In the file: MM MAMMO SCREENING UNI LEFT,left side	$275	$275	Not listed in the file
Diagnostic mammogram, one breast: rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: MM MAMMO DIAGNOSTIC BILATERAL	$344	$344	Not listed in the file
Diagnostic mammogram, both breasts: rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: MM MAMMO 3D TOMO DIAGNOSTIC BILATERAL	$344	$344	Not listed in the file
Diagnostic mammogram, both breasts: rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: MM MAMMO BILATERAL SCREENING	$330	$330	Not listed in the file
Screening mammogram, both breasts: rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: MM MAMMO 3D TOMO SCREENING BILATERAL	$330	$330	Not listed in the file
Screening mammogram, both breasts: rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: BASIC SLEEP STUDY	$3,700	$3,700	Not listed in the file
Sleep study (overnight, in a sleep lab): rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: SPLIT STUDY-HUM	$8,000	$8,000	Not listed in the file
Sleep study (overnight, in a sleep lab): rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: SLEEP STUDY	$2,944	$2,944	Not listed in the file
Sleep study (overnight, in a sleep lab): rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GO In the file: THERAPEUTIC EXERCISE,occupational	$97	$97	Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes): rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GO In the file: PERCEPTUAL TRAINING 15,occupational	$97	$97	Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes): rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GO In the file: SENSORY STIMULATION II 15 MIN,occupational	$97	$97	Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes): rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · modifier GP In the file: PT EVALUATION LOW,physical therapy	$269	$269	Not listed in the file
Physical therapy evaluation (low complexity): rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · modifier GP In the file: PT EVALUATION MOD,physical therapy	$269	$269	Not listed in the file
Physical therapy evaluation (moderate complexity): rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · modifier GP In the file: PT EVALUATION HIGH,physical therapy	$269	$269	Not listed in the file
Physical therapy evaluation (high complexity): rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: GASTROSCOPY	$2,546	$2,546	Not listed in the file
Upper GI endoscopy (diagnostic): rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: UPPER GASTROINTESTINAL ENDOSCOPY	$2,546	$2,546	Not listed in the file
Upper GI endoscopy (diagnostic): rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: UPPER GI ENDO DIAGNOSTIC	$5,000	$5,000	Not listed in the file
Upper GI endoscopy (diagnostic): rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: GASTROSCOPY/BIOPSY	$2,546	$2,546	Not listed in the file
Upper GI endoscopy with biopsy: rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: ESOPHAG W/BIOPSY SIMPLE/MULTIPLE	$2,546	$2,546	Not listed in the file
Upper GI endoscopy with biopsy: rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: GASTROSCOPY/BIOPSY - physician	$2,546	$2,546	Not listed in the file
Upper GI endoscopy with biopsy: rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: COLONOSCOPY	$2,474	$2,474	Not listed in the file
Colonoscopy (diagnostic): rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: COLONOSCOPY-physician	$2,474	$2,474	Not listed in the file
Colonoscopy (diagnostic): rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: COLONOSCOPY/BIOPSY	$3,253	$3,253	Not listed in the file
Colonoscopy with biopsy: rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: COLONOSCOPY WITH BIOPSY, SINGLE/MULTIPLE	$3,253	$3,253	Not listed in the file
Colonoscopy with biopsy: rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: COLONOSCOPY W COLD BIOPSY FORCEPS- phys	$3,253	$3,253	Not listed in the file
Colonoscopy with biopsy: rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: COLONOSCOPY/W BIOPSY/W POLYPECTOMY	$3,253	$3,253	Not listed in the file
Colonoscopy with removal of polyps (snare): rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: COLONOSCOPY W REMOVAL TUMOR BY SNARE TEC	$3,253	$3,253	Not listed in the file
Colonoscopy with removal of polyps (snare): rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: COLON W REMOVAL TUMOR BY SNARE TEC phy	$3,253	$3,253	Not listed in the file
Colonoscopy with removal of polyps (snare): rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient In the file: CA SCREEN COLONOSCOPY NOT HIGH RISK	$1,067	$1,067	Not listed in the file
Screening colonoscopy (not high risk): rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient In the file: CA SCREEN COLONOSCOPY NOT HIGH-physician	$2,500	$2,500	Not listed in the file
Screening colonoscopy (not high risk): rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient In the file: INGUINAL HERMOPLASTY/MESH PLUG REPAIR	$10,072	$10,072	Not listed in the file
Groin (inguinal) hernia repair, age 5 or older: rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient In the file: CATARACT SURGERY	$6,549	$6,549	Not listed in the file
Cataract removal with lens implant: rates for 7 insurance plans Aetna Better Health LA — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) AmeriHealth Caritas Louisiana MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Healthy Blue Community Care of LA MCD — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Humana Advantage Care Plans Med Advantage — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) Louisiana Healthcare Connections MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount) Peoples Health Network DOS lt 01012024 — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount) UHC Community Plan LA MCD Rep — Medicaid Replacement: 52.83% (a percentage in the contract, not a dollar amount)

Source: Pointe Coupee General Hospital’s standard charges file (pcgh.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on September 1, 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 type	Critical Access Hospital
Address	2202 False River Drive, New Roads, LA 70760
Parish	Pointe Coupee Parish
State	Louisiana
Phone	(225) 638‑6331
Emergency services	Yes
Ownership	Government - Hospital District or Authority
Medicare overall rating	Not rated by CMS
CMS Certification Number	191316
Name in Medicare records	POINTE COUPEE GENERAL HOSPITAL
Profile level	Medicare data + hospital website
Official website	pcgh.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 2026-11-02.

Pointe Coupee General Hospital — pcgh.org
24-Hour Emergency Department — Pointe Coupee General Hospital — pcgh.org
General Info — Pointe Coupee General Hospital — pcgh.org
Featured Services — Pointe Coupee General Hospital — pcgh.org