Does Riverside Medical Center have an emergency room?

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

Where is Riverside Medical Center?

1900 South Main St, Franklinton, LA 70438, in Washington Parish, Louisiana.

What is the phone number of Riverside Medical Center?

(985) 795-4431, as listed by Medicare (CMS).

What is the Medicare star rating of Riverside 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.

Riverside Medical Center — Franklinton, LA

Quick answers

Does Riverside Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Riverside Medical Center. In a medical emergency, call 911.
Where is Riverside Medical Center?: 1900 South Main St, Franklinton, LA 70438, in Washington Parish, Louisiana.
What is the phone number of Riverside Medical Center?: (985) 795-4431, as listed by Medicare (CMS).
What is the Medicare star rating of Riverside 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][6][7][8][9][10][12][13][14][15][18][19][20]}

Conditions treated^[6][11][14]

Pneumonia
COPD
Cardiac conditions
Congestive heart failure
Diabetic conditions
Dehydration
Cellulitis
Urinary tract infections
Orthopedic injuries
Strokes
Burns
Arthritis
Sports injuries
Amputations
Work injuries

Treatments^{[5][9][10][18]}

Infusion services
Physical therapy
Occupational therapy
Speech therapy
Cardiac rehabilitation
Dietician counseling
IV therapy
Intramuscular and subcutaneous injections
Blood and platelet transfusions
Port-A-Cath use and care
PICC line placement
Midline placement
Foley and in-and-out catheters
Oxygen therapy
BIPAP/CPAP therapy
Aerosol therapy
Ventilator management
Airway care
Incentive spirometry
Percussion and postural drainage
Breathing exercises
Pediatric respiratory care
Electrocardiograms
Cardiac stress testing
Echocardiogram and Doppler studies
Holter monitoring
Pulmonary function testing
Electroencephalograms
Arterial blood gas analysis

Procedures^{[5][9][12][13]}

General surgery
X-ray
CT
MRI
Ultrasound
Bone density testing
Mammography
EKG
Cardiac stress testing
Echocardiogram
Holter monitoring
Laboratory services
Endoscopy
Laparoscopic appendectomy
Laparoscopic gallbladder removal
Laparoscopic ventral and incisional hernia repair
Colon resection
Diagnostic laparoscopy
Open inguinal and umbilical hernia repair
Hemorrhoidectomy and banding
Pilonidal cyst excision
Incision and drainage of abscess
Excision of lesions
Decubitus ulcer debridement
MR arthrography
CT scan
CT angiography
Nuclear medicine
Breast biopsy
Bone densitometry
Fluoroscopy
Digital radiography
Epidural steroid injections
Facet injections
Joint steroid injections
Thyroid fine needle aspiration
General biopsy
Lumbar puncture

Programs and centers^{[5][6][10][14][16][17][20]}

Swing Bed Program
Intensive Care Unit
Wellness program
Cardiac Rehabilitation
Free athletic screenings
Medical nutritional therapy

Emergency care (hospital website)^[4][5][7][8]

Emergency room	Yes
Open 24/7	Yes

Recognition^[12][15]

American College of Radiology Mammography Accreditation
Joint Commission accredited laboratory

Doctors and clinicians (191)

191 doctors and other clinicians list Riverside 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

And 167 more: the button below opens the full list.

Other emergency rooms nearby

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

Our Lady of the Angels Hospital17 mi · Bogalusa, LA · Acute Care Hospital
Walthall County General Hospital CAH20 mi · Tylertown, MS · Critical Access Hospital
Hood Memorial Hospital23 mi · Amite, LA · Critical Access Hospital
Lallie Kemp Medical Center25 mi · Independence, LA · Critical Access Hospital
St Tammany Parish Hospital26 mi · Covington, LA · Acute Care Hospital

Other hospitals nearby

Bogalusa Rehabilitation Hospital16 mi · Bogalusa, LA · Inpatient Rehabilitation Hospital
Oceans Behavioral Hospital of Kentwood20 mi · Kentwood, LA · Psychiatric Hospital
Southeast Regional Medical Center23 mi · Kentwood, 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

Fair City Health and Rehab0.1 mi · Franklinton, LA · 1 of 5 stars
Good Samaritan Living Center1.5 mi · Franklinton, LA · 2 of 5 stars
Resthaven Living Center17 mi · Bogalusa, LA · 2 of 5 stars

All nursing homes in the state →

Hospice providers

Community Care Hospice3.1 mi · Franklinton, LA

All hospice providers in the state →

Home health agencies

Elara Caring19 mi · Leesville, LA

All home health agencies in the state →

Dialysis facilities

DaVita Washington Parish Dialysis3.1 mi · Franklinton, LA · 3 of 5 stars
FKC - Washington Parish3.1 mi · Franklinton, LA · 4 of 5 stars
DaVita Bogalusa Kidney Care16 mi · Bogalusa, LA · 2 of 5 stars

All dialysis facilities in the state →

Community care nearby

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

Community health centers

Family Health Care Clinic, Tylertown--Head Start16 mi · Tylertown, MS · Community health center
Family Health Care Clinic, Inc.-Bogalusa17 mi · Bogalusa, LA · Community health center
Southeast Community Health Systems - Chesbrough School-Based18 mi · Kentwood, LA · Community health center

Clinics and urgent care

Children's International Medical Group3.1 mi · Franklinton, LA · Rural health clinic
Riverside Family Care Clinic3.1 mi · Franklinton, LA · Rural health clinic
Thomas Community Health Center3.1 mi · Franklinton, LA · Rural health clinic

Pharmacies

Creel's Family Pharmacy LLC3.1 mi · Franklinton, LA · Pharmacy
Louisiana CVS Pharmacy, L.L.C.3.1 mi · Franklinton, LA · Pharmacy
Sumrall's Ideal Pharmacy LLC3.1 mi · Franklinton, 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 Riverside Medical Center reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

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

Not reported to Medicare

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

Infections caught in the hospital

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

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

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

Complications and deaths

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

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

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

Return visits to the hospital (readmissions)

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

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

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	126 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	Not reported to Medicare

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

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 54 common services exactly as Riverside 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 · Outpatient (no overnight stay) In the file: 99203 New Patient OV 3/5 CARD	$317	$126.80	$37.83 – $164.41
New patient office visit (about 30–44 minutes): 10 of 12 insurance plan rates Aetna — Medicare: $164.41 Aetna — PPO: $102.72 Blue Cross Blue Shield — HMO: $92.03 Blue Cross Blue Shield — Medicaid: $37.83 Blue Cross Blue Shield — Medicare: $164.41 Blue Cross Blue Shield — PPO: $92.03 Cigna — HMO: $98.75 Cigna — PPO: $98.75 Humana — Medicare: $164.41 Louisiana Healthcare Connections — Medicaid: $37.83
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: 99203 NEW PATIENT VISIT 30 MIN PRO FEE Charge	$161	$64.40	$37.83 – $164.41
New patient office visit (about 30–44 minutes): 10 of 12 insurance plan rates Aetna — Medicare: $164.41 Aetna — PPO: $102.72 Blue Cross Blue Shield — HMO: $92.03 Blue Cross Blue Shield — Medicaid: $37.83 Blue Cross Blue Shield — Medicare: $164.41 Blue Cross Blue Shield — PPO: $92.03 Cigna — HMO: $98.75 Cigna — PPO: $98.75 Humana — Medicare: $164.41 Louisiana Healthcare Connections — Medicaid: $37.83
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: Office/OP New Visit Level 3 99203	$50	$20	$37.83 – $164.41
New patient office visit (about 30–44 minutes): 10 of 12 insurance plan rates Aetna — Medicare: $164.41 Aetna — PPO: $102.72 Blue Cross Blue Shield — HMO: $92.03 Blue Cross Blue Shield — Medicaid: $37.83 Blue Cross Blue Shield — Medicare: $164.41 Blue Cross Blue Shield — PPO: $92.03 Cigna — HMO: $98.75 Cigna — PPO: $98.75 Humana — Medicare: $164.41 Louisiana Healthcare Connections — Medicaid: $37.83
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: 99204 New Patient OV 4/5 CARD	$384	$153.60	$56.77 – $165.13
New patient office visit (about 45–59 minutes): 10 of 12 insurance plan rates Aetna — Medicare: $164.41 Aetna — PPO: $146.66 Blue Cross Blue Shield — HMO: $138.61 Blue Cross Blue Shield — Medicaid: $56.77 Blue Cross Blue Shield — Medicare: $164.41 Blue Cross Blue Shield — PPO: $138.61 Cigna — HMO: $147.32 Cigna — PPO: $147.32 Humana — Medicare: $164.41 Louisiana Healthcare Connections — Medicaid: $56.77
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: 99204 NEW PATIENT VISIT 45 MIN PRO FEE Charge	$274	$109.60	$56.77 – $165.13
New patient office visit (about 45–59 minutes): 10 of 12 insurance plan rates Aetna — Medicare: $164.41 Aetna — PPO: $146.66 Blue Cross Blue Shield — HMO: $138.61 Blue Cross Blue Shield — Medicaid: $56.77 Blue Cross Blue Shield — Medicare: $164.41 Blue Cross Blue Shield — PPO: $138.61 Cigna — HMO: $147.32 Cigna — PPO: $147.32 Humana — Medicare: $164.41 Louisiana Healthcare Connections — Medicaid: $56.77
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: Office/OP New Visit Level 4 99204	$50	$20	$56.77 – $165.13
New patient office visit (about 45–59 minutes): 10 of 12 insurance plan rates Aetna — Medicare: $164.41 Aetna — PPO: $146.66 Blue Cross Blue Shield — HMO: $138.61 Blue Cross Blue Shield — Medicaid: $56.77 Blue Cross Blue Shield — Medicare: $164.41 Blue Cross Blue Shield — PPO: $138.61 Cigna — HMO: $147.32 Cigna — PPO: $147.32 Humana — Medicare: $164.41 Louisiana Healthcare Connections — Medicaid: $56.77
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: 99205 New Patient OV 5/5	$490	$196	$56.77 – $328.30
New patient office visit (about 60–74 minutes): 10 of 12 insurance plan rates Aetna — Medicare: $164.41 Aetna — PPO: $218.05 Blue Cross Blue Shield — HMO: $215.38 Blue Cross Blue Shield — Medicaid: $56.77 Blue Cross Blue Shield — Medicare: $164.41 Blue Cross Blue Shield — PPO: $215.38 Cigna — HMO: $328.30 Cigna — PPO: $328.30 Humana — Medicare: $164.41 Louisiana Healthcare Connections — Medicaid: $56.77
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: 99205 NEW PATIENT VISIT 60 MIN PRO FEE Charge	$350	$140	$56.77 – $234.50
New patient office visit (about 60–74 minutes): 10 of 12 insurance plan rates Aetna — Medicare: $164.41 Aetna — PPO: $155.75 Blue Cross Blue Shield — HMO: $215.38 Blue Cross Blue Shield — Medicaid: $56.77 Blue Cross Blue Shield — Medicare: $164.41 Blue Cross Blue Shield — PPO: $215.38 Cigna — HMO: $234.50 Cigna — PPO: $234.50 Humana — Medicare: $164.41 Louisiana Healthcare Connections — Medicaid: $56.77
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: Office/OP New Visit Level 5 99205	$50	$20	$22.25 – $328.30
New patient office visit (about 60–74 minutes): 10 of 12 insurance plan rates Aetna — Medicare: $164.41 Aetna — PPO: $22.25 Blue Cross Blue Shield — HMO: $215.38 Blue Cross Blue Shield — Medicaid: $56.77 Blue Cross Blue Shield — Medicare: $164.41 Blue Cross Blue Shield — PPO: $215.38 Cigna — HMO: $33.50 Cigna — PPO: $33.50 Humana — Medicare: $164.41 Louisiana Healthcare Connections — Medicaid: $56.77
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: 99213 Est Patient OV 3/5 CARD	$212	$84.80	$37.83 – $221.95
Established patient office visit (about 20–29 minutes): 10 of 12 insurance plan rates Aetna — Medicare: $176.21 Aetna — PPO: $221.95 Blue Cross Blue Shield — HMO: $70.53 Blue Cross Blue Shield — Medicaid: $37.83 Blue Cross Blue Shield — Medicare: $176.21 Blue Cross Blue Shield — PPO: $70.53 Cigna — HMO: $79.18 Cigna — PPO: $79.18 Humana — Medicare: $176.21 Louisiana Healthcare Connections — Medicaid: $37.83
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: 99213 ESTABLISHED PATIENT VISIT 15 MIN PRO FEE Charge	$109	$43.60	$37.83 – $221.95
Established patient office visit (about 20–29 minutes): 10 of 12 insurance plan rates Aetna — Medicare: $176.21 Aetna — PPO: $221.95 Blue Cross Blue Shield — HMO: $70.53 Blue Cross Blue Shield — Medicaid: $37.83 Blue Cross Blue Shield — Medicare: $176.21 Blue Cross Blue Shield — PPO: $70.53 Cigna — HMO: $79.18 Cigna — PPO: $79.18 Humana — Medicare: $176.21 Louisiana Healthcare Connections — Medicaid: $37.83
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Office/Outpatient Visit Level 3 Established - 99213	$50	$20	$37.83 – $221.95
Established patient office visit (about 20–29 minutes): 10 of 12 insurance plan rates Aetna — Medicare: $176.21 Aetna — PPO: $221.95 Blue Cross Blue Shield — HMO: $70.53 Blue Cross Blue Shield — Medicaid: $37.83 Blue Cross Blue Shield — Medicare: $176.21 Blue Cross Blue Shield — PPO: $70.53 Cigna — HMO: $79.18 Cigna — PPO: $79.18 Humana — Medicare: $176.21 Louisiana Healthcare Connections — Medicaid: $37.83
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: 99214 Est Patient OV 4/5 CARD	$317	$126.80	$56.77 – $176.21
Established patient office visit (about 30–39 minutes): 10 of 12 insurance plan rates Aetna — Medicare: $176.21 Aetna — PPO: $104.10 Blue Cross Blue Shield — HMO: $99.75 Blue Cross Blue Shield — Medicaid: $56.77 Blue Cross Blue Shield — Medicare: $176.21 Blue Cross Blue Shield — PPO: $99.75 Cigna — HMO: $111.43 Cigna — PPO: $111.43 Humana — Medicare: $176.21 Louisiana Healthcare Connections — Medicaid: $56.77
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: 99214 ESTABLISHED PATIENT VISIT 25 MIN PRO FEE Charge	$166	$66.40	$56.77 – $176.21
Established patient office visit (about 30–39 minutes): 10 of 12 insurance plan rates Aetna — Medicare: $176.21 Aetna — PPO: $104.10 Blue Cross Blue Shield — HMO: $99.75 Blue Cross Blue Shield — Medicaid: $56.77 Blue Cross Blue Shield — Medicare: $176.21 Blue Cross Blue Shield — PPO: $99.75 Cigna — HMO: $111.43 Cigna — PPO: $111.43 Humana — Medicare: $176.21 Louisiana Healthcare Connections — Medicaid: $56.77
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Office/OP Established Visit Level 4 99214	$50	$20	$56.77 – $176.21
Established patient office visit (about 30–39 minutes): 10 of 12 insurance plan rates Aetna — Medicare: $176.21 Aetna — PPO: $104.10 Blue Cross Blue Shield — HMO: $99.75 Blue Cross Blue Shield — Medicaid: $56.77 Blue Cross Blue Shield — Medicare: $176.21 Blue Cross Blue Shield — PPO: $99.75 Cigna — HMO: $111.43 Cigna — PPO: $111.43 Humana — Medicare: $176.21 Louisiana Healthcare Connections — Medicaid: $56.77
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: 99243 CONSULT OBS LOW COMPLEXITY Charge	$230	$92	$94.30 – $161
Office consultation with a specialist (moderate): rates for 10 insurance plans Aetna — Medicare: $94.30 Aetna — PPO: $102.35 Blue Cross Blue Shield — HMO: $94.30 Blue Cross Blue Shield — Medicare: $94.30 Blue Cross Blue Shield — PPO: $112.70 Cigna — HMO: $154.10 Cigna — PPO: $154.10 Humana — Medicare: $94.30 UnitedHealthcare — PPO: $161 Wellcare — Medicare: $94.30
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: 99243 New or Est Pt Consult 3/5 CARD	$229	$91.60	$93.89 – $160.30
Office consultation with a specialist (moderate): rates for 10 insurance plans Aetna — Medicare: $93.89 Aetna — PPO: $101.91 Blue Cross Blue Shield — HMO: $93.89 Blue Cross Blue Shield — Medicare: $93.89 Blue Cross Blue Shield — PPO: $112.21 Cigna — HMO: $153.43 Cigna — PPO: $153.43 Humana — Medicare: $93.89 UnitedHealthcare — PPO: $160.30 Wellcare — Medicare: $93.89
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: Office Consult Level 3 Established Pt. --99243	$229	$91.60	$93.89 – $160.30
Office consultation with a specialist (moderate): rates for 10 insurance plans Aetna — Medicare: $93.89 Aetna — PPO: $101.91 Blue Cross Blue Shield — HMO: $93.89 Blue Cross Blue Shield — Medicare: $93.89 Blue Cross Blue Shield — PPO: $112.21 Cigna — HMO: $153.43 Cigna — PPO: $153.43 Humana — Medicare: $93.89 UnitedHealthcare — PPO: $160.30 Wellcare — Medicare: $93.89
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: Office Consult Level 4 Established Pt. --99244	$343	$137.20	$140.63 – $240.10
Office consultation with a specialist (moderate to high): rates for 10 insurance plans Aetna — Medicare: $140.63 Aetna — PPO: $152.63 Blue Cross Blue Shield — HMO: $140.63 Blue Cross Blue Shield — Medicare: $140.63 Blue Cross Blue Shield — PPO: $168.07 Cigna — HMO: $229.81 Cigna — PPO: $229.81 Humana — Medicare: $140.63 UnitedHealthcare — PPO: $240.10 Wellcare — Medicare: $140.63
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: 99244 CONSULT OBS MODERATE COMPLEX Charge	$460	$184	$188.60 – $322
Office consultation with a specialist (moderate to high): rates for 10 insurance plans Aetna — Medicare: $188.60 Aetna — PPO: $204.70 Blue Cross Blue Shield — HMO: $188.60 Blue Cross Blue Shield — Medicare: $188.60 Blue Cross Blue Shield — PPO: $225.40 Cigna — HMO: $308.20 Cigna — PPO: $308.20 Humana — Medicare: $188.60 UnitedHealthcare — PPO: $322 Wellcare — Medicare: $188.60
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: 99244 New or Est Pt Consult 4/5 CARD	$343	$137.20	$140.63 – $240.10
Office consultation with a specialist (moderate to high): rates for 10 insurance plans Aetna — Medicare: $140.63 Aetna — PPO: $152.63 Blue Cross Blue Shield — HMO: $140.63 Blue Cross Blue Shield — Medicare: $140.63 Blue Cross Blue Shield — PPO: $168.07 Cigna — HMO: $229.81 Cigna — PPO: $229.81 Humana — Medicare: $140.63 UnitedHealthcare — PPO: $240.10 Wellcare — Medicare: $140.63
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: Preventive Medicine 18-39 years New - 99385	$50	$20	$20.50 – $206.50
Preventive checkup, new patient, age 18–39: 10 of 12 insurance plan rates Aetna — Medicare: $20.50 Aetna — PPO: $22.25 Blue Cross Blue Shield — HMO: $20.50 Blue Cross Blue Shield — Medicaid: $76.67 Blue Cross Blue Shield — Medicare: $20.50 Blue Cross Blue Shield — PPO: $105.34 Cigna — HMO: $33.50 Cigna — PPO: $33.50 Humana — Medicare: $20.50 Louisiana Healthcare Connections — Medicaid: $76.67
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: Preventive Medicine 40-64 years New - 99386	$50	$20	$20.50 – $214.40
Preventive checkup, new patient, age 40–64: 10 of 12 insurance plan rates Aetna — Medicare: $20.50 Aetna — PPO: $22.25 Blue Cross Blue Shield — HMO: $121.81 Blue Cross Blue Shield — Medicaid: $71.98 Blue Cross Blue Shield — Medicare: $20.50 Blue Cross Blue Shield — PPO: $121.81 Cigna — HMO: $33.50 Cigna — PPO: $33.50 Humana — Medicare: $20.50 Louisiana Healthcare Connections — Medicaid: $71.98
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: 99283 - Level 3	$254	$101.60	$81.28 – $254
Emergency room visit (moderate): 10 of 12 insurance plan rates Aetna — Medicare: $254 Aetna — PPO: $81.28 Blue Cross Blue Shield — HMO: $83.82 Blue Cross Blue Shield — Medicaid: $127.28 Blue Cross Blue Shield — Medicare: $254 Blue Cross Blue Shield — PPO: $83.82 Cigna — HMO: $177.80 Cigna — PPO: $177.80 Humana — Medicare: $254 Louisiana Healthcare Connections — Medicaid: $127.28
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: 99284 - Level 4	$485	$194	$155.20 – $485
Emergency room visit (moderately high): 10 of 12 insurance plan rates Aetna — Medicare: $485 Aetna — PPO: $155.20 Blue Cross Blue Shield — HMO: $160.05 Blue Cross Blue Shield — Medicaid: $243.03 Blue Cross Blue Shield — Medicare: $485 Blue Cross Blue Shield — PPO: $160.05 Cigna — HMO: $272.69 Cigna — PPO: $272.69 Humana — Medicare: $485 Louisiana Healthcare Connections — Medicaid: $243.03
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: 99285 - Level 5	$711	$284.40	$227.52 – $711
Emergency room visit (high): 10 of 12 insurance plan rates Aetna — Medicare: $711 Aetna — PPO: $227.52 Blue Cross Blue Shield — HMO: $234.63 Blue Cross Blue Shield — Medicaid: $356.28 Blue Cross Blue Shield — Medicare: $711 Blue Cross Blue Shield — PPO: $348.39 Cigna — HMO: $497.70 Cigna — PPO: $497.70 Humana — Medicare: $711 Louisiana Healthcare Connections — Medicaid: $356.28

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	$78	$31.20	$8.46 – $78
Basic metabolic panel (blood test): 10 of 12 insurance plan rates Aetna — Medicare: $78 Aetna — PPO: $24.96 Blue Cross Blue Shield — HMO: $25.74 Blue Cross Blue Shield — Medicaid: $8.46 Blue Cross Blue Shield — Medicare: $78 Blue Cross Blue Shield — PPO: $25.74 Cigna — HMO: $54.60 Cigna — PPO: $54.60 Humana — Medicare: $78 Louisiana Healthcare Connections — Medicaid: $8.46
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: Comprehensive Metabolic Panel	$97	$38.80	$10.56 – $97
Comprehensive metabolic panel (blood test): 10 of 12 insurance plan rates Aetna — Medicare: $97 Aetna — PPO: $31.04 Blue Cross Blue Shield — HMO: $32.01 Blue Cross Blue Shield — Medicaid: $10.56 Blue Cross Blue Shield — Medicare: $97 Blue Cross Blue Shield — PPO: $32.01 Cigna — HMO: $54.54 Cigna — PPO: $54.54 Humana — Medicare: $97 Louisiana Healthcare Connections — Medicaid: $10.56
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: Lipid Panel	$110	$44	$13.39 – $110
Cholesterol panel (lipid panel): 10 of 12 insurance plan rates Aetna — Medicare: $110 Aetna — PPO: $35.20 Blue Cross Blue Shield — HMO: $36.30 Blue Cross Blue Shield — Medicaid: $13.39 Blue Cross Blue Shield — Medicare: $110 Blue Cross Blue Shield — PPO: $36.30 Cigna — HMO: $77 Cigna — PPO: $77 Humana — Medicare: $110 Louisiana Healthcare Connections — Medicaid: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: NMR LIPOPROFILE	$111	$44.40	$13.39 – $110
Cholesterol panel (lipid panel): 10 of 12 insurance plan rates Aetna — Medicare: $110 Aetna — PPO: $35.20 Blue Cross Blue Shield — HMO: $36.30 Blue Cross Blue Shield — Medicaid: $13.39 Blue Cross Blue Shield — Medicare: $110 Blue Cross Blue Shield — PPO: $36.30 Cigna — HMO: $77 Cigna — PPO: $77 Humana — Medicare: $110 Louisiana Healthcare Connections — Medicaid: $13.39
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: Renal Function Panel	$80	$32	$8.68 – $80
Kidney function panel: 10 of 12 insurance plan rates Aetna — Medicare: $80 Aetna — PPO: $25.60 Blue Cross Blue Shield — HMO: $26.40 Blue Cross Blue Shield — Medicaid: $8.68 Blue Cross Blue Shield — Medicare: $80 Blue Cross Blue Shield — PPO: $26.40 Cigna — HMO: $53.60 Cigna — PPO: $53.60 Humana — Medicare: $80 Louisiana Healthcare Connections — Medicaid: $8.68
Liver function panel CPT 80076 · Inpatient or outpatient In the file: Hepatic Panel	$76	$30.40	$8.17 – $76
Liver function panel: 10 of 12 insurance plan rates Aetna — Medicare: $76 Aetna — PPO: $24.32 Blue Cross Blue Shield — HMO: $25.08 Blue Cross Blue Shield — Medicaid: $8.17 Blue Cross Blue Shield — Medicare: $76 Blue Cross Blue Shield — PPO: $37.24 Cigna — HMO: $50.92 Cigna — PPO: $50.92 Humana — Medicare: $76 Louisiana Healthcare Connections — Medicaid: $8.17
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: UA Micro 4	$30	$12	$3.17 – $30
Urine test (automated, with microscope): 10 of 12 insurance plan rates Aetna — Medicare: $30 Aetna — PPO: $9.60 Blue Cross Blue Shield — HMO: $9.90 Blue Cross Blue Shield — Medicaid: $3.17 Blue Cross Blue Shield — Medicare: $30 Blue Cross Blue Shield — PPO: $9.90 Cigna — HMO: $16.87 Cigna — PPO: $16.87 Humana — Medicare: $30 Louisiana Healthcare Connections — Medicaid: $3.17
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: 81002 Urinalysis non-auto w/o scope RMC	$16	$6.40	$3.28 – $11.20
Urine test (manual, without microscope): 10 of 12 insurance plan rates Aetna — Medicare: $6.56 Aetna — PPO: $7.12 Blue Cross Blue Shield — HMO: $6.56 Blue Cross Blue Shield — Medicaid: $3.28 Blue Cross Blue Shield — Medicare: $6.56 Blue Cross Blue Shield — PPO: $7.84 Cigna — HMO: $10.72 Cigna — PPO: $10.72 Humana — Medicare: $6.56 Louisiana Healthcare Connections — Medicaid: $3.28
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: Urinalysis	$22	$8.80	$2.25 – $22
Urine test (automated, without microscope): 10 of 12 insurance plan rates Aetna — Medicare: $22 Aetna — PPO: $7.04 Blue Cross Blue Shield — HMO: $7.26 Blue Cross Blue Shield — Medicaid: $2.25 Blue Cross Blue Shield — Medicare: $22 Blue Cross Blue Shield — PPO: $2.48 Cigna — HMO: $15.40 Cigna — PPO: $15.40 Humana — Medicare: $22 Louisiana Healthcare Connections — Medicaid: $2.25
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: Urine Dipstick POC	$16	$6.40	$2.25 – $22
Urine test (automated, without microscope): 10 of 12 insurance plan rates Aetna — Medicare: $22 Aetna — PPO: $7.04 Blue Cross Blue Shield — HMO: $7.26 Blue Cross Blue Shield — Medicaid: $2.25 Blue Cross Blue Shield — Medicare: $22 Blue Cross Blue Shield — PPO: $2.48 Cigna — HMO: $15.40 Cigna — PPO: $15.40 Humana — Medicare: $22 Louisiana Healthcare Connections — Medicaid: $2.25
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA Diagnostic 2	$169	$67.60	$18.39 – $113.23
PSA (prostate specific antigen) blood test: 10 of 12 insurance plan rates Aetna — Medicare: $53.30 Aetna — PPO: $54.08 Blue Cross Blue Shield — HMO: $55.77 Blue Cross Blue Shield — Medicaid: $18.39 Blue Cross Blue Shield — Medicare: $53.30 Blue Cross Blue Shield — PPO: $82.81 Cigna — HMO: $113.23 Cigna — PPO: $113.23 Humana — Medicare: $53.30 Louisiana Healthcare Connections — Medicaid: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA, TOTAL	$169	$67.60	$18.39 – $113.23
PSA (prostate specific antigen) blood test: 10 of 12 insurance plan rates Aetna — Medicare: $53.30 Aetna — PPO: $54.08 Blue Cross Blue Shield — HMO: $55.77 Blue Cross Blue Shield — Medicaid: $18.39 Blue Cross Blue Shield — Medicare: $53.30 Blue Cross Blue Shield — PPO: $82.81 Cigna — HMO: $113.23 Cigna — PPO: $113.23 Humana — Medicare: $53.30 Louisiana Healthcare Connections — Medicaid: $18.39
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: Thyroid Stimulating Hormone	$154	$61.60	$16.80 – $154
Thyroid stimulating hormone (TSH) test: 10 of 12 insurance plan rates Aetna — Medicare: $154 Aetna — PPO: $49.28 Blue Cross Blue Shield — HMO: $50.82 Blue Cross Blue Shield — Medicaid: $16.80 Blue Cross Blue Shield — Medicare: $154 Blue Cross Blue Shield — PPO: $50.82 Cigna — HMO: $89.78 Cigna — PPO: $89.78 Humana — Medicare: $154 Louisiana Healthcare Connections — Medicaid: $16.80
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC w/ Auto Diff	$72	$28.80	$7.77 – $72
Complete blood count (CBC) with differential: 10 of 12 insurance plan rates Aetna — Medicare: $72 Aetna — PPO: $23.04 Blue Cross Blue Shield — HMO: $23.76 Blue Cross Blue Shield — Medicaid: $7.77 Blue Cross Blue Shield — Medicare: $72 Blue Cross Blue Shield — PPO: $23.76 Cigna — HMO: $40.48 Cigna — PPO: $40.48 Humana — Medicare: $72 Louisiana Healthcare Connections — Medicaid: $7.77
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: Prothrombin Time	$37	$14.80	$4.29 – $37
Blood clotting time test (prothrombin time, PT): 10 of 12 insurance plan rates Aetna — Medicare: $37 Aetna — PPO: $11.84 Blue Cross Blue Shield — HMO: $12.21 Blue Cross Blue Shield — Medicaid: $4.29 Blue Cross Blue Shield — Medicare: $37 Blue Cross Blue Shield — PPO: $12.21 Cigna — HMO: $25.90 Cigna — PPO: $25.90 Humana — Medicare: $37 Louisiana Healthcare Connections — Medicaid: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PT/INR POC	$23	$9.20	$4.29 – $37
Blood clotting time test (prothrombin time, PT): 10 of 12 insurance plan rates Aetna — Medicare: $37 Aetna — PPO: $11.84 Blue Cross Blue Shield — HMO: $12.21 Blue Cross Blue Shield — Medicaid: $4.29 Blue Cross Blue Shield — Medicare: $37 Blue Cross Blue Shield — PPO: $12.21 Cigna — HMO: $25.90 Cigna — PPO: $25.90 Humana — Medicare: $37 Louisiana Healthcare Connections — Medicaid: $4.29
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: Partial Thromboplastin Time	$56	$22.40	$6.01 – $56
Blood clotting test (partial thromboplastin time, PTT): 10 of 12 insurance plan rates Aetna — Medicare: $56 Aetna — PPO: $17.92 Blue Cross Blue Shield — HMO: $18.48 Blue Cross Blue Shield — Medicaid: $6.01 Blue Cross Blue Shield — Medicare: $56 Blue Cross Blue Shield — PPO: $18.48 Cigna — HMO: $39.20 Cigna — PPO: $39.20 Humana — Medicare: $56 Louisiana Healthcare Connections — Medicaid: $6.01

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT Head or Brain w/o Cont	$1,018	$407.20	$325.76 – $1,018
CT scan of the head or brain, without contrast: 10 of 12 insurance plan rates Aetna — Medicare: $1,018 Aetna — PPO: $325.76 Blue Cross Blue Shield — HMO: $335.94 Blue Cross Blue Shield — Medicaid: $510.12 Blue Cross Blue Shield — Medicare: $1,018 Blue Cross Blue Shield — PPO: $498.82 Cigna — HMO: $593.45 Cigna — PPO: $593.45 Humana — Medicare: $1,018 Louisiana Healthcare Connections — Medicaid: $510.12
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI Brain w/ + w/o Cont	$1,882	$752.80	$583.42 – $1,317.40
MRI of the brain, before and after contrast: 10 of 12 insurance plan rates Aetna — Medicare: $583.42 Aetna — PPO: $837.49 Blue Cross Blue Shield — HMO: $771.62 Blue Cross Blue Shield — Medicaid: $919.92 Blue Cross Blue Shield — Medicare: $583.42 Blue Cross Blue Shield — PPO: $922.18 Cigna — HMO: $1,260.94 Cigna — PPO: $1,260.94 Humana — Medicare: $583.42 Louisiana Healthcare Connections — Medicaid: $919.92
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI IAC w/ + w/o Cont	$1,882	$752.80	$583.42 – $1,317.40
MRI of the brain, before and after contrast: 10 of 12 insurance plan rates Aetna — Medicare: $583.42 Aetna — PPO: $837.49 Blue Cross Blue Shield — HMO: $771.62 Blue Cross Blue Shield — Medicaid: $919.92 Blue Cross Blue Shield — Medicare: $583.42 Blue Cross Blue Shield — PPO: $922.18 Cigna — HMO: $1,260.94 Cigna — PPO: $1,260.94 Humana — Medicare: $583.42 Louisiana Healthcare Connections — Medicaid: $919.92
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI Pituitary Gland w/ + w/o Cont	$1,882	$752.80	$583.42 – $1,317.40
MRI of the brain, before and after contrast: 10 of 12 insurance plan rates Aetna — Medicare: $583.42 Aetna — PPO: $837.49 Blue Cross Blue Shield — HMO: $771.62 Blue Cross Blue Shield — Medicaid: $919.92 Blue Cross Blue Shield — Medicare: $583.42 Blue Cross Blue Shield — PPO: $922.18 Cigna — HMO: $1,260.94 Cigna — PPO: $1,260.94 Humana — Medicare: $583.42 Louisiana Healthcare Connections — Medicaid: $919.92
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: XR Chest 2 Views	$197	$78.80	$63.04 – $137.90
Chest X-ray, 2 views: 10 of 12 insurance plan rates Aetna — Medicare: $65.01 Aetna — PPO: $63.04 Blue Cross Blue Shield — HMO: $65.01 Blue Cross Blue Shield — Medicaid: $98.72 Blue Cross Blue Shield — Medicare: $65.01 Blue Cross Blue Shield — PPO: $65.01 Cigna — HMO: $137.90 Cigna — PPO: $137.90 Humana — Medicare: $65.01 Louisiana Healthcare Connections — Medicaid: $98.72
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · modifier 50 In the file: XR Chest Decubitus Bil	$197	$78.80	$63.04 – $137.90
Chest X-ray, 2 views: 10 of 12 insurance plan rates Aetna — Medicare: $65.01 Aetna — PPO: $63.04 Blue Cross Blue Shield — HMO: $65.01 Blue Cross Blue Shield — Medicaid: $98.72 Blue Cross Blue Shield — Medicare: $65.01 Blue Cross Blue Shield — PPO: $65.01 Cigna — HMO: $137.90 Cigna — PPO: $137.90 Humana — Medicare: $65.01 Louisiana Healthcare Connections — Medicaid: $98.72
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: XR Spine Lumbosacral Min 4 Views	$313	$125.20	$100.16 – $219.10
X-ray of the lower spine, at least 4 views: 10 of 12 insurance plan rates Aetna — Medicare: $106.42 Aetna — PPO: $100.16 Blue Cross Blue Shield — HMO: $103.29 Blue Cross Blue Shield — Medicaid: $156.84 Blue Cross Blue Shield — Medicare: $106.42 Blue Cross Blue Shield — PPO: $153.37 Cigna — HMO: $219.10 Cigna — PPO: $219.10 Humana — Medicare: $106.42 Louisiana Healthcare Connections — Medicaid: $156.84
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MRI Spine Lumbar w/o Cont	$1,126	$450.40	$349.06 – $800
MRI of the lower back (lumbar spine), without contrast: 10 of 12 insurance plan rates Aetna — Medicare: $371.58 Aetna — PPO: $360.32 Blue Cross Blue Shield — HMO: $349.06 Blue Cross Blue Shield — Medicaid: $550.39 Blue Cross Blue Shield — Medicare: $371.58 Blue Cross Blue Shield — PPO: $551.74 Cigna — HMO: $800 Cigna — PPO: $800 Humana — Medicare: $371.58 Louisiana Healthcare Connections — Medicaid: $550.39
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT Pelvis w/ Cont	$2,004	$801.60	$607.21 – $1,402.80
CT scan of the pelvis, with contrast: rates for 10 insurance plans Aetna — Medicare: $607.21 Aetna — PPO: $891.78 Blue Cross Blue Shield — HMO: $821.64 Blue Cross Blue Shield — Medicare: $607.21 Blue Cross Blue Shield — PPO: $981.96 Cigna — HMO: $1,342.68 Cigna — PPO: $1,342.68 Humana — Medicare: $607.21 UnitedHealthcare — PPO: $1,402.80 Wellcare — Medicare: $607.21
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier LT In the file: MRI Ankle w/o Cont Lt	$1,126	$450.40	$371.58 – $800
MRI of a leg joint (such as the knee), without contrast: 10 of 12 insurance plan rates Aetna — Medicare: $371.58 Aetna — PPO: $501.07 Blue Cross Blue Shield — HMO: $371.58 Blue Cross Blue Shield — Medicaid: $564.24 Blue Cross Blue Shield — Medicare: $371.58 Blue Cross Blue Shield — PPO: $551.74 Cigna — HMO: $800 Cigna — PPO: $800 Humana — Medicare: $371.58 Louisiana Healthcare Connections — Medicaid: $564.24
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier RT In the file: MRI Ankle w/o Cont Rt	$1,126	$450.40	$371.58 – $800
MRI of a leg joint (such as the knee), without contrast: 10 of 12 insurance plan rates Aetna — Medicare: $371.58 Aetna — PPO: $501.07 Blue Cross Blue Shield — HMO: $371.58 Blue Cross Blue Shield — Medicaid: $564.24 Blue Cross Blue Shield — Medicare: $371.58 Blue Cross Blue Shield — PPO: $551.74 Cigna — HMO: $800 Cigna — PPO: $800 Humana — Medicare: $371.58 Louisiana Healthcare Connections — Medicaid: $564.24
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier 50 In the file: MRI Hip w/o Cont Bil	$2,251	$900.40	$371.58 – $1,102.99
MRI of a leg joint (such as the knee), without contrast: 10 of 12 insurance plan rates Aetna — Medicare: $371.58 Aetna — PPO: $1,001.70 Blue Cross Blue Shield — HMO: $371.58 Blue Cross Blue Shield — Medicaid: $564.24 Blue Cross Blue Shield — Medicare: $371.58 Blue Cross Blue Shield — PPO: $1,102.99 Cigna — HMO: $800 Cigna — PPO: $800 Humana — Medicare: $371.58 Louisiana Healthcare Connections — Medicaid: $564.24
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT Abdomen + Pelvis w/Cont	$3,140	$1,256	$524.04 – $2,198
CT scan of the abdomen and pelvis, with contrast: 10 of 12 insurance plan rates Aetna — Medicare: $1,003.33 Aetna — PPO: $1,004.80 Blue Cross Blue Shield — HMO: $1,036.20 Blue Cross Blue Shield — Medicaid: $1,573.45 Blue Cross Blue Shield — Medicare: $1,003.33 Blue Cross Blue Shield — PPO: $1,036.20 Cigna — HMO: $524.04 Cigna — PPO: $524.04 Humana — Medicare: $1,003.33 Louisiana Healthcare Connections — Medicaid: $1,573.45
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT Abdomen +Pelvis w/ Cont	$3,141	$1,256.40	$524.04 – $2,198
CT scan of the abdomen and pelvis, with contrast: 10 of 12 insurance plan rates Aetna — Medicare: $1,003.33 Aetna — PPO: $1,004.80 Blue Cross Blue Shield — HMO: $1,036.20 Blue Cross Blue Shield — Medicaid: $1,573.45 Blue Cross Blue Shield — Medicare: $1,003.33 Blue Cross Blue Shield — PPO: $1,036.20 Cigna — HMO: $524.04 Cigna — PPO: $524.04 Humana — Medicare: $1,003.33 Louisiana Healthcare Connections — Medicaid: $1,573.45
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US Abdomen Comp	$514	$205.60	$164.48 – $359.80
Ultrasound of the abdomen, complete: 10 of 12 insurance plan rates Aetna — Medicare: $169.62 Aetna — PPO: $164.48 Blue Cross Blue Shield — HMO: $169.62 Blue Cross Blue Shield — Medicaid: $257.57 Blue Cross Blue Shield — Medicare: $169.62 Blue Cross Blue Shield — PPO: $251.86 Cigna — HMO: $359.80 Cigna — PPO: $359.80 Humana — Medicare: $169.62 Louisiana Healthcare Connections — Medicaid: $257.57
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: US Transvaginal	$515	$206	$159.65 – $360.50
Transvaginal ultrasound: 10 of 12 insurance plan rates Aetna — Medicare: $159.65 Aetna — PPO: $164.80 Blue Cross Blue Shield — HMO: $169.95 Blue Cross Blue Shield — Medicaid: $258.07 Blue Cross Blue Shield — Medicare: $159.65 Blue Cross Blue Shield — PPO: $169.95 Cigna — HMO: $360.50 Cigna — PPO: $360.50 Humana — Medicare: $159.65 Louisiana Healthcare Connections — Medicaid: $258.07
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier LT In the file: MA Diag Breast w/ Tomo Lt.	$140	$56	$68.60 – $343.20
Diagnostic mammogram, one breast: 10 of 12 insurance plan rates Aetna — Medicare: $343.20 Aetna — PPO: $126.72 Blue Cross Blue Shield — HMO: $130.68 Blue Cross Blue Shield — Medicaid: $198.44 Blue Cross Blue Shield — Medicare: $343.20 Blue Cross Blue Shield — PPO: $68.60 Cigna — HMO: $277.20 Cigna — PPO: $277.20 Humana — Medicare: $343.20 Louisiana Healthcare Connections — Medicaid: $198.44
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier RT In the file: MA Diag Breast w/ Tomo Rt.	$140	$56	$68.60 – $343.20
Diagnostic mammogram, one breast: 10 of 12 insurance plan rates Aetna — Medicare: $343.20 Aetna — PPO: $126.72 Blue Cross Blue Shield — HMO: $130.68 Blue Cross Blue Shield — Medicaid: $198.44 Blue Cross Blue Shield — Medicare: $343.20 Blue Cross Blue Shield — PPO: $68.60 Cigna — HMO: $277.20 Cigna — PPO: $277.20 Humana — Medicare: $343.20 Louisiana Healthcare Connections — Medicaid: $198.44
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier LT In the file: MA Diag Lt.	$396	$158.40	$126.72 – $343.20
Diagnostic mammogram, one breast: 10 of 12 insurance plan rates Aetna — Medicare: $343.20 Aetna — PPO: $126.72 Blue Cross Blue Shield — HMO: $130.68 Blue Cross Blue Shield — Medicaid: $198.44 Blue Cross Blue Shield — Medicare: $343.20 Blue Cross Blue Shield — PPO: $194.04 Cigna — HMO: $277.20 Cigna — PPO: $277.20 Humana — Medicare: $343.20 Louisiana Healthcare Connections — Medicaid: $198.44
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · modifier 50 In the file: MA Diag Bil.	$499	$199.60	$204.59 – $499
Diagnostic mammogram, both breasts: 10 of 12 insurance plan rates Aetna — Medicare: $499 Aetna — PPO: $314.37 Blue Cross Blue Shield — HMO: $204.59 Blue Cross Blue Shield — Medicaid: $235.38 Blue Cross Blue Shield — Medicare: $499 Blue Cross Blue Shield — PPO: $244.51 Cigna — HMO: $349.30 Cigna — PPO: $349.30 Humana — Medicare: $499 Louisiana Healthcare Connections — Medicaid: $235.38
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · modifier 50 In the file: MA Diag Breast w/ Tomo Bil.	$280	$112	$114.80 – $499
Diagnostic mammogram, both breasts: 10 of 12 insurance plan rates Aetna — Medicare: $499 Aetna — PPO: $314.37 Blue Cross Blue Shield — HMO: $114.80 Blue Cross Blue Shield — Medicaid: $235.38 Blue Cross Blue Shield — Medicare: $499 Blue Cross Blue Shield — PPO: $137.20 Cigna — HMO: $349.30 Cigna — PPO: $349.30 Humana — Medicare: $499 Louisiana Healthcare Connections — Medicaid: $235.38
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · modifier 50 In the file: SIDE MA Diag Bil.	$499	$199.60	$204.59 – $499
Diagnostic mammogram, both breasts: 10 of 12 insurance plan rates Aetna — Medicare: $499 Aetna — PPO: $314.37 Blue Cross Blue Shield — HMO: $204.59 Blue Cross Blue Shield — Medicaid: $235.38 Blue Cross Blue Shield — Medicare: $499 Blue Cross Blue Shield — PPO: $244.51 Cigna — HMO: $349.30 Cigna — PPO: $349.30 Humana — Medicare: $499 Louisiana Healthcare Connections — Medicaid: $235.38
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: MA Routine Screen Bil BCE	$422	$168.80	$127.87 – $295.40
Screening mammogram, both breasts: 10 of 12 insurance plan rates Aetna — Medicare: $127.87 Aetna — PPO: $135.04 Blue Cross Blue Shield — HMO: $139.26 Blue Cross Blue Shield — Medicaid: $211.46 Blue Cross Blue Shield — Medicare: $127.87 Blue Cross Blue Shield — PPO: $139.26 Cigna — HMO: $295.40 Cigna — PPO: $295.40 Humana — Medicare: $127.87 Louisiana Healthcare Connections — Medicaid: $211.46
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: MA Routine Screen Bil.	$422	$168.80	$127.87 – $295.40
Screening mammogram, both breasts: 10 of 12 insurance plan rates Aetna — Medicare: $127.87 Aetna — PPO: $135.04 Blue Cross Blue Shield — HMO: $139.26 Blue Cross Blue Shield — Medicaid: $211.46 Blue Cross Blue Shield — Medicare: $127.87 Blue Cross Blue Shield — PPO: $139.26 Cigna — HMO: $295.40 Cigna — PPO: $295.40 Humana — Medicare: $127.87 Louisiana Healthcare Connections — Medicaid: $211.46
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: SIDE MA Routine Screen Bil.	$422	$168.80	$127.87 – $295.40
Screening mammogram, both breasts: 10 of 12 insurance plan rates Aetna — Medicare: $127.87 Aetna — PPO: $135.04 Blue Cross Blue Shield — HMO: $139.26 Blue Cross Blue Shield — Medicaid: $211.46 Blue Cross Blue Shield — Medicare: $127.87 Blue Cross Blue Shield — PPO: $139.26 Cigna — HMO: $295.40 Cigna — PPO: $295.40 Humana — Medicare: $127.87 Louisiana Healthcare Connections — Medicaid: $211.46

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 12 Lead Complete Charge	$105	$42	$12.72 – $73.50
Electrocardiogram (ECG/EKG) with reading: 10 of 12 insurance plan rates Aetna — Medicare: $13.66 Aetna — PPO: $46.73 Blue Cross Blue Shield — HMO: $43.05 Blue Cross Blue Shield — Medicaid: $13.72 Blue Cross Blue Shield — Medicare: $13.66 Blue Cross Blue Shield — PPO: $12.72 Cigna — HMO: $70.35 Cigna — PPO: $70.35 Humana — Medicare: $13.66 Louisiana Healthcare Connections — Medicaid: $13.72
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient In the file: EKG 12 Lead, Interp Report Charge	$66	$26.40	$12.72 – $46.20
Electrocardiogram (ECG/EKG) with reading: 10 of 12 insurance plan rates Aetna — Medicare: $13.66 Aetna — PPO: $29.37 Blue Cross Blue Shield — HMO: $27.06 Blue Cross Blue Shield — Medicaid: $13.72 Blue Cross Blue Shield — Medicare: $13.66 Blue Cross Blue Shield — PPO: $12.72 Cigna — HMO: $44.22 Cigna — PPO: $44.22 Humana — Medicare: $13.66 Louisiana Healthcare Connections — Medicaid: $13.72
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · modifier 26 In the file: 93452 C LHC ONLY	$2,223	$889.20	$911.43 – $1,556.10
Left heart catheterization (diagnostic): rates for 10 insurance plans Aetna — Medicare: $911.43 Aetna — PPO: $989.24 Blue Cross Blue Shield — HMO: $911.43 Blue Cross Blue Shield — Medicare: $911.43 Blue Cross Blue Shield — PPO: $1,089.27 Cigna — HMO: $1,489.41 Cigna — PPO: $1,489.41 Humana — Medicare: $911.43 UnitedHealthcare — PPO: $1,556.10 Wellcare — Medicare: $911.43

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: 97110 OT THERAPEUTIC EXERCISE DIRECT 15 MINS Charge	$84	$33.60	$16.21 – $140
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 12 insurance plan rates Aetna — Medicare: $83.16 Aetna — PPO: $80.64 Blue Cross Blue Shield — HMO: $83.16 Blue Cross Blue Shield — Medicaid: $16.21 Blue Cross Blue Shield — Medicare: $83.16 Blue Cross Blue Shield — PPO: $55.44 Cigna — HMO: $140 Cigna — PPO: $140 Humana — Medicare: $83.16 Louisiana Healthcare Connections — Medicaid: $16.21
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GP In the file: 97110 PT THERAPEUTIC EXERCISE 15 MINS Charge	$84	$33.60	$16.21 – $140
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 12 insurance plan rates Aetna — Medicare: $83.16 Aetna — PPO: $80.64 Blue Cross Blue Shield — HMO: $83.16 Blue Cross Blue Shield — Medicaid: $16.21 Blue Cross Blue Shield — Medicare: $83.16 Blue Cross Blue Shield — PPO: $55.44 Cigna — HMO: $140 Cigna — PPO: $140 Humana — Medicare: $83.16 Louisiana Healthcare Connections — Medicaid: $16.21
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GP In the file: 97110 PT THERAPEUTIC PROCEDURE 15 MINS Charge	$7.50	$3	$16.21 – $140
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 12 insurance plan rates Aetna — Medicare: $83.16 Aetna — PPO: $80.64 Blue Cross Blue Shield — HMO: $83.16 Blue Cross Blue Shield — Medicaid: $16.21 Blue Cross Blue Shield — Medicare: $83.16 Blue Cross Blue Shield — PPO: $55.44 Cigna — HMO: $140 Cigna — PPO: $140 Humana — Medicare: $83.16 Louisiana Healthcare Connections — Medicaid: $16.21
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · modifier GP In the file: PT EVAL - LOW COMPLEXITY	$105	$42	$33.60 – $74.48
Physical therapy evaluation (low complexity): 10 of 12 insurance plan rates Aetna — Medicare: $58.94 Aetna — PPO: $33.60 Blue Cross Blue Shield — HMO: $34.65 Blue Cross Blue Shield — Medicaid: $74.48 Blue Cross Blue Shield — Medicare: $58.94 Blue Cross Blue Shield — PPO: $51.45 Cigna — HMO: $53.85 Cigna — PPO: $53.85 Humana — Medicare: $58.94 Louisiana Healthcare Connections — Medicaid: $74.48
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · modifier GP In the file: PT EVAL - MODERATE COMPLEXITY	$132	$52.80	$42.24 – $92.40
Physical therapy evaluation (moderate complexity): 10 of 12 insurance plan rates Aetna — Medicare: $43.56 Aetna — PPO: $42.24 Blue Cross Blue Shield — HMO: $54.12 Blue Cross Blue Shield — Medicaid: $74.48 Blue Cross Blue Shield — Medicare: $43.56 Blue Cross Blue Shield — PPO: $64.68 Cigna — HMO: $88.44 Cigna — PPO: $88.44 Humana — Medicare: $43.56 Louisiana Healthcare Connections — Medicaid: $74.48
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · modifier GP In the file: PT EVAL - HIGH COMPLEXITY	$164	$65.60	$67.24 – $114.80
Physical therapy evaluation (high complexity): 10 of 12 insurance plan rates Aetna — Medicare: $67.24 Aetna — PPO: $72.98 Blue Cross Blue Shield — HMO: $67.24 Blue Cross Blue Shield — Medicaid: $74.48 Blue Cross Blue Shield — Medicare: $67.24 Blue Cross Blue Shield — PPO: $80.36 Cigna — HMO: $109.88 Cigna — PPO: $109.88 Humana — Medicare: $67.24 Louisiana Healthcare Connections — Medicaid: $74.48

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: 43235 FLEXIBLE, TRANSORAL;DIAGNOS. INCL. SPECIMEN(S); BRUSH/WASH RMC PROFEE	$528	$211.20	$57.81 – $1,853.49
Upper GI endoscopy (diagnostic): rates for 10 insurance plans Aetna — Medicare: $1,853.49 Aetna — PPO: $234.96 Blue Cross Blue Shield — HMO: $57.81 Blue Cross Blue Shield — Medicare: $1,853.49 Blue Cross Blue Shield — PPO: $258.72 Cigna — HMO: $353.76 Cigna — PPO: $353.76 Humana — Medicare: $1,853.49 UnitedHealthcare — PPO: $369.60 Wellcare — Medicare: $1,853.49
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: 43239 W BIOPSY, SINGLE OR MULTIPLE RMC PROFEE	$451	$180.40	$109.25 – $1,342.59
Upper GI endoscopy with biopsy: 10 of 12 insurance plan rates Aetna — Medicare: $1,342.59 Aetna — PPO: $555.20 Blue Cross Blue Shield — HMO: $109.25 Blue Cross Blue Shield — Medicaid: $468.30 Blue Cross Blue Shield — Medicare: $1,342.59 Blue Cross Blue Shield — PPO: $109.25 Cigna — HMO: $997.34 Cigna — PPO: $997.34 Humana — Medicare: $1,342.59 Louisiana Healthcare Connections — Medicaid: $468.30
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: 45378 COLONOSCOPY,FLEX,PROXIMAL TO SPLENIC FLEXURE; DIAG, W OR W/O COLLECTION OF	$659	$263.60	$179.56 – $3,710.40
Colonoscopy (diagnostic): 10 of 12 insurance plan rates Aetna — Medicare: $1,046.72 Aetna — PPO: $3,710.40 Blue Cross Blue Shield — HMO: $243.81 Blue Cross Blue Shield — Medicaid: $266.19 Blue Cross Blue Shield — Medicare: $1,046.72 Blue Cross Blue Shield — PPO: $296.06 Cigna — HMO: $441.53 Cigna — PPO: $441.53 Humana — Medicare: $1,046.72 Louisiana Healthcare Connections — Medicaid: $266.19
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: 45380 W/BIOPSY,SINGLE OR MULTIPLE RMC PROFEE	$787	$314.80	$212.84 – $806.78
Colonoscopy with biopsy: 10 of 12 insurance plan rates Aetna — Medicare: $806.78 Aetna — PPO: $212.84 Blue Cross Blue Shield — HMO: $318.05 Blue Cross Blue Shield — Medicaid: $468.30 Blue Cross Blue Shield — Medicare: $806.78 Blue Cross Blue Shield — PPO: $318.05 Cigna — HMO: $527.29 Cigna — PPO: $527.29 Humana — Medicare: $806.78 Louisiana Healthcare Connections — Medicaid: $468.30
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: 45385 W/REMOVAL OF TUMOR(S),POLYP(S),OR OTHER LESION(S);SNARE INTRAOPERATIVE, AN	$935	$374	$268.44 – $1,250
Colonoscopy with removal of polyps (snare): 10 of 12 insurance plan rates Aetna — Medicare: $806.78 Aetna — PPO: $268.44 Blue Cross Blue Shield — HMO: $858.83 Blue Cross Blue Shield — Medicaid: $468.30 Blue Cross Blue Shield — Medicare: $806.78 Blue Cross Blue Shield — PPO: $407.39 Cigna — HMO: $1,250 Cigna — PPO: $1,250 Humana — Medicare: $806.78 Louisiana Healthcare Connections — Medicaid: $468.30
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient In the file: G0121 Colonoscopy not high risk ind Profee RMC	$608	$243.20	$187.48 – $425.60
Screening colonoscopy (not high risk): rates for 10 insurance plans Aetna — Medicare: $187.48 Aetna — PPO: $270.56 Blue Cross Blue Shield — HMO: $249.28 Blue Cross Blue Shield — Medicare: $187.48 Blue Cross Blue Shield — PPO: $297.92 Cigna — HMO: $407.36 Cigna — PPO: $407.36 Humana — Medicare: $187.48 UnitedHealthcare — PPO: $425.60 Wellcare — Medicare: $187.48
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient In the file: 47562 CHOLECYSTECTOMY RMC PROFEE	$1,984	$793.60	$535.50 – $1,329.28
Gallbladder removal by laparoscope: 10 of 12 insurance plan rates Aetna — Medicare: $682.57 Aetna — PPO: $882.88 Blue Cross Blue Shield — HMO: $888.34 Blue Cross Blue Shield — Medicaid: $535.50 Blue Cross Blue Shield — Medicare: $682.57 Blue Cross Blue Shield — PPO: $1,078.70 Cigna — HMO: $1,329.28 Cigna — PPO: $1,329.28 Humana — Medicare: $682.57 Louisiana Healthcare Connections — Medicaid: $535.50
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient In the file: 49505 INITIAL INGUINAL HERNIA,AGE 5 YEARS OR OLDER;REDUCIBLE	$1,563	$625.20	$640.83 – $1,094.10
Groin (inguinal) hernia repair, age 5 or older: rates for 10 insurance plans Aetna — Medicare: $640.83 Aetna — PPO: $695.53 Blue Cross Blue Shield — HMO: $703.12 Blue Cross Blue Shield — Medicare: $640.83 Blue Cross Blue Shield — PPO: $853.79 Cigna — HMO: $1,047.21 Cigna — PPO: $1,047.21 Humana — Medicare: $640.83 UnitedHealthcare — PPO: $1,094.10 Wellcare — Medicare: $640.83
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: CT Spine Lumbosacral Epidural Steroid Inj	$1,956	$782.40	$801.96 – $1,369.20
Spinal injection, lower back (epidural), with imaging guidance: rates for 10 insurance plans Aetna — Medicare: $801.96 Aetna — PPO: $870.42 Blue Cross Blue Shield — HMO: $801.96 Blue Cross Blue Shield — Medicare: $801.96 Blue Cross Blue Shield — PPO: $958.44 Cigna — HMO: $1,310.52 Cigna — PPO: $1,310.52 Humana — Medicare: $801.96 UnitedHealthcare — PPO: $1,369.20 Wellcare — Medicare: $801.96
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: XR Spine Lumbar Epidural Steroid Injecti	$1,956	$782.40	$801.96 – $1,369.20
Spinal injection, lower back (epidural), with imaging guidance: rates for 10 insurance plans Aetna — Medicare: $801.96 Aetna — PPO: $870.42 Blue Cross Blue Shield — HMO: $801.96 Blue Cross Blue Shield — Medicare: $801.96 Blue Cross Blue Shield — PPO: $958.44 Cigna — HMO: $1,310.52 Cigna — PPO: $1,310.52 Humana — Medicare: $801.96 UnitedHealthcare — PPO: $1,369.20 Wellcare — Medicare: $801.96
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient In the file: Cataract Extraction with Intraocular Lens Implantation	$1,888	$755.20	$522 – $4,625.28
Cataract removal with lens implant: rates for 10 insurance plans Aetna — Medicare: $4,625.28 Aetna — PPO: $3,291.52 Blue Cross Blue Shield — HMO: $3,394.38 Blue Cross Blue Shield — Medicare: $4,625.28 Blue Cross Blue Shield — PPO: $925.12 Cigna — HMO: $1,264.96 Cigna — PPO: $1,264.96 Humana — Medicare: $4,625.28 UnitedHealthcare — PPO: $522 Wellcare — Medicare: $4,625.28
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient In the file: 66984 Cataract sug w/iol 1 start Profee RMC	$1,888	$755.20	$522 – $4,625.28
Cataract removal with lens implant: rates for 10 insurance plans Aetna — Medicare: $4,625.28 Aetna — PPO: $3,291.52 Blue Cross Blue Shield — HMO: $3,394.38 Blue Cross Blue Shield — Medicare: $4,625.28 Blue Cross Blue Shield — PPO: $925.12 Cigna — HMO: $1,264.96 Cigna — PPO: $1,264.96 Humana — Medicare: $4,625.28 UnitedHealthcare — PPO: $522 Wellcare — Medicare: $4,625.28
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient In the file: DIBOO IOL LENS	$1,261	$504.40	$522 – $4,625.28
Cataract removal with lens implant: rates for 10 insurance plans Aetna — Medicare: $4,625.28 Aetna — PPO: $3,291.52 Blue Cross Blue Shield — HMO: $3,394.38 Blue Cross Blue Shield — Medicare: $4,625.28 Blue Cross Blue Shield — PPO: $617.89 Cigna — HMO: $844.87 Cigna — PPO: $844.87 Humana — Medicare: $4,625.28 UnitedHealthcare — PPO: $522 Wellcare — Medicare: $4,625.28

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

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

Hospital information

Hospital type	Critical Access Hospital
Address	1900 South Main St, Franklinton, LA 70438
Parish	Washington Parish
State	Louisiana
Phone	(985) 795‑4431
Emergency services	Yes
Ownership	Government - Hospital District or Authority
Medicare overall rating	Not rated by CMS
CMS Certification Number	191313
Name in Medicare records	RIVERSIDE MEDICAL CENTER
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(985) 839‑4431^[4][5]
Official website	rmchospital.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 Geocoder — map position used for distances

From the hospital’s website

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

Riverside Medical Center — rmchospital.com
Our Services — rmchospital.com
Rehabilitation — rmchospital.com
Emergency Services — rmchospital.com
Emergency Services — rmchospital.com
Surgery — rmchospital.com
Cardiopulmonary — rmchospital.com
Inpatient Care — rmchospital.com
Radiology — rmchospital.com
Surgery — rmchospital.com
Rehabilitation — rmchospital.com
Laboratory — rmchospital.com
Services — rmchospital.com
Services — rmchospital.com
Infusion Services — rmchospital.com
Intensive Care Unit — rmchospital.com
Nutritional Services — rmchospital.com

Riverside Medical Center

Summary

Profile from official sources

At a glance