Does Riverland Medical Center have an emergency room?

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

Where is Riverland Medical Center?

6569 Hwy 84, Ferriday, LA 71334, in Concordia Parish, Louisiana.

What is the phone number of Riverland Medical Center?

(318) 757-6551, as listed by Medicare (CMS).

What is the Medicare star rating of Riverland Medical Center?

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

Riverland Medical Center — Ferriday, LA

Quick answers

Does Riverland Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Riverland Medical Center. In a medical emergency, call 911.
Where is Riverland Medical Center?: 6569 Hwy 84, Ferriday, LA 71334, in Concordia Parish, Louisiana.
What is the phone number of Riverland Medical Center?: (318) 757-6551, as listed by Medicare (CMS).
What is the Medicare star rating of Riverland Medical Center?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^[4][5][6][7]

Cardio-Respiratory (cardiopulmonary and respiratory)
Emergency Care
Hospitalist Program
Imaging Services
Infusion Services
Inpatient Care
Surgical Care (outpatient)
Urology
Ophthalmology
Otolaryngology (Ear, Nose & Throat)
Gastroenterology
Lab Services
Rehabilitation Services
Swing Bed
Transitional Care

Conditions treated^[5][6]

Gastrointestinal (GI) illnesses
Congestive heart failure
Pneumonia
Urinary tract infections
Chronic illnesses
Cataracts

Treatments^[4][5][8]

Outpatient infusion therapy
Acute care and observation
Nebulizer therapy
Oxygen therapy
BiPAP and CPAP
Adult ventilator services

Procedures^[6][7][8][9]

3D mammography
CT scan (80-slice)
X-ray (routine and digital portable)
Ultrasound
CT bone density
Fluoroscopy
EKG
Holter monitoring
Pulmonary function testing
Arterial blood gases
Colonoscopy
Endoscopy
Sinus surgery
Urological procedures
Cataract surgery
YAG laser surgery
Orbital mass excision
Pterygium graft

Programs and centers^[4][7]

Hospitalist Program
Swing Bed program

Emergency care (hospital website)^[4]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Patient portal	Patient Portal (MyCareCorner)

Recognition^[4]

Critical Access Hospital

Doctors and clinicians (95)

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

Main specialties

Doctors with a page on this site (95)

Alexandra P. Frey, NPNurse Practitioner
Allison J. Edwards, NPNurse Practitioner
Amar V. Dave, MDInternal Medicine
Anthony L. Buckles, MDEmergency Medicine
Ashanta R. Jones, NPNurse Practitioner
Benjamin L. Roubique, MDInternal Medicine
Binitha JosephInternal Medicine
Blane Mire, MDInternal Medicine
Brenda L. Brown, NPNurse Practitioner
Brittany A. Gamberi, NPNurse Practitioner
Brook P. Laird, CNACertified Registered Nurse Anesthetist (CRNA)
Caitlin G. Robinson, MDMicrographic Dermatologic Surgery (MDS)
Charles D. Borum, MDFamily Practice
Clifford Tillman, MDGastroenterology
Darryl J. Aguilar, MDGeneral Surgery
David E. Moll, MDCardiovascular Disease (Cardiology)
Donnah BarlowNurse Practitioner
Edward M. Daly, MDInternal Medicine
Elsie Mensah-Armoo, MDInternal Medicine
Emily A. Willard, NPNurse Practitioner
Everett W. Brown, MDEmergency Medicine
Geoffrey J. Flattmann, MDGeneral Surgery
Gerard J. Broussard, MDInternal Medicine
Gregory W. Cotter, MDRadiation Oncology

And 71 more: the button below opens the full list.

Other emergency rooms nearby

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

Merit Health Natchez15 mi · Natchez, MS · Acute Care Hospital
Jefferson County Hospital32 mi · Fayette, MS · Rural Emergency Hospital
Lasalle General Hospital34 mi · Jena, LA · Acute Care Hospital
Franklin Medical Center35 mi · Winnsboro, LA · Acute Care Hospital
Claiborne County Hospital40 mi · Port Gibson, MS · Critical Access Hospital

Other hospitals nearby

Freedom Behavioral Hospital of Ferriday2.2 mi · Ferriday, LA · Psychiatric Hospital
Riverbridge Specialty Hospital12 mi · Vidalia, LA · Long-Term Acute Care Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Camelot Leisure Living2.9 mi · Ferriday, LA · 1 of 5 stars
Natchez Rehabilitation and Healthcare Center13 mi · Natchez, MS · 3 of 5 stars
Grand Trace Health and Rehabilitation14 mi · Natchez, MS · 1 of 5 stars

All nursing homes in the state →

Hospice providers

Enhabit Hospice of Vidalia20 mi · Vidalia, LA

All hospice providers in the state →

Home health agencies

Intensive Home Health Care, Inc0.0 mi · Ferriday, LA
Louisiana Homecare of Miss-Lou0.0 mi · Ferriday, LA
Allegiance Home Home Health of East Louisiana21 mi · Jonesville, LA

All home health agencies in the state →

Dialysis facilities

FKC Adams County Home17 mi · Natchez, MS
RCG Natchez17 mi · Natchez, MS · 1 of 5 stars
Fmcna - Ferriday20 mi · Vidalia, LA · 2 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.

Riverpark Ambulatory Surgery Center20 mi · Vidalia, 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

Ferriday Health West2.0 mi · Ferriday, LA · Community health center
Ferriday Family Health Center2.1 mi · Ferriday, LA · Community health center
Outpatient Behavioral Services2.2 mi · Ferriday, LA · Community health center

Clinics and urgent care

Trinity Medical Ferriday Clinic0.0 mi · Ferriday, LA · Rural health clinic
Fast Pace Health17 mi · Natchez, MS · Rural health clinic
Pediatric & Adolescent Clinic17 mi · Natchez, MS · Rural health clinic

Pharmacies

Concordia Drug, Inc.0.0 mi · Ferriday, LA · Pharmacy
Scotts Apothecary LLC0.0 mi · Ferriday, LA · Pharmacy
Vaughans City Drugs of Concordia Inc.0.0 mi · Ferriday, 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 Riverland Medical Center reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

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

Not reported to Medicare

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

Infections caught in the hospital

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

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

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	Too few cases to report
Deaths within 30 days: heart failure patients	13.1%
Deaths within 30 days: pneumonia patients	15.9%
Deaths within 30 days: COPD patients	7.7%
Deaths within 30 days: stroke patients	Too few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	Not reported to Medicare
Complications after hip or knee replacement	Not reported to Medicare

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	Too few cases to report
Readmitted within 30 days: heart failure	22.2%
Readmitted within 30 days: pneumonia	18.2%
Readmitted within 30 days: COPD	21%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Not reported to Medicare

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

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

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

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026.

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

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: NEW DETAILED	$37.50	$18.75	$8.54 – $40.64
New patient office visit (about 30–44 minutes): 10 of 12 insurance plan rates Aetna — Commercial: $37.50 Aetna — Medicare Advantage: $40.64 Aetna Better Health LA — Medicaid: $37.50 Blue Cross Blue Shield of LA — Commercial: $37.50 Blue Cross Blue Shield of LA — HMO/PPO: $37.50 Dignity Health Plan — All Plans: $8.88 Healthy Blue Community Care of LA MCD — Medicaid: $37.50 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $8.54 Medicaid Louisiana IP OP — Medicaid: $37.50 Medicare A LA JH — Medicare: $9.19
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: OFFICE/OUTPATIENT VISIT NEW LOW 30-44	$32.80	$16.40	$7.47 – $35.54
New patient office visit (about 30–44 minutes): 10 of 12 insurance plan rates Aetna — Commercial: $32.80 Aetna — Medicare Advantage: $35.54 Aetna Better Health LA — Medicaid: $32.80 Blue Cross Blue Shield of LA — Commercial: $32.80 Blue Cross Blue Shield of LA — HMO/PPO: $32.80 Dignity Health Plan — All Plans: $7.76 Healthy Blue Community Care of LA MCD — Medicaid: $32.80 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $7.47 Medicaid Louisiana IP OP — Medicaid: $32.80 Medicare A LA JH — Medicare: $8.04
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: NEW PATIENT VISIT LEVEL 3	$517	$258.50	$38 – $560.32
New patient office visit (about 30–44 minutes): 10 of 12 insurance plan rates Aetna — Commercial: $75.01 Aetna — Medicare Advantage: $560.32 Aetna Better Health LA — Medicaid: $38 Blue Cross Blue Shield of LA — Commercial: $119.06 Blue Cross Blue Shield of LA — HMO/PPO: $119.06 Dignity Health Plan — All Plans: $122.36 Healthy Blue Community Care of LA MCD — Medicaid: $38 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $117.70 Medicaid Louisiana IP OP — Medicaid: $38 Medicare A LA JH — Medicare: $126.66
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: NEW COMP-MOD	$311	$155.50	$57 – $510.60
New patient office visit (about 45–59 minutes): 10 of 12 insurance plan rates Aetna — Commercial: $128.26 Aetna — Medicare Advantage: $510.60 Aetna Better Health LA — Medicaid: $57 Blue Cross Blue Shield of LA — Commercial: $173.23 Blue Cross Blue Shield of LA — HMO/PPO: $173.23 Dignity Health Plan — All Plans: $73.61 Healthy Blue Community Care of LA MCD — Medicaid: $57 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $70.80 Medicaid Louisiana IP OP — Medicaid: $57 Medicare A LA JH — Medicare: $76.20
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: OFFICE/OUTPATIENT VISIT NEW MOD 45-59	$49	$24.50	$11.15 – $80.45
New patient office visit (about 45–59 minutes): 10 of 12 insurance plan rates Aetna — Commercial: $49 Aetna — Medicare Advantage: $80.45 Aetna Better Health LA — Medicaid: $49 Blue Cross Blue Shield of LA — Commercial: $49 Blue Cross Blue Shield of LA — HMO/PPO: $49 Dignity Health Plan — All Plans: $11.59 Healthy Blue Community Care of LA MCD — Medicaid: $49 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $11.15 Medicaid Louisiana IP OP — Medicaid: $49 Medicare A LA JH — Medicare: $12
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: NEW PATIENT VISIT LEVEL 4	$751	$375.50	$57 – $1,232.99
New patient office visit (about 45–59 minutes): 10 of 12 insurance plan rates Aetna — Commercial: $128.26 Aetna — Medicare Advantage: $1,232.99 Aetna Better Health LA — Medicaid: $57 Blue Cross Blue Shield of LA — Commercial: $173.23 Blue Cross Blue Shield of LA — HMO/PPO: $173.23 Dignity Health Plan — All Plans: $177.74 Healthy Blue Community Care of LA MCD — Medicaid: $57 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $170.97 Medicaid Louisiana IP OP — Medicaid: $57 Medicare A LA JH — Medicare: $184
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: NEW COMP-HIGH	$73.50	$36.75	$16.73 – $161.28
New patient office visit (about 60–74 minutes): 10 of 12 insurance plan rates Aetna — Commercial: $73.50 Aetna — Medicare Advantage: $161.28 Aetna Better Health LA — Medicaid: $57 Blue Cross Blue Shield of LA — Commercial: $73.50 Blue Cross Blue Shield of LA — HMO/PPO: $73.50 Dignity Health Plan — All Plans: $17.40 Healthy Blue Community Care of LA MCD — Medicaid: $57 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $16.73 Medicaid Louisiana IP OP — Medicaid: $57 Medicare A LA JH — Medicare: $18.01
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: NEW PATIENT VISIT LEVEL 5	$751	$375.50	$57 – $1,647.86
New patient office visit (about 60–74 minutes): 10 of 12 insurance plan rates Aetna — Commercial: $167.40 Aetna — Medicare Advantage: $1,647.86 Aetna Better Health LA — Medicaid: $57 Blue Cross Blue Shield of LA — Commercial: $173.23 Blue Cross Blue Shield of LA — HMO/PPO: $173.23 Dignity Health Plan — All Plans: $177.74 Healthy Blue Community Care of LA MCD — Medicaid: $57 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $170.97 Medicaid Louisiana IP OP — Medicaid: $57 Medicare A LA JH — Medicare: $184
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: NEW COMP-HIGH 99205	$527	$263.50	$57 – $219.42
New patient office visit (about 60–74 minutes): 10 of 11 insurance plan rates Aetna — Medicare Advantage: $176.05 Aetna Better Health LA — Medicaid: $57 Blue Cross Blue Shield of LA — Commercial: $173.23 Blue Cross Blue Shield of LA — HMO/PPO: $173.23 Dignity Health Plan — All Plans: $184.85 Healthy Blue Community Care of LA MCD — Medicaid: $57 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $119.97 Medicaid Louisiana IP OP — Medicaid: $57 Medicare A LA JH — Medicare: $176.05 Medicare B LA JH — Medicare: $219.42
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: EST EXP PROBLEM FOCUSED	$20	$10	$4.56 – $20
Established patient office visit (about 20–29 minutes): 10 of 12 insurance plan rates Aetna — Commercial: $20 Aetna — Medicare Advantage: $17.53 Aetna Better Health LA — Medicaid: $20 Blue Cross Blue Shield of LA — Commercial: $20 Blue Cross Blue Shield of LA — HMO/PPO: $20 Dignity Health Plan — All Plans: $4.73 Healthy Blue Community Care of LA MCD — Medicaid: $20 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $4.56 Medicaid Louisiana IP OP — Medicaid: $20 Medicare A LA JH — Medicare: $4.90
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: E&M 15 MIN	$114	$57	$25.95 – $114
Established patient office visit (about 20–29 minutes): 10 of 12 insurance plan rates Aetna — Commercial: $50.75 Aetna — Medicare Advantage: $99.94 Aetna Better Health LA — Medicaid: $38 Blue Cross Blue Shield of LA — Commercial: $114 Blue Cross Blue Shield of LA — HMO/PPO: $114 Dignity Health Plan — All Plans: $26.98 Healthy Blue Community Care of LA MCD — Medicaid: $38 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $25.95 Medicaid Louisiana IP OP — Medicaid: $38 Medicare A LA JH — Medicare: $27.93
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: OFFICE/OUTPATIENT VISIT EST LOW 20-29	$25.80	$12.90	$5.87 – $25.80
Established patient office visit (about 20–29 minutes): 10 of 12 insurance plan rates Aetna — Commercial: $25.80 Aetna — Medicare Advantage: $22.62 Aetna Better Health LA — Medicaid: $25.80 Blue Cross Blue Shield of LA — Commercial: $25.80 Blue Cross Blue Shield of LA — HMO/PPO: $25.80 Dignity Health Plan — All Plans: $6.11 Healthy Blue Community Care of LA MCD — Medicaid: $25.80 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $5.87 Medicaid Louisiana IP OP — Medicaid: $25.80 Medicare A LA JH — Medicare: $6.32
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: EST DETAILED	$33	$16.50	$7.52 – $41.31
Established patient office visit (about 30–39 minutes): 10 of 12 insurance plan rates Aetna — Commercial: $33 Aetna — Medicare Advantage: $41.31 Aetna Better Health LA — Medicaid: $33 Blue Cross Blue Shield of LA — Commercial: $33 Blue Cross Blue Shield of LA — HMO/PPO: $33 Dignity Health Plan — All Plans: $7.81 Healthy Blue Community Care of LA MCD — Medicaid: $33 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $7.52 Medicaid Louisiana IP OP — Medicaid: $33 Medicare A LA JH — Medicare: $8.08
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: E&M 25 MIN	$176	$88	$40.06 – $220.30
Established patient office visit (about 30–39 minutes): 10 of 12 insurance plan rates Aetna — Commercial: $77.91 Aetna — Medicare Advantage: $220.30 Aetna Better Health LA — Medicaid: $57 Blue Cross Blue Shield of LA — Commercial: $173.23 Blue Cross Blue Shield of LA — HMO/PPO: $173.23 Dignity Health Plan — All Plans: $41.65 Healthy Blue Community Care of LA MCD — Medicaid: $57 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $40.06 Medicaid Louisiana IP OP — Medicaid: $57 Medicare A LA JH — Medicare: $43.12
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: OFFICE/ OUTPATIENT VISIT EST MOD 30-39	$36.40	$18.20	$8.28 – $45.56
Established patient office visit (about 30–39 minutes): 10 of 12 insurance plan rates Aetna — Commercial: $36.40 Aetna — Medicare Advantage: $45.56 Aetna Better Health LA — Medicaid: $36.40 Blue Cross Blue Shield of LA — Commercial: $36.40 Blue Cross Blue Shield of LA — HMO/PPO: $36.40 Dignity Health Plan — All Plans: $8.61 Healthy Blue Community Care of LA MCD — Medicaid: $36.40 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $8.28 Medicaid Louisiana IP OP — Medicaid: $36.40 Medicare A LA JH — Medicare: $8.92
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient In the file: PREV 18-39/NP	$27	$13.50	$6.09 – $27
Preventive checkup, new patient, age 18–39: 10 of 11 insurance plan rates Aetna — Commercial: $27 Aetna — Medicare Advantage: $6.09 Aetna Better Health LA — Medicaid: $8.15 Blue Cross Blue Shield of LA — Commercial: $21.60 Blue Cross Blue Shield of LA — HMO/PPO: $18.90 Dignity Health Plan — All Plans: $6.39 Healthy Blue Community Care of LA MCD — Medicaid: $8.15 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $6.14 Medicaid Louisiana IP OP — Medicaid: $8.15 Medicare A LA JH — Medicare: $6.62
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient In the file: INITIAL COMPREHENSIVE PREVENTIVE	$196	$98	$44.18 – $156.80
Preventive checkup, new patient, age 18–39: 10 of 11 insurance plan rates Aetna — Commercial: $100.55 Aetna — Medicare Advantage: $44.18 Aetna Better Health LA — Medicaid: $59.13 Blue Cross Blue Shield of LA — Commercial: $156.80 Blue Cross Blue Shield of LA — HMO/PPO: $137.20 Dignity Health Plan — All Plans: $46.38 Healthy Blue Community Care of LA MCD — Medicaid: $59.13 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $44.62 Medicaid Louisiana IP OP — Medicaid: $59.13 Medicare A LA JH — Medicare: $48.02
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient In the file: PREV VISIT NEW AGE 18-39	$196	$98	$44.62 – $156.80
Preventive checkup, new patient, age 18–39: rates for 7 insurance plans Aetna — Commercial: $100.55 Aetna Better Health LA — Medicaid: $59.13 Blue Cross Blue Shield of LA — Commercial: $156.80 Blue Cross Blue Shield of LA — HMO/PPO: $137.20 Healthy Blue Community Care of LA MCD — Medicaid: $59.13 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $44.62 Medicaid Louisiana IP OP — Medicaid: $59.13
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient In the file: PREV 40-64/NP	$180	$90	$40.97 – $144
Preventive checkup, new patient, age 40–64: 10 of 11 insurance plan rates Aetna — Commercial: $32 Aetna — Medicare Advantage: $7.21 Aetna Better Health LA — Medicaid: $54.31 Blue Cross Blue Shield of LA — Commercial: $144 Blue Cross Blue Shield of LA — HMO/PPO: $126 Dignity Health Plan — All Plans: $7.58 Healthy Blue Community Care of LA MCD — Medicaid: $54.31 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $40.97 Medicaid Louisiana IP OP — Medicaid: $54.31 Medicare A LA JH — Medicare: $7.84
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient In the file: INITIAL COMPREHENSIVE PREVENTIVE 40-64 Y	$228	$114	$51.39 – $182.40
Preventive checkup, new patient, age 40–64: 10 of 11 insurance plan rates Aetna — Commercial: $121.99 Aetna — Medicare Advantage: $51.39 Aetna Better Health LA — Medicaid: $68.79 Blue Cross Blue Shield of LA — Commercial: $182.40 Blue Cross Blue Shield of LA — HMO/PPO: $159.60 Dignity Health Plan — All Plans: $53.96 Healthy Blue Community Care of LA MCD — Medicaid: $68.79 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $51.90 Medicaid Louisiana IP OP — Medicaid: $68.79 Medicare A LA JH — Medicare: $55.86
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient In the file: PREV VISIT NEW AGE 40-64	$228	$114	$51.90 – $182.40
Preventive checkup, new patient, age 40–64: rates for 7 insurance plans Aetna — Commercial: $121.99 Aetna Better Health LA — Medicaid: $68.79 Blue Cross Blue Shield of LA — Commercial: $182.40 Blue Cross Blue Shield of LA — HMO/PPO: $159.60 Healthy Blue Community Care of LA MCD — Medicaid: $68.79 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $51.90 Medicaid Louisiana IP OP — Medicaid: $68.79
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: ER DEPARTMENT VISIT LOW MDM	Not listed in the file	Not listed in the file	$76.77 – $80.61
Emergency room visit (moderate): rates for 3 insurance plans Aetna — Medicare Advantage: $76.77 Dignity Health Plan — All Plans: $80.61 Medicare A LA JH — Medicare: $76.77
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · modifier 25 In the file: ER VISIT LEVEL 3,Significantl, separately identifiable E/M	$735	$367.50	$66.76 – $500
Emergency room visit (moderate): 10 of 12 insurance plan rates Aetna — Commercial: $500 Aetna — Medicare Advantage: $490.67 Aetna Better Health LA — Medicaid: $221.75 Blue Cross Blue Shield of LA — Commercial: $255.26 Blue Cross Blue Shield of LA — HMO/PPO: $255.26 Dignity Health Plan — All Plans: $173.95 Healthy Blue Community Care of LA MCD — Medicaid: $221.75 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $167.33 Medicaid Louisiana IP OP — Medicaid: $221.75 Medicare A LA JH — Medicare: $180.08
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: ER DEPARTMENT VISIT MODERATE MDM	$356	$178	$81.05 – $356
Emergency room visit (moderately high): 10 of 11 insurance plan rates Aetna — Medicare Advantage: $130.75 Aetna Better Health LA — Medicaid: $107.41 Blue Cross Blue Shield of LA — Commercial: $356 Blue Cross Blue Shield of LA — HMO/PPO: $356 Dignity Health Plan — All Plans: $137.29 Healthy Blue Community Care of LA MCD — Medicaid: $107.41 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $81.05 Medicaid Louisiana IP OP — Medicaid: $107.41 Medicare A LA JH — Medicare: $130.75 Medicare B LA JH — Medicare: $113.70
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · modifier 25 In the file: ER VISIT LEVEL 4,Significantl, separately identifiable E/M	$1,145	$572.50	$113.70 – $1,301.86
Emergency room visit (moderately high): 10 of 12 insurance plan rates Aetna — Commercial: $500 Aetna — Medicare Advantage: $1,301.86 Aetna Better Health LA — Medicaid: $345.45 Blue Cross Blue Shield of LA — Commercial: $444.16 Blue Cross Blue Shield of LA — HMO/PPO: $444.16 Dignity Health Plan — All Plans: $270.99 Healthy Blue Community Care of LA MCD — Medicaid: $345.45 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $260.66 Medicaid Louisiana IP OP — Medicaid: $345.45 Medicare A LA JH — Medicare: $280.52
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: ER DEPARTMENT VISIT HIGH MDM	$518	$259	$117.92 – $444.16
Emergency room visit (high): 10 of 11 insurance plan rates Aetna — Medicare Advantage: $189.54 Aetna Better Health LA — Medicaid: $156.28 Blue Cross Blue Shield of LA — Commercial: $444.16 Blue Cross Blue Shield of LA — HMO/PPO: $444.16 Dignity Health Plan — All Plans: $199.02 Healthy Blue Community Care of LA MCD — Medicaid: $156.28 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $117.92 Medicaid Louisiana IP OP — Medicaid: $156.28 Medicare A LA JH — Medicare: $189.54 Medicare B LA JH — Medicare: $164.82
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · modifier 25 In the file: ER VISIT LEVEL 5,Significantl, separately identifiable E/M	$1,644	$822	$164.82 – $2,709.58
Emergency room visit (high): 10 of 12 insurance plan rates Aetna — Commercial: $500 Aetna — Medicare Advantage: $2,709.58 Aetna Better Health LA — Medicaid: $495.99 Blue Cross Blue Shield of LA — Commercial: $444.16 Blue Cross Blue Shield of LA — HMO/PPO: $444.16 Dignity Health Plan — All Plans: $389.09 Healthy Blue Community Care of LA MCD — Medicaid: $495.99 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $374.26 Medicaid Louisiana IP OP — Medicaid: $495.99 Medicare A LA JH — Medicare: $402.78

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	$114	$57	$8.29 – $27.93
Basic metabolic panel (blood test): 10 of 12 insurance plan rates Aetna — Commercial: $13.75 Aetna — Medicare Advantage: $25.70 Aetna Better Health LA — Medicaid: $8.46 Blue Cross Blue Shield of LA — Commercial: $23.04 Blue Cross Blue Shield of LA — HMO/PPO: $23.04 Dignity Health Plan — All Plans: $26.98 Healthy Blue Community Care of LA MCD — Medicaid: $8.46 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $25.95 Medicaid Louisiana IP OP — Medicaid: $8.46 Medicare A LA JH — Medicare: $27.93
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: COMPREHENSIVE METABOLIC PANEL	$195	$97.50	$10.35 – $47.78
Comprehensive metabolic panel (blood test): 10 of 12 insurance plan rates Aetna — Commercial: $17.16 Aetna — Medicare Advantage: $43.95 Aetna Better Health LA — Medicaid: $10.56 Blue Cross Blue Shield of LA — Commercial: $28.76 Blue Cross Blue Shield of LA — HMO/PPO: $28.76 Dignity Health Plan — All Plans: $46.15 Healthy Blue Community Care of LA MCD — Medicaid: $10.56 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $44.39 Medicaid Louisiana IP OP — Medicaid: $10.56 Medicare A LA JH — Medicare: $47.78
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: LIPID PANEL	$140	$70	$13.12 – $34.30
Cholesterol panel (lipid panel): 10 of 12 insurance plan rates Aetna — Commercial: $21.76 Aetna — Medicare Advantage: $31.56 Aetna Better Health LA — Medicaid: $13.39 Blue Cross Blue Shield of LA — Commercial: $32.49 Blue Cross Blue Shield of LA — HMO/PPO: $32.49 Dignity Health Plan — All Plans: $33.13 Healthy Blue Community Care of LA MCD — Medicaid: $13.39 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $31.87 Medicaid Louisiana IP OP — Medicaid: $13.39 Medicare A LA JH — Medicare: $34.30
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: RENAL FUNCTION PANEL	$291	$145.50	$8.51 – $71.30
Kidney function panel: 10 of 12 insurance plan rates Aetna — Commercial: $14.10 Aetna — Medicare Advantage: $65.59 Aetna Better Health LA — Medicaid: $8.68 Blue Cross Blue Shield of LA — Commercial: $23.62 Blue Cross Blue Shield of LA — HMO/PPO: $23.62 Dignity Health Plan — All Plans: $68.87 Healthy Blue Community Care of LA MCD — Medicaid: $8.68 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $66.25 Medicaid Louisiana IP OP — Medicaid: $8.68 Medicare A LA JH — Medicare: $71.30
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HEPATIC FUNCTION PANEL	$140	$70	$8.01 – $34.30
Liver function panel: 10 of 12 insurance plan rates Aetna — Commercial: $13.28 Aetna — Medicare Advantage: $31.56 Aetna Better Health LA — Medicaid: $8.17 Blue Cross Blue Shield of LA — Commercial: $22.22 Blue Cross Blue Shield of LA — HMO/PPO: $22.22 Dignity Health Plan — All Plans: $33.13 Healthy Blue Community Care of LA MCD — Medicaid: $8.17 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $31.87 Medicaid Louisiana IP OP — Medicaid: $8.17 Medicare A LA JH — Medicare: $34.30
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: UA WITH MICRO	$53	$26.50	$3.11 – $12.98
Urine test (automated, with microscope): 10 of 12 insurance plan rates Aetna — Commercial: $5.15 Aetna — Medicare Advantage: $11.95 Aetna Better Health LA — Medicaid: $3.17 Blue Cross Blue Shield of LA — Commercial: $8.62 Blue Cross Blue Shield of LA — HMO/PPO: $8.62 Dignity Health Plan — All Plans: $12.54 Healthy Blue Community Care of LA MCD — Medicaid: $3.17 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $12.06 Medicaid Louisiana IP OP — Medicaid: $3.17 Medicare A LA JH — Medicare: $12.98
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: U/A NON-AUTO	$10	$5	$2.25 – $6.95
Urine test (manual, without microscope): 10 of 12 insurance plan rates Aetna — Commercial: $5.65 Aetna — Medicare Advantage: $2.25 Aetna Better Health LA — Medicaid: $3.48 Blue Cross Blue Shield of LA — Commercial: $6.95 Blue Cross Blue Shield of LA — HMO/PPO: $6.95 Dignity Health Plan — All Plans: $2.37 Healthy Blue Community Care of LA MCD — Medicaid: $3.48 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $2.27 Medicaid Louisiana IP OP — Medicaid: $3.48 Medicare A LA JH — Medicare: $2.45
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: U/A NON AUTO	$7	$3.50	$1.58 – $6.95
Urine test (manual, without microscope): 10 of 12 insurance plan rates Aetna — Commercial: $5.65 Aetna — Medicare Advantage: $1.58 Aetna Better Health LA — Medicaid: $3.48 Blue Cross Blue Shield of LA — Commercial: $6.95 Blue Cross Blue Shield of LA — HMO/PPO: $6.95 Dignity Health Plan — All Plans: $1.66 Healthy Blue Community Care of LA MCD — Medicaid: $3.48 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $1.60 Medicaid Louisiana IP OP — Medicaid: $3.48 Medicare A LA JH — Medicare: $1.72
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: U/A AUTOMATED	$7	$3.50	$1.58 – $6.12
Urine test (automated, without microscope): 10 of 12 insurance plan rates Aetna — Commercial: $3.66 Aetna — Medicare Advantage: $1.58 Aetna Better Health LA — Medicaid: $2.25 Blue Cross Blue Shield of LA — Commercial: $6.12 Blue Cross Blue Shield of LA — HMO/PPO: $6.12 Dignity Health Plan — All Plans: $1.66 Healthy Blue Community Care of LA MCD — Medicaid: $2.25 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $1.60 Medicaid Louisiana IP OP — Medicaid: $2.25 Medicare A LA JH — Medicare: $1.72
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: URINE SPECIFIC GRAVITY	$35	$17.50	$2.20 – $8.58
Urine test (automated, without microscope): 10 of 12 insurance plan rates Aetna — Commercial: $3.66 Aetna — Medicare Advantage: $7.89 Aetna Better Health LA — Medicaid: $2.25 Blue Cross Blue Shield of LA — Commercial: $6.12 Blue Cross Blue Shield of LA — HMO/PPO: $6.12 Dignity Health Plan — All Plans: $8.28 Healthy Blue Community Care of LA MCD — Medicaid: $2.25 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $7.97 Medicaid Louisiana IP OP — Medicaid: $2.25 Medicare A LA JH — Medicare: $8.58
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: URINE GLUCOSE	$35	$17.50	$2.20 – $8.58
Urine test (automated, without microscope): 10 of 12 insurance plan rates Aetna — Commercial: $3.66 Aetna — Medicare Advantage: $7.89 Aetna Better Health LA — Medicaid: $2.25 Blue Cross Blue Shield of LA — Commercial: $6.12 Blue Cross Blue Shield of LA — HMO/PPO: $6.12 Dignity Health Plan — All Plans: $8.28 Healthy Blue Community Care of LA MCD — Medicaid: $2.25 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $7.97 Medicaid Louisiana IP OP — Medicaid: $2.25 Medicare A LA JH — Medicare: $8.58
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA TOTAL DIAGNOSTIC	$170	$85	$18.02 – $50.03
PSA (prostate specific antigen) blood test: 10 of 12 insurance plan rates Aetna — Commercial: $29.89 Aetna — Medicare Advantage: $38.32 Aetna Better Health LA — Medicaid: $18.39 Blue Cross Blue Shield of LA — Commercial: $50.03 Blue Cross Blue Shield of LA — HMO/PPO: $50.03 Dignity Health Plan — All Plans: $40.24 Healthy Blue Community Care of LA MCD — Medicaid: $18.39 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $38.70 Medicaid Louisiana IP OP — Medicaid: $18.39 Medicare A LA JH — Medicare: $41.65
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA, Ultrasensitive W/O Serial 140731	$209	$104.50	$18.02 – $51.20
PSA (prostate specific antigen) blood test: 10 of 12 insurance plan rates Aetna — Commercial: $29.89 Aetna — Medicare Advantage: $47.11 Aetna Better Health LA — Medicaid: $18.39 Blue Cross Blue Shield of LA — Commercial: $50.03 Blue Cross Blue Shield of LA — HMO/PPO: $50.03 Dignity Health Plan — All Plans: $49.46 Healthy Blue Community Care of LA MCD — Medicaid: $18.39 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $47.58 Medicaid Louisiana IP OP — Medicaid: $18.39 Medicare A LA JH — Medicare: $51.20
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: TSH (3rd IS)	$150	$75	$16.46 – $45.70
Thyroid stimulating hormone (TSH) test: 10 of 12 insurance plan rates Aetna — Commercial: $27.30 Aetna — Medicare Advantage: $33.81 Aetna Better Health LA — Medicaid: $16.80 Blue Cross Blue Shield of LA — Commercial: $45.70 Blue Cross Blue Shield of LA — HMO/PPO: $45.70 Dignity Health Plan — All Plans: $35.50 Healthy Blue Community Care of LA MCD — Medicaid: $16.80 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $34.14 Medicaid Louisiana IP OP — Medicaid: $16.80 Medicare A LA JH — Medicare: $36.75
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: TSH w/ reflex to Free T4	$150	$75	$16.46 – $45.70
Thyroid stimulating hormone (TSH) test: 10 of 12 insurance plan rates Aetna — Commercial: $27.30 Aetna — Medicare Advantage: $33.81 Aetna Better Health LA — Medicaid: $16.80 Blue Cross Blue Shield of LA — Commercial: $45.70 Blue Cross Blue Shield of LA — HMO/PPO: $45.70 Dignity Health Plan — All Plans: $35.50 Healthy Blue Community Care of LA MCD — Medicaid: $16.80 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $34.14 Medicaid Louisiana IP OP — Medicaid: $16.80 Medicare A LA JH — Medicare: $36.75
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: CBC CHARGE ONLY (CPT 85027)	$64	$32	$6.34 – $17.61
Complete blood count (CBC), automated: 10 of 12 insurance plan rates Aetna — Commercial: $10.51 Aetna — Medicare Advantage: $14.43 Aetna Better Health LA — Medicaid: $6.47 Blue Cross Blue Shield of LA — Commercial: $17.61 Blue Cross Blue Shield of LA — HMO/PPO: $17.61 Dignity Health Plan — All Plans: $15.15 Healthy Blue Community Care of LA MCD — Medicaid: $6.47 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $14.57 Medicaid Louisiana IP OP — Medicaid: $6.47 Medicare A LA JH — Medicare: $15.68
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PT,INR	$56	$28	$4.20 – $13.72
Blood clotting time test (prothrombin time, PT): 10 of 12 insurance plan rates Aetna — Commercial: $6.98 Aetna — Medicare Advantage: $12.62 Aetna Better Health LA — Medicaid: $4.29 Blue Cross Blue Shield of LA — Commercial: $10.69 Blue Cross Blue Shield of LA — HMO/PPO: $10.69 Dignity Health Plan — All Plans: $13.25 Healthy Blue Community Care of LA MCD — Medicaid: $4.29 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $12.75 Medicaid Louisiana IP OP — Medicaid: $4.29 Medicare A LA JH — Medicare: $13.72
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: PTT	$68	$34	$5.89 – $16.66
Blood clotting test (partial thromboplastin time, PTT): 10 of 12 insurance plan rates Aetna — Commercial: $9.76 Aetna — Medicare Advantage: $15.33 Aetna Better Health LA — Medicaid: $6.01 Blue Cross Blue Shield of LA — Commercial: $16.32 Blue Cross Blue Shield of LA — HMO/PPO: $16.32 Dignity Health Plan — All Plans: $16.09 Healthy Blue Community Care of LA MCD — Medicaid: $6.01 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $15.48 Medicaid Louisiana IP OP — Medicaid: $6.01 Medicare A LA JH — Medicare: $16.66

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 · modifier TC In the file: CT STROKE PROTOCOL WO IV CONTRAST,Technical Component	$1,069	$534.50	$58.25 – $622.70
CT scan of the head or brain, without contrast: 10 of 12 insurance plan rates Aetna — Commercial: $500 Aetna — Medicare Advantage: $622.70 Aetna Better Health LA — Medicaid: $322.52 Blue Cross Blue Shield of LA — Commercial: $318.31 Blue Cross Blue Shield of LA — HMO/PPO: $318.31 Dignity Health Plan — All Plans: $253 Healthy Blue Community Care of LA MCD — Medicaid: $322.52 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $243.36 Medicaid Louisiana IP OP — Medicaid: $322.52 Medicare A LA JH — Medicare: $261.90
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · modifier TC In the file: CT HEAD WO IV CONTRAST,Technical Component	$1,069	$534.50	$58.25 – $622.70
CT scan of the head or brain, without contrast: 10 of 12 insurance plan rates Aetna — Commercial: $500 Aetna — Medicare Advantage: $622.70 Aetna Better Health LA — Medicaid: $322.52 Blue Cross Blue Shield of LA — Commercial: $318.31 Blue Cross Blue Shield of LA — HMO/PPO: $318.31 Dignity Health Plan — All Plans: $253 Healthy Blue Community Care of LA MCD — Medicaid: $322.52 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $243.36 Medicaid Louisiana IP OP — Medicaid: $322.52 Medicare A LA JH — Medicare: $261.90
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · modifier 26 In the file: PROF CT HEAD WO IV CONTRAST,Professional Component	$188	$94	$37.43 – $188
CT scan of the head or brain, without contrast: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $43.04 Aetna Better Health LA — Medicaid: $56.72 Blue Cross Blue Shield of LA — Commercial: $188 Blue Cross Blue Shield of LA — HMO/PPO: $188 Dignity Health Plan — All Plans: $45.20 Healthy Blue Community Care of LA MCD — Medicaid: $56.72 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $42.80 Medicaid Louisiana IP OP — Medicaid: $56.72 Medicare A LA JH — Medicare: $43.04 Medicare B LA JH — Medicare: $37.43
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · modifier TC In the file: MRI BRAIN W/WO,Technical Component	$1,842	$921	$183.73 – $3,384.31
MRI of the brain, before and after contrast: 10 of 12 insurance plan rates Aetna — Commercial: $775 Aetna — Medicare Advantage: $3,384.31 Aetna Better Health LA — Medicaid: $555.73 Blue Cross Blue Shield of LA — Commercial: $921.40 Blue Cross Blue Shield of LA — HMO/PPO: $921.40 Dignity Health Plan — All Plans: $435.94 Healthy Blue Community Care of LA MCD — Medicaid: $555.73 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $419.34 Medicaid Louisiana IP OP — Medicaid: $555.73 Medicare A LA JH — Medicare: $451.29
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · modifier 26 In the file: PROF MRI HEAD W/WO CONTRAST,Professional Component	$441	$220.50	$99.96 – $441
MRI of the brain, before and after contrast: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $114.95 Aetna Better Health LA — Medicaid: $133.05 Blue Cross Blue Shield of LA — Commercial: $441 Blue Cross Blue Shield of LA — HMO/PPO: $441 Dignity Health Plan — All Plans: $120.70 Healthy Blue Community Care of LA MCD — Medicaid: $133.05 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $100.39 Medicaid Louisiana IP OP — Medicaid: $133.05 Medicare A LA JH — Medicare: $114.95 Medicare B LA JH — Medicare: $99.96
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · modifier TC In the file: CHEST LAT DECUB BILAT,Technical Component	$348	$174	$20.01 – $104.99
Chest X-ray, 2 views: 10 of 12 insurance plan rates Aetna — Commercial: $31.42 Aetna — Medicare Advantage: $69.64 Aetna Better Health LA — Medicaid: $104.99 Blue Cross Blue Shield of LA — Commercial: $57.90 Blue Cross Blue Shield of LA — HMO/PPO: $57.90 Dignity Health Plan — All Plans: $82.36 Healthy Blue Community Care of LA MCD — Medicaid: $104.99 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $79.22 Medicaid Louisiana IP OP — Medicaid: $104.99 Medicare A LA JH — Medicare: $85.26
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · modifier TC In the file: CHEST 2V,Technical Component	$348	$174	$20.01 – $104.99
Chest X-ray, 2 views: 10 of 12 insurance plan rates Aetna — Commercial: $31.42 Aetna — Medicare Advantage: $69.64 Aetna Better Health LA — Medicaid: $104.99 Blue Cross Blue Shield of LA — Commercial: $57.90 Blue Cross Blue Shield of LA — HMO/PPO: $57.90 Dignity Health Plan — All Plans: $82.36 Healthy Blue Community Care of LA MCD — Medicaid: $104.99 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $79.22 Medicaid Louisiana IP OP — Medicaid: $104.99 Medicare A LA JH — Medicare: $85.26
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · modifier 26 In the file: PROF CHEST 2V,Professional Component	$59	$29.50	$9.51 – $57.90
Chest X-ray, 2 views: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $10.94 Aetna Better Health LA — Medicaid: $17.80 Blue Cross Blue Shield of LA — Commercial: $57.90 Blue Cross Blue Shield of LA — HMO/PPO: $57.90 Dignity Health Plan — All Plans: $11.49 Healthy Blue Community Care of LA MCD — Medicaid: $17.80 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $13.44 Medicaid Louisiana IP OP — Medicaid: $17.80 Medicare A LA JH — Medicare: $10.94 Medicare B LA JH — Medicare: $9.51
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · modifier TC In the file: L-SPINE 5V,Technical Component	$428	$214	$35.37 – $151.38
X-ray of the lower spine, at least 4 views: 10 of 12 insurance plan rates Aetna — Commercial: $50.86 Aetna — Medicare Advantage: $151.38 Aetna Better Health LA — Medicaid: $129.13 Blue Cross Blue Shield of LA — Commercial: $98.52 Blue Cross Blue Shield of LA — HMO/PPO: $98.52 Dignity Health Plan — All Plans: $101.29 Healthy Blue Community Care of LA MCD — Medicaid: $129.13 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $97.43 Medicaid Louisiana IP OP — Medicaid: $129.13 Medicare A LA JH — Medicare: $104.86
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · modifier 26 In the file: PROF L-SPINE 5V,Professional Component	$90	$45	$12 – $90
X-ray of the lower spine, at least 4 views: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $13.80 Aetna Better Health LA — Medicaid: $27.15 Blue Cross Blue Shield of LA — Commercial: $90 Blue Cross Blue Shield of LA — HMO/PPO: $90 Dignity Health Plan — All Plans: $14.48 Healthy Blue Community Care of LA MCD — Medicaid: $27.15 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $20.49 Medicaid Louisiana IP OP — Medicaid: $27.15 Medicare A LA JH — Medicare: $13.80 Medicare B LA JH — Medicare: $12
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · modifier TC In the file: MRI L-SPINE W/O,Technical Component	$1,168	$584	$106.94 – $1,249.03
MRI of the lower back (lumbar spine), without contrast: 10 of 12 insurance plan rates Aetna — Commercial: $775 Aetna — Medicare Advantage: $1,249.03 Aetna Better Health LA — Medicaid: $352.39 Blue Cross Blue Shield of LA — Commercial: $635.54 Blue Cross Blue Shield of LA — HMO/PPO: $635.54 Dignity Health Plan — All Plans: $276.43 Healthy Blue Community Care of LA MCD — Medicaid: $352.39 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $265.90 Medicaid Louisiana IP OP — Medicaid: $352.39 Medicare A LA JH — Medicare: $286.16
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · modifier 26 In the file: PROF MRI LUMBAR SPINE WITHOUT CONTRAST,Professional Component	$288	$144	$64.99 – $288
MRI of the lower back (lumbar spine), without contrast: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $74.74 Aetna Better Health LA — Medicaid: $86.89 Blue Cross Blue Shield of LA — Commercial: $288 Blue Cross Blue Shield of LA — HMO/PPO: $288 Dignity Health Plan — All Plans: $78.48 Healthy Blue Community Care of LA MCD — Medicaid: $86.89 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $65.56 Medicaid Louisiana IP OP — Medicaid: $86.89 Medicare A LA JH — Medicare: $74.74 Medicare B LA JH — Medicare: $64.99
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · modifier TC In the file: CT PELVIC WITH IV WITH ORAL CONTRAST,Technical Component	$1,803	$901.50	$149.53 – $2,696
CT scan of the pelvis, with contrast: 10 of 12 insurance plan rates Aetna — Commercial: $500 Aetna — Medicare Advantage: $2,696 Aetna Better Health LA — Medicaid: $543.97 Blue Cross Blue Shield of LA — Commercial: $461.10 Blue Cross Blue Shield of LA — HMO/PPO: $461.10 Dignity Health Plan — All Plans: $426.71 Healthy Blue Community Care of LA MCD — Medicaid: $543.97 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $410.46 Medicaid Louisiana IP OP — Medicaid: $543.97 Medicare A LA JH — Medicare: $441.74
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · modifier TC In the file: CT PELVIC WITH IV WO ORAL CONTRAST,Technical Component	$1,803	$901.50	$149.53 – $2,696
CT scan of the pelvis, with contrast: 10 of 12 insurance plan rates Aetna — Commercial: $500 Aetna — Medicare Advantage: $2,696 Aetna Better Health LA — Medicaid: $543.97 Blue Cross Blue Shield of LA — Commercial: $461.10 Blue Cross Blue Shield of LA — HMO/PPO: $461.10 Dignity Health Plan — All Plans: $426.71 Healthy Blue Community Care of LA MCD — Medicaid: $543.97 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $410.46 Medicaid Louisiana IP OP — Medicaid: $543.97 Medicare A LA JH — Medicare: $441.74
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · modifier 26 In the file: PROF CT PELVIC WITH IV WITH ORAL CONTRA,Professional Component	$307	$153.50	$50.77 – $307
CT scan of the pelvis, with contrast: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $58.39 Aetna Better Health LA — Medicaid: $92.62 Blue Cross Blue Shield of LA — Commercial: $307 Blue Cross Blue Shield of LA — HMO/PPO: $307 Dignity Health Plan — All Plans: $61.31 Healthy Blue Community Care of LA MCD — Medicaid: $92.62 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $69.89 Medicaid Louisiana IP OP — Medicaid: $92.62 Medicare A LA JH — Medicare: $58.39 Medicare B LA JH — Medicare: $50.77
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier TC In the file: MRI LOWER EXT JOINT W/O,Technical Component	$1,168	$584	$122.87 – $1,435.15
MRI of a leg joint (such as the knee), without contrast: 10 of 12 insurance plan rates Aetna — Commercial: $775 Aetna — Medicare Advantage: $1,435.15 Aetna Better Health LA — Medicaid: $352.39 Blue Cross Blue Shield of LA — Commercial: $635.54 Blue Cross Blue Shield of LA — HMO/PPO: $635.54 Dignity Health Plan — All Plans: $276.43 Healthy Blue Community Care of LA MCD — Medicaid: $352.39 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $265.90 Medicaid Louisiana IP OP — Medicaid: $352.39 Medicare A LA JH — Medicare: $286.16
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier 26 In the file: PROF MRI LOWER EXT JOINT WITHOUT CONTRAS,Professional Component	$264	$132	$59.59 – $264
MRI of a leg joint (such as the knee), without contrast: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $68.53 Aetna Better Health LA — Medicaid: $79.65 Blue Cross Blue Shield of LA — Commercial: $264 Blue Cross Blue Shield of LA — HMO/PPO: $264 Dignity Health Plan — All Plans: $71.96 Healthy Blue Community Care of LA MCD — Medicaid: $79.65 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $60.10 Medicaid Louisiana IP OP — Medicaid: $79.65 Medicare A LA JH — Medicare: $68.53 Medicare B LA JH — Medicare: $59.59
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · modifier TC In the file: CT ABD/PELV WITH IV WITH ORAL CONTRAST,Technical Component	$3,684	$1,842	$187.77 – $6,917.37
CT scan of the abdomen and pelvis, with contrast: 10 of 12 insurance plan rates Aetna — Commercial: $500 Aetna — Medicare Advantage: $6,917.37 Aetna Better Health LA — Medicaid: $1,111.46 Blue Cross Blue Shield of LA — Commercial: $591.10 Blue Cross Blue Shield of LA — HMO/PPO: $591.10 Dignity Health Plan — All Plans: $871.90 Healthy Blue Community Care of LA MCD — Medicaid: $1,111.46 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $838.67 Medicaid Louisiana IP OP — Medicaid: $1,111.46 Medicare A LA JH — Medicare: $902.58
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · modifier TC In the file: CT ABD/PELV WITH IV WO ORAL CONTRAST,Technical Component	$3,684	$1,842	$187.77 – $6,917.37
CT scan of the abdomen and pelvis, with contrast: 10 of 12 insurance plan rates Aetna — Commercial: $500 Aetna — Medicare Advantage: $6,917.37 Aetna Better Health LA — Medicaid: $1,111.46 Blue Cross Blue Shield of LA — Commercial: $591.10 Blue Cross Blue Shield of LA — HMO/PPO: $591.10 Dignity Health Plan — All Plans: $871.90 Healthy Blue Community Care of LA MCD — Medicaid: $1,111.46 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $838.67 Medicaid Louisiana IP OP — Medicaid: $1,111.46 Medicare A LA JH — Medicare: $902.58
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · modifier 26 In the file: PROF CT ABD/PELV WITH IV WITH ORAL CONT,Professional Component	$619	$309.50	$79.63 – $591.10
CT scan of the abdomen and pelvis, with contrast: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $91.58 Aetna Better Health LA — Medicaid: $186.75 Blue Cross Blue Shield of LA — Commercial: $591.10 Blue Cross Blue Shield of LA — HMO/PPO: $591.10 Dignity Health Plan — All Plans: $96.16 Healthy Blue Community Care of LA MCD — Medicaid: $186.75 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $140.91 Medicaid Louisiana IP OP — Medicaid: $186.75 Medicare A LA JH — Medicare: $91.58 Medicare B LA JH — Medicare: $79.63
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · modifier TC In the file: US ABDOMEN COMPLETE,Technical Component	$534	$267	$66.68 – $356.06
Ultrasound of the abdomen, complete: 10 of 12 insurance plan rates Aetna — Commercial: $118.38 Aetna — Medicare Advantage: $356.06 Aetna Better Health LA — Medicaid: $161.11 Blue Cross Blue Shield of LA — Commercial: $133.31 Blue Cross Blue Shield of LA — HMO/PPO: $133.31 Dignity Health Plan — All Plans: $126.38 Healthy Blue Community Care of LA MCD — Medicaid: $161.11 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $121.57 Medicaid Louisiana IP OP — Medicaid: $161.11 Medicare A LA JH — Medicare: $130.83
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · modifier 26 In the file: PROF US ABDOMEN COMPLETE,Professional Component	$134	$67	$30.51 – $133.31
Ultrasound of the abdomen, complete: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $40.85 Aetna Better Health LA — Medicaid: $40.43 Blue Cross Blue Shield of LA — Commercial: $133.31 Blue Cross Blue Shield of LA — HMO/PPO: $133.31 Dignity Health Plan — All Plans: $42.88 Healthy Blue Community Care of LA MCD — Medicaid: $40.43 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $30.51 Medicaid Louisiana IP OP — Medicaid: $40.43 Medicare A LA JH — Medicare: $40.85 Medicare B LA JH — Medicare: $35.52
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: OB US >/=14 WEEKS SINGLE FETUS	$51.60	$25.80	$11.75 – $62.81
Pregnancy ultrasound (after the first trimester): 10 of 12 insurance plan rates Aetna — Commercial: $51.60 Aetna — Medicare Advantage: $62.81 Aetna Better Health LA — Medicaid: $15.57 Blue Cross Blue Shield of LA — Commercial: $51.60 Blue Cross Blue Shield of LA — HMO/PPO: $51.60 Dignity Health Plan — All Plans: $12.21 Healthy Blue Community Care of LA MCD — Medicaid: $15.57 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $11.75 Medicaid Louisiana IP OP — Medicaid: $15.57 Medicare A LA JH — Medicare: $12.64
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: OB US >14 WKS SINGLE FETUS	$206.40	$103.20	$46.98 – $142.31
Pregnancy ultrasound (after the first trimester): 10 of 12 insurance plan rates Aetna — Commercial: $130.15 Aetna — Medicare Advantage: $51.31 Aetna Better Health LA — Medicaid: $62.27 Blue Cross Blue Shield of LA — Commercial: $142.31 Blue Cross Blue Shield of LA — HMO/PPO: $142.31 Dignity Health Plan — All Plans: $53.88 Healthy Blue Community Care of LA MCD — Medicaid: $62.27 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $46.98 Medicaid Louisiana IP OP — Medicaid: $62.27 Medicare A LA JH — Medicare: $51.31
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · modifier TC In the file: US OB,Technical Component	$534	$267	$77.11 – $411.75
Pregnancy ultrasound (after the first trimester): 10 of 12 insurance plan rates Aetna — Commercial: $130.15 Aetna — Medicare Advantage: $411.75 Aetna Better Health LA — Medicaid: $161.11 Blue Cross Blue Shield of LA — Commercial: $142.31 Blue Cross Blue Shield of LA — HMO/PPO: $142.31 Dignity Health Plan — All Plans: $126.38 Healthy Blue Community Care of LA MCD — Medicaid: $161.11 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $121.57 Medicaid Louisiana IP OP — Medicaid: $161.11 Medicare A LA JH — Medicare: $130.83
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: TRANSVAGINAL US NON OB	$117.40	$58.70	$26.72 – $122.84
Transvaginal ultrasound: 10 of 12 insurance plan rates Aetna — Commercial: $117.40 Aetna — Medicare Advantage: $122.84 Aetna Better Health LA — Medicaid: $35.42 Blue Cross Blue Shield of LA — Commercial: $117.40 Blue Cross Blue Shield of LA — HMO/PPO: $117.40 Dignity Health Plan — All Plans: $27.78 Healthy Blue Community Care of LA MCD — Medicaid: $35.42 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $26.72 Medicaid Louisiana IP OP — Medicaid: $35.42 Medicare A LA JH — Medicare: $28.76
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: TRANSVAGINAL US NON-OB	$489.60	$244.80	$35.32 – $147.71
Transvaginal ultrasound: 10 of 12 insurance plan rates Aetna — Commercial: $127.59 Aetna — Medicare Advantage: $35.32 Aetna Better Health LA — Medicaid: $147.71 Blue Cross Blue Shield of LA — Commercial: $126.03 Blue Cross Blue Shield of LA — HMO/PPO: $126.03 Dignity Health Plan — All Plans: $37.08 Healthy Blue Community Care of LA MCD — Medicaid: $147.71 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $111.47 Medicaid Louisiana IP OP — Medicaid: $147.71 Medicare A LA JH — Medicare: $35.32
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · modifier TC In the file: US TRANSVAGINAL-NON OB,Technical Component	$534	$267	$73.92 – $394.74
Transvaginal ultrasound: 10 of 12 insurance plan rates Aetna — Commercial: $127.59 Aetna — Medicare Advantage: $394.74 Aetna Better Health LA — Medicaid: $161.11 Blue Cross Blue Shield of LA — Commercial: $126.03 Blue Cross Blue Shield of LA — HMO/PPO: $126.03 Dignity Health Plan — All Plans: $126.38 Healthy Blue Community Care of LA MCD — Medicaid: $161.11 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $121.57 Medicaid Louisiana IP OP — Medicaid: $161.11 Medicare A LA JH — Medicare: $130.83
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier LT,TC In the file: MAMMO LT CONE/MAG-3D*,Left Side, Technical Component	$151	$75.50	$34.38 – $134.24
Diagnostic mammogram, one breast: 10 of 12 insurance plan rates Aetna — Commercial: $134.24 Aetna — Medicare Advantage: $112.90 Aetna Better Health LA — Medicaid: $45.56 Blue Cross Blue Shield of LA — Commercial: $98.54 Blue Cross Blue Shield of LA — HMO/PPO: $98.54 Dignity Health Plan — All Plans: $35.74 Healthy Blue Community Care of LA MCD — Medicaid: $45.56 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $34.38 Medicaid Louisiana IP OP — Medicaid: $45.56 Medicare A LA JH — Medicare: $37
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier RT,TC In the file: MAMMO RT CONE/MAG-3D*,Right Side, Technical Component	$151	$75.50	$34.38 – $134.24
Diagnostic mammogram, one breast: 10 of 12 insurance plan rates Aetna — Commercial: $134.24 Aetna — Medicare Advantage: $112.90 Aetna Better Health LA — Medicaid: $45.56 Blue Cross Blue Shield of LA — Commercial: $98.54 Blue Cross Blue Shield of LA — HMO/PPO: $98.54 Dignity Health Plan — All Plans: $35.74 Healthy Blue Community Care of LA MCD — Medicaid: $45.56 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $34.38 Medicaid Louisiana IP OP — Medicaid: $45.56 Medicare A LA JH — Medicare: $37
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier LT,TC In the file: MAMMO LT UNILAT DIAG 3D*,Left Side, Technical Component	$151	$75.50	$34.38 – $134.24
Diagnostic mammogram, one breast: 10 of 12 insurance plan rates Aetna — Commercial: $134.24 Aetna — Medicare Advantage: $112.90 Aetna Better Health LA — Medicaid: $45.56 Blue Cross Blue Shield of LA — Commercial: $98.54 Blue Cross Blue Shield of LA — HMO/PPO: $98.54 Dignity Health Plan — All Plans: $35.74 Healthy Blue Community Care of LA MCD — Medicaid: $45.56 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $34.38 Medicaid Louisiana IP OP — Medicaid: $45.56 Medicare A LA JH — Medicare: $37
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · modifier TC In the file: MAMMO BILAT-CONE/MAG 3D*,Technical Component	$187	$93.50	$42.57 – $179.39
Diagnostic mammogram, both breasts: 10 of 12 insurance plan rates Aetna — Commercial: $171.06 Aetna — Medicare Advantage: $179.39 Aetna Better Health LA — Medicaid: $56.42 Blue Cross Blue Shield of LA — Commercial: $115.77 Blue Cross Blue Shield of LA — HMO/PPO: $115.77 Dignity Health Plan — All Plans: $44.26 Healthy Blue Community Care of LA MCD — Medicaid: $56.42 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $42.57 Medicaid Louisiana IP OP — Medicaid: $56.42 Medicare A LA JH — Medicare: $45.82
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · modifier TC In the file: MAMMO BILAT-DIAG 3D*,Technical Component	$187	$93.50	$42.57 – $179.39
Diagnostic mammogram, both breasts: 10 of 12 insurance plan rates Aetna — Commercial: $171.06 Aetna — Medicare Advantage: $179.39 Aetna Better Health LA — Medicaid: $56.42 Blue Cross Blue Shield of LA — Commercial: $115.77 Blue Cross Blue Shield of LA — HMO/PPO: $115.77 Dignity Health Plan — All Plans: $44.26 Healthy Blue Community Care of LA MCD — Medicaid: $56.42 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $42.57 Medicaid Louisiana IP OP — Medicaid: $56.42 Medicare A LA JH — Medicare: $45.82
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · modifier 26 In the file: PROF MAMMO BILAT-DIAG,Professional Component	$160	$80	$36.43 – $115.77
Diagnostic mammogram, both breasts: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $50.72 Aetna Better Health LA — Medicaid: $48.27 Blue Cross Blue Shield of LA — Commercial: $115.77 Blue Cross Blue Shield of LA — HMO/PPO: $115.77 Dignity Health Plan — All Plans: $53.25 Healthy Blue Community Care of LA MCD — Medicaid: $48.27 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $36.43 Medicaid Louisiana IP OP — Medicaid: $48.27 Medicare A LA JH — Medicare: $50.72 Medicare B LA JH — Medicare: $44.10
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · modifier TC In the file: MAMMO BILAT-SCREEN 3D*,Technical Component	$142	$71	$32.33 – $141.91
Screening mammogram, both breasts: 10 of 12 insurance plan rates Aetna — Commercial: $141.91 Aetna — Medicare Advantage: $79.11 Aetna Better Health LA — Medicaid: $42.84 Blue Cross Blue Shield of LA — Commercial: $110.71 Blue Cross Blue Shield of LA — HMO/PPO: $110.71 Dignity Health Plan — All Plans: $83.06 Healthy Blue Community Care of LA MCD — Medicaid: $42.84 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $32.33 Medicaid Louisiana IP OP — Medicaid: $42.84 Medicare A LA JH — Medicare: $79.11
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · modifier LT,TC In the file: MAMMO LT UNILAT SCREEN 3D*,Left Side, Technical Component	$142	$71	$32.33 – $141.91
Screening mammogram, both breasts: 10 of 12 insurance plan rates Aetna — Commercial: $141.91 Aetna — Medicare Advantage: $79.11 Aetna Better Health LA — Medicaid: $42.84 Blue Cross Blue Shield of LA — Commercial: $110.71 Blue Cross Blue Shield of LA — HMO/PPO: $110.71 Dignity Health Plan — All Plans: $83.06 Healthy Blue Community Care of LA MCD — Medicaid: $42.84 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $32.33 Medicaid Louisiana IP OP — Medicaid: $42.84 Medicare A LA JH — Medicare: $79.11
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · modifier RT,TC In the file: MAMMO RT UNILAT SCREEN 3D*,Right Side, Technical Component	$142	$71	$32.33 – $141.91
Screening mammogram, both breasts: 10 of 12 insurance plan rates Aetna — Commercial: $141.91 Aetna — Medicare Advantage: $79.11 Aetna Better Health LA — Medicaid: $42.84 Blue Cross Blue Shield of LA — Commercial: $110.71 Blue Cross Blue Shield of LA — HMO/PPO: $110.71 Dignity Health Plan — All Plans: $83.06 Healthy Blue Community Care of LA MCD — Medicaid: $42.84 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $32.33 Medicaid Louisiana IP OP — Medicaid: $42.84 Medicare A LA JH — Medicare: $79.11

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient In the file: EKG	$60	$30	$8.41 – $60
Electrocardiogram (ECG/EKG) with reading: 10 of 12 insurance plan rates Aetna — Commercial: $23.87 Aetna — Medicare Advantage: $8.41 Aetna Better Health LA — Medicaid: $18.10 Blue Cross Blue Shield of LA — Commercial: $60 Blue Cross Blue Shield of LA — HMO/PPO: $60 Dignity Health Plan — All Plans: $14.20 Healthy Blue Community Care of LA MCD — Medicaid: $18.10 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $13.66 Medicaid Louisiana IP OP — Medicaid: $18.10 Medicare A LA JH — Medicare: $14.70

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 GP In the file: PT THERAPEUTIC PROCEDURE,PT Services	$84	$42	$11 – $84
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 12 insurance plan rates Aetna — Commercial: $84 Aetna — Medicare Advantage: $22.61 Aetna Better Health LA — Medicaid: $16.21 Blue Cross Blue Shield of LA — Commercial: $46.61 Blue Cross Blue Shield of LA — HMO/PPO: $46.61 Dignity Health Plan — All Plans: $19.88 Healthy Blue Community Care of LA MCD — Medicaid: $16.21 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $19.12 Medicaid Louisiana IP OP — Medicaid: $11 Medicare A LA JH — Medicare: $20.58
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GO In the file: THERAPEUTIC PROCEDURE 1 OR MORE AREAS,OT Services	$84	$42	$11 – $84
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 12 insurance plan rates Aetna — Commercial: $84 Aetna — Medicare Advantage: $22.61 Aetna Better Health LA — Medicaid: $16.21 Blue Cross Blue Shield of LA — Commercial: $46.61 Blue Cross Blue Shield of LA — HMO/PPO: $46.61 Dignity Health Plan — All Plans: $19.88 Healthy Blue Community Care of LA MCD — Medicaid: $16.21 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $19.12 Medicaid Louisiana IP OP — Medicaid: $11 Medicare A LA JH — Medicare: $20.58
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · modifier GP In the file: PT EVAL LOW COMPLEXITY,PT Services	$285	$142.50	$58.94 – $258.49
Physical therapy evaluation (low complexity): 10 of 12 insurance plan rates Aetna — Commercial: $100 Aetna — Medicare Advantage: $258.49 Aetna Better Health LA — Medicaid: $58.94 Blue Cross Blue Shield of LA — Commercial: $125.76 Blue Cross Blue Shield of LA — HMO/PPO: $125.76 Dignity Health Plan — All Plans: $67.45 Healthy Blue Community Care of LA MCD — Medicaid: $58.94 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $64.89 Medicaid Louisiana IP OP — Medicaid: $58.94 Medicare A LA JH — Medicare: $69.82
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · modifier GP In the file: PT EVAL MODERATECOMPLEXITY,PT Services	$285	$142.50	$58.94 – $258.49
Physical therapy evaluation (moderate complexity): 10 of 12 insurance plan rates Aetna — Commercial: $100 Aetna — Medicare Advantage: $258.49 Aetna Better Health LA — Medicaid: $58.94 Blue Cross Blue Shield of LA — Commercial: $125.76 Blue Cross Blue Shield of LA — HMO/PPO: $125.76 Dignity Health Plan — All Plans: $67.45 Healthy Blue Community Care of LA MCD — Medicaid: $58.94 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $64.89 Medicaid Louisiana IP OP — Medicaid: $58.94 Medicare A LA JH — Medicare: $69.82
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · modifier GP In the file: PT EVAL HIGH COMPLEXITY,PT Services	$285	$142.50	$58.94 – $258.49
Physical therapy evaluation (high complexity): 10 of 12 insurance plan rates Aetna — Commercial: $100 Aetna — Medicare Advantage: $258.49 Aetna Better Health LA — Medicaid: $58.94 Blue Cross Blue Shield of LA — Commercial: $125.76 Blue Cross Blue Shield of LA — HMO/PPO: $125.76 Dignity Health Plan — All Plans: $67.45 Healthy Blue Community Care of LA MCD — Medicaid: $58.94 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $64.89 Medicaid Louisiana IP OP — Medicaid: $58.94 Medicare A LA JH — Medicare: $69.82
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: INDIVIDUAL 30 MIN	$437	$218.50	$69.85 – $357.34
Psychotherapy, 30 minutes: 10 of 12 insurance plan rates Aetna — Commercial: $69.85 Aetna — Medicare Advantage: $357.34 Aetna Better Health LA — Medicaid: $131.84 Blue Cross Blue Shield of LA — Commercial: $349.60 Blue Cross Blue Shield of LA — HMO/PPO: $305.90 Dignity Health Plan — All Plans: $103.43 Healthy Blue Community Care of LA MCD — Medicaid: $131.84 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $99.49 Medicaid Louisiana IP OP — Medicaid: $131.84 Medicare A LA JH — Medicare: $107.06
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: INDIVIDUAL 45-60 MIN	$437	$218.50	$92.93 – $474
Psychotherapy, 45 minutes: 10 of 12 insurance plan rates Aetna — Commercial: $92.93 Aetna — Medicare Advantage: $474 Aetna Better Health LA — Medicaid: $131.84 Blue Cross Blue Shield of LA — Commercial: $349.60 Blue Cross Blue Shield of LA — HMO/PPO: $305.90 Dignity Health Plan — All Plans: $103.43 Healthy Blue Community Care of LA MCD — Medicaid: $131.84 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $99.49 Medicaid Louisiana IP OP — Medicaid: $131.84 Medicare A LA JH — Medicare: $107.06
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: FAMILY 45- 60 MIN	$437	$218.50	$99.49 – $462.48
Family psychotherapy, with the patient: 10 of 12 insurance plan rates Aetna — Commercial: $106.35 Aetna — Medicare Advantage: $462.48 Aetna Better Health LA — Medicaid: $131.84 Blue Cross Blue Shield of LA — Commercial: $349.60 Blue Cross Blue Shield of LA — HMO/PPO: $305.90 Dignity Health Plan — All Plans: $103.43 Healthy Blue Community Care of LA MCD — Medicaid: $131.84 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $99.49 Medicaid Louisiana IP OP — Medicaid: $131.84 Medicare A LA JH — Medicare: $107.06
Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: GROUP 60 MIN	$228	$114	$28.91 – $157.99
Group psychotherapy: 10 of 12 insurance plan rates Aetna — Commercial: $46.35 Aetna — Medicare Advantage: $65.91 Aetna Better Health LA — Medicaid: $68.79 Blue Cross Blue Shield of LA — Commercial: $157.99 Blue Cross Blue Shield of LA — HMO/PPO: $157.99 Dignity Health Plan — All Plans: $53.96 Healthy Blue Community Care of LA MCD — Medicaid: $68.79 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $51.90 Medicaid Louisiana IP OP — Medicaid: $68.79 Medicare A LA JH — Medicare: $55.86

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient In the file: EXCIS OF CYST FIBROADENOMA 1+ LES	$1,187	$593.50	$270.23 – $1,187
Removal of breast growth (open surgery): 10 of 11 insurance plan rates Aetna — Medicare Advantage: $435.72 Aetna Better Health LA — Medicaid: $358.12 Blue Cross Blue Shield of LA — Commercial: $1,187 Blue Cross Blue Shield of LA — HMO/PPO: $1,187 Dignity Health Plan — All Plans: $457.50 Healthy Blue Community Care of LA MCD — Medicaid: $358.12 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $270.23 Medicaid Louisiana IP OP — Medicaid: $358.12 Medicare A LA JH — Medicare: $435.72 Medicare B LA JH — Medicare: $522.28
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: EGD DIAG BRUSH WASH	$349	$174.50	$79.45 – $349
Upper GI endoscopy (diagnostic): 10 of 11 insurance plan rates Aetna — Medicare Advantage: $119.76 Aetna Better Health LA — Medicaid: $105.29 Blue Cross Blue Shield of LA — Commercial: $349 Blue Cross Blue Shield of LA — HMO/PPO: $349 Dignity Health Plan — All Plans: $125.74 Healthy Blue Community Care of LA MCD — Medicaid: $105.29 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $79.45 Medicaid Louisiana IP OP — Medicaid: $105.29 Medicare A LA JH — Medicare: $119.76 Medicare B LA JH — Medicare: $288.09
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · modifier 52 In the file: EGD DIAG BRUSH WASH,Reduced Service	$349	$174.50	$79.45 – $349
Upper GI endoscopy (diagnostic): 10 of 11 insurance plan rates Aetna — Medicare Advantage: $119.76 Aetna Better Health LA — Medicaid: $105.29 Blue Cross Blue Shield of LA — Commercial: $349 Blue Cross Blue Shield of LA — HMO/PPO: $349 Dignity Health Plan — All Plans: $125.74 Healthy Blue Community Care of LA MCD — Medicaid: $105.29 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $79.45 Medicaid Louisiana IP OP — Medicaid: $105.29 Medicare A LA JH — Medicare: $119.76 Medicare B LA JH — Medicare: $288.09
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: GASTRO PROCEDURE PHYSICIAN 43239	$261	$130.50	$59.42 – $261
Upper GI endoscopy with biopsy: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $134.09 Aetna Better Health LA — Medicaid: $78.74 Blue Cross Blue Shield of LA — Commercial: $261 Blue Cross Blue Shield of LA — HMO/PPO: $261 Dignity Health Plan — All Plans: $140.80 Healthy Blue Community Care of LA MCD — Medicaid: $78.74 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $59.42 Medicaid Louisiana IP OP — Medicaid: $78.74 Medicare A LA JH — Medicare: $134.09 Medicare B LA JH — Medicare: $255.78
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · modifier 59 In the file: GASTRO PROCEDURE PHYSICIAN 43239-59,Distinct Procedural Service	$261	$130.50	$59.42 – $261
Upper GI endoscopy with biopsy: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $134.09 Aetna Better Health LA — Medicaid: $78.74 Blue Cross Blue Shield of LA — Commercial: $261 Blue Cross Blue Shield of LA — HMO/PPO: $261 Dignity Health Plan — All Plans: $140.80 Healthy Blue Community Care of LA MCD — Medicaid: $78.74 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $59.42 Medicaid Louisiana IP OP — Medicaid: $78.74 Medicare A LA JH — Medicare: $134.09 Medicare B LA JH — Medicare: $255.78
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · modifier 59 In the file: GASTRO PROCEDURE PHYSICIAN 4323959,Distinct Procedural Service	$393	$196.50	$89.46 – $393
Upper GI endoscopy with biopsy: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $134.09 Aetna Better Health LA — Medicaid: $118.57 Blue Cross Blue Shield of LA — Commercial: $393 Blue Cross Blue Shield of LA — HMO/PPO: $393 Dignity Health Plan — All Plans: $140.80 Healthy Blue Community Care of LA MCD — Medicaid: $118.57 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $89.46 Medicaid Louisiana IP OP — Medicaid: $118.57 Medicare A LA JH — Medicare: $134.09 Medicare B LA JH — Medicare: $372.68
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: GASTRO PROCEDURE PHYSICIAN 45378	$351	$175.50	$79.91 – $351
Colonoscopy (diagnostic): 10 of 11 insurance plan rates Aetna — Medicare Advantage: $179.12 Aetna Better Health LA — Medicaid: $105.90 Blue Cross Blue Shield of LA — Commercial: $351 Blue Cross Blue Shield of LA — HMO/PPO: $351 Dignity Health Plan — All Plans: $188.08 Healthy Blue Community Care of LA MCD — Medicaid: $105.90 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $79.91 Medicaid Louisiana IP OP — Medicaid: $105.90 Medicare A LA JH — Medicare: $179.12 Medicare B LA JH — Medicare: $340.87
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · modifier 59 In the file: GASTRO PROCEDURE PHYSICIAN 45378-59,Distinct Procedural Service	$351	$175.50	$79.91 – $351
Colonoscopy (diagnostic): 10 of 11 insurance plan rates Aetna — Medicare Advantage: $179.12 Aetna Better Health LA — Medicaid: $105.90 Blue Cross Blue Shield of LA — Commercial: $351 Blue Cross Blue Shield of LA — HMO/PPO: $351 Dignity Health Plan — All Plans: $188.08 Healthy Blue Community Care of LA MCD — Medicaid: $105.90 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $79.91 Medicaid Louisiana IP OP — Medicaid: $105.90 Medicare A LA JH — Medicare: $179.12 Medicare B LA JH — Medicare: $340.87
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · modifier 52 In the file: GASTR PROCEDURE PHYSICIAN 45378-52,Reduced Service	$263	$131.50	$59.87 – $263
Colonoscopy (diagnostic): 10 of 11 insurance plan rates Aetna — Medicare Advantage: $179.12 Aetna Better Health LA — Medicaid: $79.35 Blue Cross Blue Shield of LA — Commercial: $263 Blue Cross Blue Shield of LA — HMO/PPO: $263 Dignity Health Plan — All Plans: $188.08 Healthy Blue Community Care of LA MCD — Medicaid: $79.35 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $59.87 Medicaid Louisiana IP OP — Medicaid: $79.35 Medicare A LA JH — Medicare: $179.12 Medicare B LA JH — Medicare: $257.74
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: COLONSCOPY AND BIOPSY	$2,120	$1,060	$300.99 – $9,123.37
Colonoscopy with biopsy: 10 of 12 insurance plan rates Aetna — Commercial: $300.99 Aetna — Medicare Advantage: $9,123.37 Aetna Better Health LA — Medicaid: $639.60 Blue Cross Blue Shield of LA — Commercial: $1,250.12 Blue Cross Blue Shield of LA — HMO/PPO: $1,250.12 Dignity Health Plan — All Plans: $501.74 Healthy Blue Community Care of LA MCD — Medicaid: $639.60 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $482.63 Medicaid Louisiana IP OP — Medicaid: $639.60 Medicare A LA JH — Medicare: $519.40
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: GASTRO PROCEDURE PHYSICIAN 45380	$380	$190	$86.50 – $380
Colonoscopy with biopsy: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $193.40 Aetna Better Health LA — Medicaid: $114.65 Blue Cross Blue Shield of LA — Commercial: $380 Blue Cross Blue Shield of LA — HMO/PPO: $380 Dignity Health Plan — All Plans: $203.08 Healthy Blue Community Care of LA MCD — Medicaid: $114.65 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $86.50 Medicaid Louisiana IP OP — Medicaid: $114.65 Medicare A LA JH — Medicare: $193.40 Medicare B LA JH — Medicare: $372.40
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · modifier 59 In the file: GASTRO PROCEDURE PHYSICIAN 4538059,Distinct Procedural Service	$380	$190	$86.50 – $380
Colonoscopy with biopsy: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $193.40 Aetna Better Health LA — Medicaid: $114.65 Blue Cross Blue Shield of LA — Commercial: $380 Blue Cross Blue Shield of LA — HMO/PPO: $380 Dignity Health Plan — All Plans: $203.08 Healthy Blue Community Care of LA MCD — Medicaid: $114.65 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $86.50 Medicaid Louisiana IP OP — Medicaid: $114.65 Medicare A LA JH — Medicare: $193.40 Medicare B LA JH — Medicare: $372.40
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: COLONOSCOPY WITH LESION REMOVAL	$2,500	$1,250	$382.40 – $11,291.56
Colonoscopy with removal of polyps (snare): 10 of 12 insurance plan rates Aetna — Commercial: $382.40 Aetna — Medicare Advantage: $11,291.56 Aetna Better Health LA — Medicaid: $754.25 Blue Cross Blue Shield of LA — Commercial: $1,250.12 Blue Cross Blue Shield of LA — HMO/PPO: $1,250.12 Dignity Health Plan — All Plans: $591.68 Healthy Blue Community Care of LA MCD — Medicaid: $754.25 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $569.14 Medicaid Louisiana IP OP — Medicaid: $754.25 Medicare A LA JH — Medicare: $612.50
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: GASTRO PROCEDURE PHYSICIAN 45385	$480	$240	$109.27 – $480
Colonoscopy with removal of polyps (snare): 10 of 11 insurance plan rates Aetna — Medicare Advantage: $243.58 Aetna Better Health LA — Medicaid: $144.82 Blue Cross Blue Shield of LA — Commercial: $480 Blue Cross Blue Shield of LA — HMO/PPO: $480 Dignity Health Plan — All Plans: $255.76 Healthy Blue Community Care of LA MCD — Medicaid: $144.82 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $109.27 Medicaid Louisiana IP OP — Medicaid: $144.82 Medicare A LA JH — Medicare: $243.58 Medicare B LA JH — Medicare: $451.66
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: GASTRO PROCEDURE PHYSICIAN 45385-59	$728	$364	$165.73 – $728
Colonoscopy with removal of polyps (snare): 10 of 11 insurance plan rates Aetna — Medicare Advantage: $243.58 Aetna Better Health LA — Medicaid: $219.64 Blue Cross Blue Shield of LA — Commercial: $728 Blue Cross Blue Shield of LA — HMO/PPO: $728 Dignity Health Plan — All Plans: $255.76 Healthy Blue Community Care of LA MCD — Medicaid: $219.64 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $165.73 Medicaid Louisiana IP OP — Medicaid: $219.64 Medicare A LA JH — Medicare: $243.58 Medicare B LA JH — Medicare: $451.66
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient In the file: GENERAL SURGERY PHYSICIAN 47562	$1,586	$793	$361.06 – $1,586
Gallbladder removal by laparoscope: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $681.84 Aetna Better Health LA — Medicaid: $478.50 Blue Cross Blue Shield of LA — Commercial: $1,586 Blue Cross Blue Shield of LA — HMO/PPO: $1,586 Dignity Health Plan — All Plans: $715.93 Healthy Blue Community Care of LA MCD — Medicaid: $478.50 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $361.06 Medicaid Louisiana IP OP — Medicaid: $478.50 Medicare A LA JH — Medicare: $681.84 Medicare B LA JH — Medicare: $592.90
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient In the file: PRP I/HERNIA INIT REDUC > 5 YRS	$7,084	$3,542	$474.72 – $33,629.29
Groin (inguinal) hernia repair, age 5 or older: 10 of 12 insurance plan rates Aetna — Commercial: $796.01 Aetna — Medicare Advantage: $33,629.29 Aetna Better Health LA — Medicaid: $2,137.24 Blue Cross Blue Shield of LA — Commercial: $4,183.74 Blue Cross Blue Shield of LA — HMO/PPO: $4,183.74 Dignity Health Plan — All Plans: $1,676.57 Healthy Blue Community Care of LA MCD — Medicaid: $2,137.24 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $1,612.70 Medicaid Louisiana IP OP — Medicaid: $2,137.24 Medicare A LA JH — Medicare: $1,735.58
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient In the file: GENERAL SURGERY PHYSICIAN 49505	$1,503	$751.50	$342.17 – $1,503
Groin (inguinal) hernia repair, age 5 or older: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $545.93 Aetna Better Health LA — Medicaid: $453.46 Blue Cross Blue Shield of LA — Commercial: $1,503 Blue Cross Blue Shield of LA — HMO/PPO: $1,503 Dignity Health Plan — All Plans: $573.22 Healthy Blue Community Care of LA MCD — Medicaid: $453.46 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $342.17 Medicaid Louisiana IP OP — Medicaid: $453.46 Medicare A LA JH — Medicare: $545.93 Medicare B LA JH — Medicare: $474.72
Prostate biopsy CPT 55700 · Inpatient or outpatient In the file: UROLOGY PROCEDURE PHYSICIAN 55700	$372	$186	$84.69 – $372
Prostate biopsy: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $135.89 Aetna Better Health LA — Medicaid: $112.23 Blue Cross Blue Shield of LA — Commercial: $372 Blue Cross Blue Shield of LA — HMO/PPO: $372 Dignity Health Plan — All Plans: $142.68 Healthy Blue Community Care of LA MCD — Medicaid: $112.23 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $84.69 Medicaid Louisiana IP OP — Medicaid: $112.23 Medicare A LA JH — Medicare: $135.89 Medicare B LA JH — Medicare: $211.72
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient In the file: GYN PROCEDURE PHYSICIAN 58558	$732	$366	$166.64 – $732
Hysteroscopy with biopsy of the uterus lining: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $223.47 Aetna Better Health LA — Medicaid: $220.84 Blue Cross Blue Shield of LA — Commercial: $732 Blue Cross Blue Shield of LA — HMO/PPO: $732 Dignity Health Plan — All Plans: $234.64 Healthy Blue Community Care of LA MCD — Medicaid: $220.84 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $166.64 Medicaid Louisiana IP OP — Medicaid: $220.84 Medicare A LA JH — Medicare: $223.47 Medicare B LA JH — Medicare: $717.36
Carpal tunnel release CPT 64721 · Inpatient or outpatient In the file: ORTHOPEDIC SURGERY PHYSICIAN 64721	$1,060	$530	$241.32 – $1,060
Carpal tunnel release: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $445.81 Aetna Better Health LA — Medicaid: $319.80 Blue Cross Blue Shield of LA — Commercial: $1,060 Blue Cross Blue Shield of LA — HMO/PPO: $1,060 Dignity Health Plan — All Plans: $468.11 Healthy Blue Community Care of LA MCD — Medicaid: $319.80 Humana Advantage Care Plans Med Advantage — Medicare Advantage: $241.32 Medicaid Louisiana IP OP — Medicaid: $319.80 Medicare A LA JH — Medicare: $445.81 Medicare B LA JH — Medicare: $439.22

Source: Riverland Medical Center’s standard charges file (trinitymed.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on September 11, 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	6569 Hwy 84, Ferriday, LA 71334
Parish	Concordia Parish
State	Louisiana
Phone	(318) 757‑6551
Emergency services	Yes
Ownership	Government - Hospital District or Authority
Medicare overall rating	Not rated by CMS
CMS Certification Number	191318
Name in Medicare records	RIVERLAND MEDICAL CENTER
Profile level	Medicare data + hospital website
Name on the hospital’s website	Trinity Medical
Official website	trinitymed.com
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau ZIP code areas (Gazetteer) — approximate position (center of the ZIP code area) used for distances

From the hospital’s website

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

Trinity Medical Home — trinitymed.com
Trinity Medical (Inpatient Care) — trinitymed.com
Trinity Medical (Surgical Care) — trinitymed.com
Trinity Medical (3D Mammography / services menu) — trinitymed.com
Trinity Medical (Cardio-Respiratory) — trinitymed.com
Trinity Medical (Imaging Services) — trinitymed.com

Riverland Medical Center

Summary

Profile from official sources

At a glance