Does Terrebonne General Medical Center - Parish have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Terrebonne General Medical Center - Parish. In a medical emergency, call 911.

Where is Terrebonne General Medical Center - Parish?

8166 Main Street, Houma, LA 70360, in Terrebonne Parish, Louisiana.

What is the phone number of Terrebonne General Medical Center - Parish?

(985) 873-4141, as listed by Medicare (CMS).

What is the Medicare star rating of Terrebonne General Medical Center - Parish?

4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Terrebonne General Medical Center - Parish

Quick answers

Does Terrebonne General Medical Center - Parish have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Terrebonne General Medical Center - Parish. In a medical emergency, call 911.
Where is Terrebonne General Medical Center - Parish?: 8166 Main Street, Houma, LA 70360, in Terrebonne Parish, Louisiana.
What is the phone number of Terrebonne General Medical Center - Parish?: (985) 873-4141, as listed by Medicare (CMS).
What is the Medicare star rating of Terrebonne General Medical Center - Parish?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[5][8]

Cancer treatment
Cardiovascular care
Critical care
Diagnostic imaging
Emergency medicine
Endocrinology
Hospital medicine
Infectious disease
Internal medicine
Laboratory and pathology
Maternal and fetal medicine
Neurology
Obstetrics and gynecology
Orthopedics
Palliative and supportive care
Pediatrics
Pulmonology
Rehabilitation
Sleep medicine
Surgery
Wound care and hyperbaric medicine
Women's imaging and breast center
Physical therapy
Occupational therapy
Speech therapy
Weight management
Sports medicine

Treatments^[8]

Procedures^[5][7]

Cardiac catheterization
Cardiothoracic surgery
Electrophysiology
Robotic bronchoscopy
Knee and hip replacement

Programs and centers^[5][8]

Structural Heart Program
Level III NICU
Antimicrobial Stewardship Program
Chronic Care Management Program
Bright Beginnings
Stroke Care
Mobile CARE Clinic

Emergency care (hospital website)^[5]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Visiting	General visiting 7:30 AM-8:00 PM, two visitors at a time; critical care and other units have separate hours^[6]
Patient portal	MyChart

Recognition^[7]

Leapfrog Hospital Safety Grade 'A' (Spring 2026)
Blue Distinction Center for Knee and Hip Replacement
Blue Distinction Center+ for Maternity Care
Louisiana Birth Ready Designation
Healthgrades Patient Safety Excellence Award (2025)
IDSA Antimicrobial Stewardship Center of Excellence
AHA Mission: Lifeline Gold Plus STEMI Receiving Center (2020)
Level 2 WellSpot Designation (2026)

Doctors and clinicians (317)

317 doctors and other clinicians list Terrebonne General Medical Center - Parish 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 (317)

Adam J. Ziegenbusch, DPMPodiatry
Adam M. Arceneaux, MDInternal Medicine
Alain L. Chesnut, MDInternal Medicine
Alana Nichols, MDPediatric Medicine
Alexis R. Duke, MDDermatology
Alexis R. Scheuermann, MDGeneral Surgery
Alison L. Bergeron, NPNurse Practitioner
Allen W. Vander, MDNephrology
Allyson A. Blanchard, NPNurse Practitioner
Allyson M. Barker, PAPhysician Assistant
Amanda G. Lucas, NPNurse Practitioner
Amanda S. Eymard, NPNurse Practitioner
Amber B. Poirot, DPMPodiatry
Amy S. Warden, NPNurse Practitioner
Andre D. Duplantis, MDFamily Practice
Andre G. Gros, NPNurse Practitioner
Andre Guidry, MDFamily Practice
Andrea R. Lorio, DOPulmonary Disease
Andrew D. LefevreCertified Registered Nurse Anesthetist (CRNA)
Andrew E. Barker, MDAnesthesiology
Andrew H. Hoffmann Iii, MDPathology
Andrew J. Bergeron, DOFamily Practice
Andrew L. Barker, MDPain Management
Anne E. Price, MDInternal Medicine

And 293 more: the button below opens the full list.

Other emergency rooms nearby

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

Leonard J Chabert Medical Center6.4 mi · Houma, LA · Acute Care Hospital
Thibodaux Regional Medical Center14 mi · Thibodaux, LA · Acute Care Hospital
Ochsner St Anne General Hospital17 mi · Raceland, LA · Critical Access Hospital
Ochsner St Mary25 mi · Morgan City, LA · Acute Care Hospital
Assumption Community Hospital30 mi · Napoleonville, LA · Rural Emergency Hospital

Other hospitals nearby

Physicians Medical Center3.6 mi · Houma, LA · Acute Care Hospital
Houma - AMG Specialty Hospital5.7 mi · Houma, LA · Long-Term Acute Care Hospital
Compass Behavioral Center of Houma, LLC6.3 mi · Houma, LA · Psychiatric 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

Heritage Manor of Houma2.4 mi · Houma, LA · 4 of 5 stars
Chateau Terrebonne Health Care Center3.9 mi · Houma, LA · 5 of 5 stars
The Oaks of Houma4.2 mi · Houma, LA · 5 of 5 stars

All nursing homes in the state →

Hospice providers

ACG Hospice0.0 mi · Houma, LA · 5 of 5 stars
Haydel Memorial Hospice0.0 mi · Houma, LA · 5 of 5 stars
Hope Healthcare & Hospice BC, LLC8.5 mi · Houma, LA · 5 of 5 stars

All hospice providers in the state →

Home health agencies

Amedisys Home Health0.0 mi · Houma, LA · 5 of 5 stars
Centerwell Home Health0.0 mi · Houma, LA
Terrebonne Homecare, Inc.0.0 mi · Houma, LA

All home health agencies in the state →

Dialysis facilities

FKC - Houma Home Program0.0 mi · Houma, LA
Fmcna - Houma0.0 mi · Houma, LA · 3 of 5 stars
Fmcna - North Houma Dialysis0.0 mi · Houma, LA · 3 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Gulf Coast Surgical Center LLC0.0 mi · Houma, LA
St Luke's Surgery Center0.0 mi · Houma, LA
Cardiovascular Institute of the South Asc, LLC7.9 mi · Gray, 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

Start Corporation0.0 mi · Houma, LA · Community health center
Life Coast Community Health Center Houma3.4 mi · Houma, LA · Community health center
Life Coast Community Health Center Pharmacy3.4 mi · Houma, LA · Community health center

Clinics and urgent care

Audubon Urgent Care0.0 mi · Houma, LA · Urgent care center
Coastal Urgent Care of Louisiana, LLC0.0 mi · Houma, LA · Urgent care center
Houma Urgent Care LLC0.0 mi · Houma, LA · Urgent care center

Pharmacies

Cardiovascular Institute of the South, LLC0.0 mi · Houma, LA · Community/retail pharmacy
Haydels Drug Store Inc0.0 mi · Houma, LA · Community/retail pharmacy
Haydels Drug Store Inc0.0 mi · Houma, 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 Terrebonne General Medical Center - Parish reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

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

Summary star rating (all survey topics)	4 of 5 stars
Overall rating of the hospital	4 of 5 stars
Would recommend the hospital	4 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	4 of 5 stars
Staff explained medicines	4 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	4 of 5 stars
Rated the hospital 9 or 10 out of 10	72%National average: 72%
Would definitely recommend the hospital	70%National average: 71%
Nurses “always” communicated well	84%National average: 80%
Doctors “always” communicated well	83%National average: 80%
Staff “always” explained medicines before giving them	67%National average: 62%
Were given information about recovery at home	88%National average: 86%
Room and bathroom “always” clean	81%National average: 74%
Area around the room “always” quiet at night	65%National average: 60%
Completed surveys	978Response rate: 23%

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)	0.271No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	1.059No different from the national benchmark
Surgical site infections after colon surgery	0.902No different from the national benchmark
Surgical site infections after abdominal hysterectomy	0No different from the national benchmark
MRSA bloodstream infections	2.326No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.433Better than the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

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

Deaths within 30 days: heart attack patients	11.1%
Deaths within 30 days: heart failure patients	13.6%
Deaths within 30 days: pneumonia patients	15.8%
Deaths within 30 days: COPD patients	7.5%
Deaths within 30 days: stroke patients	13.2%
Deaths within 30 days: coronary bypass surgery (CABG)	3.2%
Serious complications (patient safety indicator PSI-90)	0.69No different from the national rate
Complications after hip or knee replacement	Too few cases to report

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	15%
Readmitted within 30 days: heart failure	20.7%
Readmitted within 30 days: pneumonia	18.1%
Readmitted within 30 days: COPD	19.1%
Readmitted within 30 days: coronary bypass surgery	12%
Readmitted within 30 days: hip or knee replacement	Too few cases to report

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.

Emergency room volume (patients per year)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	133 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	3%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	88%National average: 65%

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 Houma 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 Terrebonne General Medical Center - Parish 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) · Hospital (facility) fee In the file: HC OFFICE/OUTPT VISIT NEW LEVL III 30-44 MIN	$145	$107.34	$37.83 – $145
New patient office visit (about 30–44 minutes): 10 of 18 insurance plan rates Aetna — Aetna/Medicaid: $38.96 Aetna Health Managment — Aetna: $121.80 Amerihealth — Amerihealth/Medicaid: $38.59 Blue Cross Blue Shield of Louisiana — BC HMO: $54.68 Blue Cross Blue Shield of Louisiana — BC PPO: $70.31 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $51.50 Champ VA — Champ VA: $65.02 Champus/Tricare — Champus/Tricare: $145 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $97.30 Coventry Health of Louisiana — First Health: $116
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OFFICE/OUTPT VISIT NEW LEVL III 30-44 MIN	$145	$107.34	$94.25 – $145
New patient office visit (about 30–44 minutes): rates for 3 insurance plans Coventry Health of Louisiana — First Health: $116 MultiPlan Inc — MultiPlan: $94.25 Workers Comp — Workers Comp: $145
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE/OUTPT VISIT NEW LEVL IV 45-59 MIN	$155	$114.75	$56.11 – $155
New patient office visit (about 45–59 minutes): 10 of 18 insurance plan rates Aetna — Aetna/Medicaid: $58.47 Aetna Health Managment — Aetna: $130.20 Amerihealth — Amerihealth/Medicaid: $57.91 Blue Cross Blue Shield of Louisiana — BC HMO: $59.58 Blue Cross Blue Shield of Louisiana — BC PPO: $76.60 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $56.11 Champ VA — Champ VA: $105.82 Champus/Tricare — Champus/Tricare: $155 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $104.01 Coventry Health of Louisiana — First Health: $124
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OFFICE/OUTPT VISIT NEW LEVL IV 45-59 MIN	$155	$114.75	$100.75 – $155
New patient office visit (about 45–59 minutes): rates for 3 insurance plans Coventry Health of Louisiana — First Health: $124 MultiPlan Inc — MultiPlan: $100.75 Workers Comp — Workers Comp: $155
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE/OUTPT VISIT NEW LEVL V 60-74 MIN	$165	$122.15	$56.77 – $165
New patient office visit (about 60–74 minutes): 10 of 18 insurance plan rates Aetna — Aetna/Medicaid: $58.47 Aetna Health Managment — Aetna: $138.60 Amerihealth — Amerihealth/Medicaid: $57.91 Blue Cross Blue Shield of Louisiana — BC HMO: $65.72 Blue Cross Blue Shield of Louisiana — BC PPO: $84.50 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $61.89 Champ VA — Champ VA: $143.92 Champus/Tricare — Champus/Tricare: $165 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $110.72 Coventry Health of Louisiana — First Health: $132
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OFFICE/OUTPT VISIT NEW LEVL V 60-74 MIN	$165	$122.15	$107.25 – $165
New patient office visit (about 60–74 minutes): rates for 3 insurance plans Coventry Health of Louisiana — First Health: $132 MultiPlan Inc — MultiPlan: $107.25 Workers Comp — Workers Comp: $165
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE/OUTPT VISIT EST LEVL III 20-29 MIN	$145	$107.34	$37.83 – $145
Established patient office visit (about 20–29 minutes): 10 of 18 insurance plan rates Aetna — Aetna/Medicaid: $38.96 Aetna Health Managment — Aetna: $121.80 Amerihealth — Amerihealth/Medicaid: $38.59 Blue Cross Blue Shield of Louisiana — BC HMO: $40.55 Blue Cross Blue Shield of Louisiana — BC PPO: $52.13 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $38.18 Champ VA — Champ VA: $52.24 Champus/Tricare — Champus/Tricare: $145 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $97.30 Coventry Health of Louisiana — First Health: $116
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OFFICE/OUTPT VISIT EST LEVL III 20-29 MIN	$145	$107.34	$94.25 – $145
Established patient office visit (about 20–29 minutes): rates for 3 insurance plans Coventry Health of Louisiana — First Health: $116 MultiPlan Inc — MultiPlan: $94.25 Workers Comp — Workers Comp: $145
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE/OUTPT VISIT EST LEVL IV 30-39 MIN	$155	$114.75	$48.01 – $155
Established patient office visit (about 30–39 minutes): 10 of 18 insurance plan rates Aetna — Aetna/Medicaid: $58.47 Aetna Health Managment — Aetna: $130.20 Amerihealth — Amerihealth/Medicaid: $57.91 Blue Cross Blue Shield of Louisiana — BC HMO: $50.99 Blue Cross Blue Shield of Louisiana — BC PPO: $65.55 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $48.01 Champ VA — Champ VA: $76.94 Champus/Tricare — Champus/Tricare: $155 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $104.01 Coventry Health of Louisiana — First Health: $124
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OFFICE/OUTPT VISIT EST LEVL IV 30-39 MIN	$155	$114.75	$100.75 – $155
Established patient office visit (about 30–39 minutes): rates for 3 insurance plans Coventry Health of Louisiana — First Health: $124 MultiPlan Inc — MultiPlan: $100.75 Workers Comp — Workers Comp: $155
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMER ROOM LEVEL III	$850	$629.26	$56.79 – $1,800
Emergency room visit (moderate): 10 of 33 insurance plan rates Aetna — Aetna/Medicaid: $156.71 Aetna Health Managment — Aetna: $1,800 Amerihealth — Amerihealth/Medicaid: $155.19 AMG — AMG: $259.54 Blue Cross Blue Shield of Louisiana — BC HMO: $432.48 Blue Cross Blue Shield of Louisiana — BC PPO: $556.03 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $407.26 Champ VA — Champ VA: $56.79 Champus/Tricare — Champus/Tricare: $247.18 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $570.35
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EMER ROOM LEVEL III	$850	$629.26	$552.50 – $850
Emergency room visit (moderate): rates for 3 insurance plans Coventry Health of Louisiana — First Health: $680 MultiPlan Inc — MultiPlan: $552.50 Workers Comp — Workers Comp: $850
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMER ROOM LEVEL IV	$1,605	$1,188.18	$96.97 – $1,800
Emergency room visit (moderately high): 10 of 33 insurance plan rates Aetna — Aetna/Medicaid: $295.91 Aetna Health Managment — Aetna: $1,800 Amerihealth — Amerihealth/Medicaid: $293.04 AMG — AMG: $396.72 Blue Cross Blue Shield of Louisiana — BC HMO: $681.21 Blue Cross Blue Shield of Louisiana — BC PPO: $875.82 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $641.49 Champ VA — Champ VA: $96.97 Champus/Tricare — Champus/Tricare: $377.83 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $1,076.96
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EMER ROOM LEVEL IV	$1,605	$1,188.18	$1,043.25 – $1,605
Emergency room visit (moderately high): rates for 3 insurance plans Coventry Health of Louisiana — First Health: $1,284 MultiPlan Inc — MultiPlan: $1,043.25 Workers Comp — Workers Comp: $1,605
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMER ROOM LEVEL V	$2,220	$1,643.47	$140.72 – $2,220
Emergency room visit (high): 10 of 33 insurance plan rates Aetna — Aetna/Medicaid: $409.30 Aetna Health Managment — Aetna: $1,800 Amerihealth — Amerihealth/Medicaid: $405.33 AMG — AMG: $566.21 Blue Cross Blue Shield of Louisiana — BC HMO: $976.93 Blue Cross Blue Shield of Louisiana — BC PPO: $1,256.03 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $919.97 Champ VA — Champ VA: $140.72 Champus/Tricare — Champus/Tricare: $539.25 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $1,489.62
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EMER ROOM LEVEL V	$2,220	$1,643.47	$1,443 – $2,220
Emergency room visit (high): rates for 3 insurance plans Coventry Health of Louisiana — First Health: $1,776 MultiPlan Inc — MultiPlan: $1,443 Workers Comp — Workers Comp: $2,220

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL(8 TESTS)	$249.50	$184.70	$8.29 – $249.50
Basic metabolic panel (blood test): 10 of 32 insurance plan rates Aetna — Aetna/Medicaid: $8.71 Aetna Health Managment — Aetna: $39.53 Amerihealth — Amerihealth/Medicaid: $8.63 AMG — AMG: $8.88 Blue Cross Blue Shield of Louisiana — BC HMO: $16.38 Blue Cross Blue Shield of Louisiana — BC PPO: $21.06 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $15.43 Champ VA — Champ VA: $8.43 Champus/Tricare — Champus/Tricare: $8.43 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $167.41
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL(8 TESTS)	$249.50	$184.70	$162.18 – $249.50
Basic metabolic panel (blood test): rates for 3 insurance plans Coventry Health of Louisiana — First Health: $199.60 MultiPlan Inc — MultiPlan: $162.18 Workers Comp — Workers Comp: $249.50
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PAN 14	$254.50	$188.41	$10.35 – $254.50
Comprehensive metabolic panel (blood test): 10 of 32 insurance plan rates Aetna — Aetna/Medicaid: $10.88 Aetna Health Managment — Aetna: $49.33 Amerihealth — Amerihealth/Medicaid: $10.77 AMG — AMG: $11.09 Blue Cross Blue Shield of Louisiana — BC HMO: $20.45 Blue Cross Blue Shield of Louisiana — BC PPO: $26.29 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $19.26 Champ VA — Champ VA: $10.52 Champus/Tricare — Champus/Tricare: $10.52 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $170.77
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PAN 14	$254.50	$188.41	$165.43 – $254.50
Comprehensive metabolic panel (blood test): rates for 3 insurance plans Coventry Health of Louisiana — First Health: $203.60 MultiPlan Inc — MultiPlan: $165.43 Workers Comp — Workers Comp: $254.50
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PROFILE	$99.75	$73.84	$13.12 – $99.75
Cholesterol panel (lipid panel): 10 of 33 insurance plan rates Aetna — Aetna/Medicaid: $13.79 Aetna Health Managment — Aetna: $62.58 Amerihealth — Amerihealth/Medicaid: $13.66 AMG — AMG: $14.06 Blue Cross Blue Shield of Louisiana — BC HMO: $25.93 Blue Cross Blue Shield of Louisiana — BC PPO: $33.34 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $24.42 Champ VA — Champ VA: $13.34 Champus/Tricare — Champus/Tricare: $13.34 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $66.93
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LIPID PROFILE	$99.75	$73.84	$64.84 – $99.75
Cholesterol panel (lipid panel): rates for 3 insurance plans Coventry Health of Louisiana — First Health: $79.80 MultiPlan Inc — MultiPlan: $64.84 Workers Comp — Workers Comp: $99.75
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL	$278.25	$205.99	$8.51 – $278.25
Kidney function panel: 10 of 32 insurance plan rates Aetna — Aetna/Medicaid: $8.94 Aetna Health Managment — Aetna: $40.56 Amerihealth — Amerihealth/Medicaid: $8.85 AMG — AMG: $9.11 Blue Cross Blue Shield of Louisiana — BC HMO: $16.81 Blue Cross Blue Shield of Louisiana — BC PPO: $21.61 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $15.83 Champ VA — Champ VA: $8.65 Champus/Tricare — Champus/Tricare: $8.65 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $186.71
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL	$278.25	$205.99	$180.86 – $278.25
Kidney function panel: rates for 3 insurance plans Coventry Health of Louisiana — First Health: $222.60 MultiPlan Inc — MultiPlan: $180.86 Workers Comp — Workers Comp: $278.25
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL7 TESTS	$285.50	$211.36	$8.01 – $285.50
Liver function panel: 10 of 32 insurance plan rates Aetna — Aetna/Medicaid: $8.42 Aetna Health Managment — Aetna: $38.19 Amerihealth — Amerihealth/Medicaid: $8.33 AMG — AMG: $8.58 Blue Cross Blue Shield of Louisiana — BC HMO: $15.82 Blue Cross Blue Shield of Louisiana — BC PPO: $20.34 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $14.90 Champ VA — Champ VA: $8.14 Champus/Tricare — Champus/Tricare: $8.14 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $191.57
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL7 TESTS	$285.50	$211.36	$185.58 – $285.50
Liver function panel: rates for 3 insurance plans Coventry Health of Louisiana — First Health: $228.40 MultiPlan Inc — MultiPlan: $185.58 Workers Comp — Workers Comp: $285.50
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS AUTO W/MICRO	$72.50	$53.67	$3.11 – $72.50
Urine test (automated, with microscope): 10 of 32 insurance plan rates Aetna — Aetna/Medicaid: $3.27 Aetna Health Managment — Aetna: $14.82 Amerihealth — Amerihealth/Medicaid: $3.23 AMG — AMG: $3.33 Blue Cross Blue Shield of Louisiana — BC HMO: $6.14 Blue Cross Blue Shield of Louisiana — BC PPO: $7.89 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $5.78 Champ VA — Champ VA: $3.16 Champus/Tricare — Champus/Tricare: $3.16 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $48.65
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS AUTO W/MICRO	$72.50	$53.67	$47.13 – $72.50
Urine test (automated, with microscope): rates for 3 insurance plans Coventry Health of Louisiana — First Health: $58 MultiPlan Inc — MultiPlan: $47.13 Workers Comp — Workers Comp: $72.50
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SPECIFIC GRAVITY URINE	$34.75	$25.73	$2.20 – $34.75
Urine test (automated, without microscope): 10 of 32 insurance plan rates Aetna — Aetna/Medicaid: $2.32 Aetna Health Managment — Aetna: $10.53 Amerihealth — Amerihealth/Medicaid: $2.30 AMG — AMG: $2.36 Blue Cross Blue Shield of Louisiana — BC HMO: $4.36 Blue Cross Blue Shield of Louisiana — BC PPO: $5.60 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $4.10 Champ VA — Champ VA: $2.24 Champus/Tricare — Champus/Tricare: $2.24 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $23.32
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINE W/O MICRO AUTO	$37.50	$27.76	$2.20 – $37.50
Urine test (automated, without microscope): 10 of 32 insurance plan rates Aetna — Aetna/Medicaid: $2.32 Aetna Health Managment — Aetna: $10.53 Amerihealth — Amerihealth/Medicaid: $2.30 AMG — AMG: $2.36 Blue Cross Blue Shield of Louisiana — BC HMO: $4.36 Blue Cross Blue Shield of Louisiana — BC PPO: $5.60 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $4.10 Champ VA — Champ VA: $2.24 Champus/Tricare — Champus/Tricare: $2.24 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $25.16
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC SPECIFIC GRAVITY URINE	$34.75	$25.73	$22.59 – $34.75
Urine test (automated, without microscope): rates for 3 insurance plans Coventry Health of Louisiana — First Health: $27.80 MultiPlan Inc — MultiPlan: $22.59 Workers Comp — Workers Comp: $34.75
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSA DIAGNOSTIC	$100	$74.03	$18.02 – $100
PSA (prostate specific antigen) blood test: 10 of 32 insurance plan rates Aetna — Aetna/Medicaid: $18.94 Aetna Health Managment — Aetna: $85.95 Amerihealth — Amerihealth/Medicaid: $18.76 AMG — AMG: $19.31 Blue Cross Blue Shield of Louisiana — BC HMO: $35.61 Blue Cross Blue Shield of Louisiana — BC PPO: $45.78 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $33.53 Champ VA — Champ VA: $18.32 Champus/Tricare — Champus/Tricare: $18.32 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $67.10
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSA SCREENING	$100	$74.03	$18.02 – $100
PSA (prostate specific antigen) blood test: 10 of 32 insurance plan rates Aetna — Aetna/Medicaid: $18.94 Aetna Health Managment — Aetna: $85.95 Amerihealth — Amerihealth/Medicaid: $18.76 AMG — AMG: $19.31 Blue Cross Blue Shield of Louisiana — BC HMO: $35.61 Blue Cross Blue Shield of Louisiana — BC PPO: $45.78 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $33.53 Champ VA — Champ VA: $18.32 Champus/Tricare — Champus/Tricare: $18.32 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $67.10
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSA TOTAL	$74	$54.78	$18.02 – $74
PSA (prostate specific antigen) blood test: 10 of 32 insurance plan rates Aetna — Aetna/Medicaid: $18.94 Aetna Health Managment — Aetna: $74 Amerihealth — Amerihealth/Medicaid: $18.76 AMG — AMG: $19.31 Blue Cross Blue Shield of Louisiana — BC HMO: $35.61 Blue Cross Blue Shield of Louisiana — BC PPO: $45.78 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $33.53 Champ VA — Champ VA: $18.32 Champus/Tricare — Champus/Tricare: $18.32 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $49.65
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC TSH	$128	$94.76	$16.46 – $128
Thyroid stimulating hormone (TSH) test: 10 of 32 insurance plan rates Aetna — Aetna/Medicaid: $17.30 Aetna Health Managment — Aetna: $78.52 Amerihealth — Amerihealth/Medicaid: $17.14 AMG — AMG: $17.64 Blue Cross Blue Shield of Louisiana — BC HMO: $32.53 Blue Cross Blue Shield of Louisiana — BC PPO: $41.83 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $30.63 Champ VA — Champ VA: $16.73 Champus/Tricare — Champus/Tricare: $16.73 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $85.89
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC TSH	$128	$94.76	$83.20 – $128
Thyroid stimulating hormone (TSH) test: rates for 3 insurance plans Coventry Health of Louisiana — First Health: $102.40 MultiPlan Inc — MultiPlan: $83.20 Workers Comp — Workers Comp: $128
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPL CBC W/PLT W/AUTOM DIFF	$98.25	$72.73	$7.61 – $98.25
Complete blood count (CBC) with differential: 10 of 32 insurance plan rates Aetna — Aetna/Medicaid: $8 Aetna Health Managment — Aetna: $36.31 Amerihealth — Amerihealth/Medicaid: $7.93 AMG — AMG: $8.16 Blue Cross Blue Shield of Louisiana — BC HMO: $12.28 Blue Cross Blue Shield of Louisiana — BC PPO: $15.78 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $11.56 Champ VA — Champ VA: $7.74 Champus/Tricare — Champus/Tricare: $7.74 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $65.93
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPL CBC W/PLT W/AUTOM DIFF	$98.25	$72.73	$63.86 – $98.25
Complete blood count (CBC) with differential: rates for 3 insurance plans Coventry Health of Louisiana — First Health: $78.60 MultiPlan Inc — MultiPlan: $63.86 Workers Comp — Workers Comp: $98.25
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEMATOLOGY PROFILE	$108	$79.95	$6.34 – $108
Complete blood count (CBC), automated: 10 of 32 insurance plan rates Aetna — Aetna/Medicaid: $6.66 Aetna Health Managment — Aetna: $30.22 Amerihealth — Amerihealth/Medicaid: $6.60 AMG — AMG: $6.79 Blue Cross Blue Shield of Louisiana — BC HMO: $12.53 Blue Cross Blue Shield of Louisiana — BC PPO: $16.11 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $11.80 Champ VA — Champ VA: $6.44 Champus/Tricare — Champus/Tricare: $6.44 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $72.47
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC HEMATOLOGY PROFILE	$108	$79.95	$70.20 – $108
Complete blood count (CBC), automated: rates for 3 insurance plans Coventry Health of Louisiana — First Health: $86.40 MultiPlan Inc — MultiPlan: $70.20 Workers Comp — Workers Comp: $108
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME	$68.50	$50.71	$4.20 – $68.50
Blood clotting time test (prothrombin time, PT): 10 of 32 insurance plan rates Aetna — Aetna/Medicaid: $4.42 Aetna Health Managment — Aetna: $20.03 Amerihealth — Amerihealth/Medicaid: $4.38 AMG — AMG: $4.50 Blue Cross Blue Shield of Louisiana — BC HMO: $8.31 Blue Cross Blue Shield of Louisiana — BC PPO: $10.68 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $7.82 Champ VA — Champ VA: $4.27 Champus/Tricare — Champus/Tricare: $4.27 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $45.96
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME	$68.50	$50.71	$44.52 – $68.50
Blood clotting time test (prothrombin time, PT): rates for 3 insurance plans Coventry Health of Louisiana — First Health: $54.80 MultiPlan Inc — MultiPlan: $44.52 Workers Comp — Workers Comp: $68.50
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PARTIAL THROMBOPLASTIN TIME	$63.50	$47.01	$5.89 – $63.50
Blood clotting test (partial thromboplastin time, PTT): 10 of 32 insurance plan rates Aetna — Aetna/Medicaid: $6.19 Aetna Health Managment — Aetna: $28.07 Amerihealth — Amerihealth/Medicaid: $6.13 AMG — AMG: $6.31 Blue Cross Blue Shield of Louisiana — BC HMO: $11.64 Blue Cross Blue Shield of Louisiana — BC PPO: $14.96 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $10.96 Champ VA — Champ VA: $5.99 Champus/Tricare — Champus/Tricare: $5.99 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $42.61
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LUPUS PTT - RL	$63.50	$47.01	$5.89 – $63.50
Blood clotting test (partial thromboplastin time, PTT): 10 of 32 insurance plan rates Aetna — Aetna/Medicaid: $6.19 Aetna Health Managment — Aetna: $28.07 Amerihealth — Amerihealth/Medicaid: $6.13 AMG — AMG: $6.31 Blue Cross Blue Shield of Louisiana — BC HMO: $11.64 Blue Cross Blue Shield of Louisiana — BC PPO: $14.96 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $10.96 Champ VA — Champ VA: $5.99 Champus/Tricare — Champus/Tricare: $5.99 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $42.61
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PARTIAL THROMBOPLASTIN TIME	$63.50	$47.01	$41.27 – $63.50
Blood clotting test (partial thromboplastin time, PTT): rates for 3 insurance plans Coventry Health of Louisiana — First Health: $50.80 MultiPlan Inc — MultiPlan: $41.27 Workers Comp — Workers Comp: $63.50

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT HEAD W/O CONTRAST	$1,900	$1,406.57	$58.45 – $1,900
CT scan of the head or brain, without contrast: 10 of 33 insurance plan rates Aetna — Aetna/Medicaid: $350.30 Aetna Health Managment — Aetna: $1,700 Amerihealth — Amerihealth/Medicaid: $346.90 AMG — AMG: $99.40 Blue Cross Blue Shield of Louisiana — BC HMO: $217.03 Blue Cross Blue Shield of Louisiana — BC PPO: $279.03 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $204.38 Champ VA — Champ VA: $58.45 Champus/Tricare — Champus/Tricare: $94.67 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $1,274.90
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT HEAD W/O CONTRAST	$1,900	$1,406.57	$1,235 – $1,900
CT scan of the head or brain, without contrast: rates for 3 insurance plans Coventry Health of Louisiana — First Health: $1,520 MultiPlan Inc — MultiPlan: $1,235 Workers Comp — Workers Comp: $1,900
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI BRAIN W/WO CONTRAST	$2,801	$2,073.58	$184.47 – $2,801
MRI of the brain, before and after contrast: 10 of 33 insurance plan rates Aetna — Aetna/Medicaid: $516.42 Aetna Health Managment — Aetna: $2,300 Amerihealth — Amerihealth/Medicaid: $511.41 AMG — AMG: $331.69 Blue Cross Blue Shield of Louisiana — BC HMO: $739.41 Blue Cross Blue Shield of Louisiana — BC PPO: $950.65 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $696.30 Champ VA — Champ VA: $184.47 Champus/Tricare — Champus/Tricare: $315.90 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $1,879.47
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI BRAIN W/WO CONTRAST	$2,801	$2,073.58	$1,820.65 – $2,801
MRI of the brain, before and after contrast: rates for 3 insurance plans Coventry Health of Louisiana — First Health: $2,240.80 MultiPlan Inc — MultiPlan: $1,820.65 Workers Comp — Workers Comp: $2,801
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC XRAY CHEST 2 VIEWS	$238.75	$176.75	$19.97 – $238.75
Chest X-ray, 2 views: 10 of 33 insurance plan rates Aetna — Aetna/Medicaid: $44.02 Aetna Health Managment — Aetna: $93.30 Amerihealth — Amerihealth/Medicaid: $43.59 AMG — AMG: $82.74 Blue Cross Blue Shield of Louisiana — BC HMO: $154.54 Blue Cross Blue Shield of Louisiana — BC PPO: $198.69 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $145.53 Champ VA — Champ VA: $19.97 Champus/Tricare — Champus/Tricare: $78.80 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $160.20
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC XRAY CHEST 2 VIEWS	$238.75	$176.75	$155.19 – $238.75
Chest X-ray, 2 views: rates for 3 insurance plans Coventry Health of Louisiana — First Health: $191 MultiPlan Inc — MultiPlan: $155.19 Workers Comp — Workers Comp: $238.75
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SPINE LUMBAR COMP 5 VIEW	$412.50	$305.37	$33.66 – $412.50
X-ray of the lower spine, at least 4 views: 10 of 33 insurance plan rates Aetna — Aetna/Medicaid: $76.05 Aetna Health Managment — Aetna: $151.02 Amerihealth — Amerihealth/Medicaid: $75.31 AMG — AMG: $99.40 Blue Cross Blue Shield of Louisiana — BC HMO: $217.03 Blue Cross Blue Shield of Louisiana — BC PPO: $279.03 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $204.38 Champ VA — Champ VA: $33.66 Champus/Tricare — Champus/Tricare: $94.67 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $276.79
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC SPINE LUMBAR COMP 5 VIEW	$412.50	$305.37	$268.13 – $412.50
X-ray of the lower spine, at least 4 views: rates for 3 insurance plans Coventry Health of Louisiana — First Health: $330 MultiPlan Inc — MultiPlan: $268.13 Workers Comp — Workers Comp: $412.50
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI SPINE LUMBAR WITHOUT CONTRAST	$2,513	$1,860.37	$106.37 – $2,513
MRI of the lower back (lumbar spine), without contrast: 10 of 33 insurance plan rates Aetna — Aetna/Medicaid: $463.32 Aetna Health Managment — Aetna: $2,300 Amerihealth — Amerihealth/Medicaid: $458.82 AMG — AMG: $226.85 Blue Cross Blue Shield of Louisiana — BC HMO: $451.26 Blue Cross Blue Shield of Louisiana — BC PPO: $580.18 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $424.95 Champ VA — Champ VA: $106.37 Champus/Tricare — Champus/Tricare: $216.05 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $1,686.22
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI SPINE LUMBAR WITHOUT CONTRAST	$2,513	$1,860.37	$1,633.45 – $2,513
MRI of the lower back (lumbar spine), without contrast: rates for 3 insurance plans Coventry Health of Louisiana — First Health: $2,010.40 MultiPlan Inc — MultiPlan: $1,633.45 Workers Comp — Workers Comp: $2,513
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT PELVIS W CONTRAST	$1,903	$1,408.79	$150.25 – $1,903
CT scan of the pelvis, with contrast: 10 of 33 insurance plan rates Aetna — Aetna/Medicaid: $350.86 Aetna Health Managment — Aetna: $1,700 Amerihealth — Amerihealth/Medicaid: $347.45 AMG — AMG: $166.76 Blue Cross Blue Shield of Louisiana — BC HMO: $352.85 Blue Cross Blue Shield of Louisiana — BC PPO: $453.65 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $332.28 Champ VA — Champ VA: $150.25 Champus/Tricare — Champus/Tricare: $158.82 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $1,276.91
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT PELVIS W CONTRAST	$1,903	$1,408.79	$1,236.95 – $1,903
CT scan of the pelvis, with contrast: rates for 3 insurance plans Coventry Health of Louisiana — First Health: $1,522.40 MultiPlan Inc — MultiPlan: $1,236.95 Workers Comp — Workers Comp: $1,903
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT ABD PELVIS WITH CONTRAST	$2,294.50	$1,698.62	$188.43 – $2,294.50
CT scan of the abdomen and pelvis, with contrast: 10 of 33 insurance plan rates Aetna — Aetna/Medicaid: $423.04 Aetna Health Managment — Aetna: $1,700 Amerihealth — Amerihealth/Medicaid: $418.93 AMG — AMG: $331.69 Blue Cross Blue Shield of Louisiana — BC HMO: $739.41 Blue Cross Blue Shield of Louisiana — BC PPO: $950.65 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $696.30 Champ VA — Champ VA: $188.43 Champus/Tricare — Champus/Tricare: $315.90 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $1,539.61
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT ABD PELVIS WITH CONTRAST	$2,294.50	$1,698.62	$1,491.42 – $2,294.50
CT scan of the abdomen and pelvis, with contrast: rates for 3 insurance plans Coventry Health of Louisiana — First Health: $1,835.60 MultiPlan Inc — MultiPlan: $1,491.42 Workers Comp — Workers Comp: $2,294.50
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US ABD B-SCAN COMPLETE	$729.25	$539.86	$66.18 – $729.25
Ultrasound of the abdomen, complete: 10 of 33 insurance plan rates Aetna — Aetna/Medicaid: $134.45 Aetna Health Managment — Aetna: $351.48 Amerihealth — Amerihealth/Medicaid: $133.15 AMG — AMG: $99.40 Blue Cross Blue Shield of Louisiana — BC HMO: $217.03 Blue Cross Blue Shield of Louisiana — BC PPO: $279.03 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $204.38 Champ VA — Champ VA: $66.18 Champus/Tricare — Champus/Tricare: $94.67 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $489.33
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US ABD B-SCAN COMPLETE	$729.25	$539.86	$474.01 – $729.25
Ultrasound of the abdomen, complete: rates for 3 insurance plans Coventry Health of Louisiana — First Health: $583.40 MultiPlan Inc — MultiPlan: $474.01 Workers Comp — Workers Comp: $729.25
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US OB 14 WKS TRANSABD SINGLE GESTATION	$788.25	$583.54	$74.44 – $788.25
Pregnancy ultrasound (after the first trimester): 10 of 33 insurance plan rates Aetna — Aetna/Medicaid: $145.33 Aetna Health Managment — Aetna: $386.41 Amerihealth — Amerihealth/Medicaid: $143.92 AMG — AMG: $99.40 Blue Cross Blue Shield of Louisiana — BC HMO: $217.03 Blue Cross Blue Shield of Louisiana — BC PPO: $279.03 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $204.38 Champ VA — Champ VA: $74.44 Champus/Tricare — Champus/Tricare: $94.67 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $528.92
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US OB 14 WKS TRANSABD SINGLE GESTATION	$788.25	$583.54	$512.36 – $788.25
Pregnancy ultrasound (after the first trimester): rates for 3 insurance plans Coventry Health of Louisiana — First Health: $630.60 MultiPlan Inc — MultiPlan: $512.36 Workers Comp — Workers Comp: $788.25
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US TRANSVAGINAL NON OB	$358	$265.03	$64.08 – $358
Transvaginal ultrasound: 10 of 33 insurance plan rates Aetna — Aetna/Medicaid: $66 Aetna Health Managment — Aetna: $358 Amerihealth — Amerihealth/Medicaid: $65.36 AMG — AMG: $99.40 Blue Cross Blue Shield of Louisiana — BC HMO: $217.03 Blue Cross Blue Shield of Louisiana — BC PPO: $279.03 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $204.38 Champ VA — Champ VA: $72.73 Champus/Tricare — Champus/Tricare: $94.67 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $240.22
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US TRANSVAGINAL NON OB	$358	$265.03	$232.70 – $358
Transvaginal ultrasound: rates for 3 insurance plans Coventry Health of Louisiana — First Health: $286.40 MultiPlan Inc — MultiPlan: $232.70 Workers Comp — Workers Comp: $358
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMO W/WO CAD DIAGNOSTIC UNILAT	$478	$353.86	$75.01 – $478
Diagnostic mammogram, one breast: 10 of 33 insurance plan rates Aetna — Aetna/Medicaid: $88.13 Aetna Health Managment — Aetna: $398.55 Amerihealth — Amerihealth/Medicaid: $87.27 AMG — AMG: $80.10 Blue Cross Blue Shield of Louisiana — BC HMO: $161.21 Blue Cross Blue Shield of Louisiana — BC PPO: $207.26 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $151.81 Champ VA — Champ VA: $75.01 Champus/Tricare — Champus/Tricare: $75.01 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $320.74
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MAMMO W/WO CAD DIAGNOSTIC UNILAT	$478	$353.86	$310.70 – $478
Diagnostic mammogram, one breast: rates for 3 insurance plans Coventry Health of Louisiana — First Health: $382.40 MultiPlan Inc — MultiPlan: $310.70 Workers Comp — Workers Comp: $478
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMO W/WO CAD DIAGNOSTIC BILAT	$609	$450.84	$95.53 – $609
Diagnostic mammogram, both breasts: 10 of 33 insurance plan rates Aetna — Aetna/Medicaid: $112.28 Aetna Health Managment — Aetna: $507.90 Amerihealth — Amerihealth/Medicaid: $111.19 AMG — AMG: $102.78 Blue Cross Blue Shield of Louisiana — BC HMO: $205.43 Blue Cross Blue Shield of Louisiana — BC PPO: $264.12 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $193.46 Champ VA — Champ VA: $95.53 Champus/Tricare — Champus/Tricare: $95.53 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $408.64
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MAMMO W/WO CAD DIAGNOSTIC BILAT	$609	$450.84	$395.85 – $609
Diagnostic mammogram, both breasts: rates for 3 insurance plans Coventry Health of Louisiana — First Health: $487.20 MultiPlan Inc — MultiPlan: $395.85 Workers Comp — Workers Comp: $609
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMO W/WO CAD SCREENING BILAT	$450	$333.14	$78.97 – $450
Screening mammogram, both breasts: 10 of 33 insurance plan rates Aetna — Aetna/Medicaid: $82.97 Aetna Health Managment — Aetna: $421.34 Amerihealth — Amerihealth/Medicaid: $82.16 AMG — AMG: $84.76 Blue Cross Blue Shield of Louisiana — BC HMO: $170.42 Blue Cross Blue Shield of Louisiana — BC PPO: $219.11 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $160.49 Champ VA — Champ VA: $78.97 Champus/Tricare — Champus/Tricare: $78.97 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $301.95
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MAMMO W/WO CAD SCREENING BILAT	$450	$333.14	$292.50 – $450
Screening mammogram, both breasts: rates for 3 insurance plans Coventry Health of Louisiana — First Health: $360 MultiPlan Inc — MultiPlan: $292.50 Workers Comp — Workers Comp: $450

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LEFT HRT CATH W/VENTRCLGRPHY	$9,621	$7,122.43	$535.02 – $17,000
Left heart catheterization (diagnostic): 10 of 33 insurance plan rates Aetna — Aetna/Medicaid: $1,773.82 Aetna Health Managment — Aetna: $17,000 Amerihealth — Amerihealth/Medicaid: $1,756.60 AMG — AMG: $3,082.34 Blue Cross Blue Shield of Louisiana — BC HMO: $5,518.64 Blue Cross Blue Shield of Louisiana — BC PPO: $7,095.24 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $5,196.88 Champ VA — Champ VA: $535.02 Champus/Tricare — Champus/Tricare: $2,935.56 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $6,455.69
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LEFT HRT CATH W/VENTRCLGRPHY	$9,621	$7,122.43	$6,253.65 – $9,621
Left heart catheterization (diagnostic): rates for 3 insurance plans Coventry Health of Louisiana — First Health: $7,696.80 MultiPlan Inc — MultiPlan: $6,253.65 Workers Comp — Workers Comp: $9,621
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMP EPS W/O ATTEMPT INDUCT	$6,125.75	$4,534.89	$1,096.51 – $17,323.67
Heart rhythm study (electrophysiology evaluation): 10 of 33 insurance plan rates Aetna — Aetna/Medicaid: $1,129.40 Aetna Health Managment — Aetna: $5,023.12 Amerihealth — Amerihealth/Medicaid: $1,118.44 AMG — AMG: $7,415.70 Blue Cross Blue Shield of Louisiana — BC HMO: $6,125.75 Blue Cross Blue Shield of Louisiana — BC PPO: $6,125.75 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $6,125.75 Champ VA — Champ VA: $6,125.75 Champus/Tricare — Champus/Tricare: $6,125.75 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $4,110.38
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMP EPS W/O ATTEMPT INDUCT	$6,125.75	$4,534.89	$3,981.74 – $6,125.75
Heart rhythm study (electrophysiology evaluation): rates for 3 insurance plans Coventry Health of Louisiana — First Health: $4,900.60 MultiPlan Inc — MultiPlan: $3,981.74 Workers Comp — Workers Comp: $6,125.75
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EP EVAL W/TRANSSEPTAL CATH INS REPS MULT ELEC	$48,319.75	$35,771.11	$737.65 – $61,173.57
Heart rhythm study with ablation for atrial fibrillation: 10 of 33 insurance plan rates Aetna — Aetna/Medicaid: $8,908.71 Aetna Health Managment — Aetna: $39,622.20 Amerihealth — Amerihealth/Medicaid: $8,822.22 AMG — AMG: $24,851.14 Blue Cross Blue Shield of Louisiana — BC HMO: $39,570.86 Blue Cross Blue Shield of Louisiana — BC PPO: $50,875.65 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $37,263.72 Champ VA — Champ VA: $737.65 Champus/Tricare — Champus/Tricare: $48,319.75 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $32,422.55
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EP EVAL W/TRANSSEPTAL CATH INS REPS MULT ELEC	$48,319.75	$35,771.11	$31,407.84 – $48,319.75
Heart rhythm study with ablation for atrial fibrillation: rates for 3 insurance plans Coventry Health of Louisiana — First Health: $38,655.80 MultiPlan Inc — MultiPlan: $31,407.84 Workers Comp — Workers Comp: $48,319.75
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC POLYSOMNOGRAPHY 4 OR MORE	$2,561.50	$1,896.28	$437.67 – $2,635.96
Sleep study (overnight, in a sleep lab): 10 of 33 insurance plan rates Aetna — Aetna/Medicaid: $472.26 Aetna Health Managment — Aetna: $1,000 Amerihealth — Amerihealth/Medicaid: $467.68 AMG — AMG: $816.47 Blue Cross Blue Shield of Louisiana — BC HMO: $1,760.09 Blue Cross Blue Shield of Louisiana — BC PPO: $2,262.92 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $1,657.47 Champ VA — Champ VA: $437.67 Champus/Tricare — Champus/Tricare: $777.59 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $1,718.77
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC POLYSOMNOGRAPHY 4 OR MORE	$2,561.50	$1,896.28	$1,664.98 – $2,561.50
Sleep study (overnight, in a sleep lab): rates for 3 insurance plans Coventry Health of Louisiana — First Health: $2,049.20 MultiPlan Inc — MultiPlan: $1,664.98 Workers Comp — Workers Comp: $2,561.50

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT THERAPEUTIC EX EA 15MIN	$78.75	$58.30	$10.96 – $193
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 33 insurance plan rates Aetna — Aetna/Medicaid: $11.29 Aetna Health Managment — Aetna: $66.15 Amerihealth — Amerihealth/Medicaid: $11.18 AMG — AMG: $28.84 Blue Cross Blue Shield of Louisiana — BC HMO: $57.76 Blue Cross Blue Shield of Louisiana — BC PPO: $74.26 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $54.40 Champ VA — Champ VA: $27.62 Champus/Tricare — Champus/Tricare: $27.13 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $52.84
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OT THERAPEUTIC EX EA 15MIN	$78.75	$58.30	$10.96 – $193
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 33 insurance plan rates Aetna — Aetna/Medicaid: $11.29 Aetna Health Managment — Aetna: $66.15 Amerihealth — Amerihealth/Medicaid: $11.18 AMG — AMG: $28.84 Blue Cross Blue Shield of Louisiana — BC HMO: $57.76 Blue Cross Blue Shield of Louisiana — BC PPO: $74.26 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $54.40 Champ VA — Champ VA: $27.62 Champus/Tricare — Champus/Tricare: $27.13 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $52.84
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT THERAPEUTIC EX EA 15MIN	$78.75	$58.30	$51.19 – $78.75
Physical therapy: therapeutic exercise (each 15 minutes): rates for 3 insurance plans Coventry Health of Louisiana — First Health: $63 MultiPlan Inc — MultiPlan: $51.19 Workers Comp — Workers Comp: $78.75
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL LOW COMPLEXITY 20 MINS	$230.75	$170.82	$74.48 – $274.97
Physical therapy evaluation (low complexity): 10 of 33 insurance plan rates Aetna — Aetna/Medicaid: $76.71 Aetna Health Managment — Aetna: $193.83 Amerihealth — Amerihealth/Medicaid: $75.97 AMG — AMG: $97.49 Blue Cross Blue Shield of Louisiana — BC HMO: $160.72 Blue Cross Blue Shield of Louisiana — BC PPO: $206.64 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $151.35 Champ VA — Champ VA: $94.51 Champus/Tricare — Champus/Tricare: $92.41 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $154.83
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVAL LOW COMPLEXITY 20 MINS	$230.75	$170.82	$149.99 – $230.75
Physical therapy evaluation (low complexity): rates for 3 insurance plans Coventry Health of Louisiana — First Health: $184.60 MultiPlan Inc — MultiPlan: $149.99 Workers Comp — Workers Comp: $230.75
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL MOD COMPLEXITY 30 MINS	$250.75	$185.63	$74.48 – $274.97
Physical therapy evaluation (moderate complexity): 10 of 33 insurance plan rates Aetna — Aetna/Medicaid: $76.71 Aetna Health Managment — Aetna: $210.63 Amerihealth — Amerihealth/Medicaid: $75.97 AMG — AMG: $97.49 Blue Cross Blue Shield of Louisiana — BC HMO: $160.72 Blue Cross Blue Shield of Louisiana — BC PPO: $206.64 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $151.35 Champ VA — Champ VA: $94.51 Champus/Tricare — Champus/Tricare: $92.41 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $168.25
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVAL MOD COMPLEXITY 30 MINS	$250.75	$185.63	$162.99 – $250.75
Physical therapy evaluation (moderate complexity): rates for 3 insurance plans Coventry Health of Louisiana — First Health: $200.60 MultiPlan Inc — MultiPlan: $162.99 Workers Comp — Workers Comp: $250.75
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL HIGH COMPLEXITY 45 MINS	$270	$199.88	$74.48 – $274.97
Physical therapy evaluation (high complexity): 10 of 33 insurance plan rates Aetna — Aetna/Medicaid: $76.71 Aetna Health Managment — Aetna: $226.80 Amerihealth — Amerihealth/Medicaid: $75.97 AMG — AMG: $97.49 Blue Cross Blue Shield of Louisiana — BC HMO: $160.72 Blue Cross Blue Shield of Louisiana — BC PPO: $206.64 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $151.35 Champ VA — Champ VA: $94.51 Champus/Tricare — Champus/Tricare: $92.41 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $181.17
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVAL HIGH COMPLEXITY 45 MINS	$270	$199.88	$175.50 – $270
Physical therapy evaluation (high complexity): rates for 3 insurance plans Coventry Health of Louisiana — First Health: $216 MultiPlan Inc — MultiPlan: $175.50 Workers Comp — Workers Comp: $270

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EGD DX (INCL BRUSH/WASH)	$2,279.25	$1,687.33	$389 – $3,647
Upper GI endoscopy (diagnostic): 10 of 33 insurance plan rates Aetna — Aetna/Medicaid: $420.23 Aetna Health Managment — Aetna: $1,868.99 Amerihealth — Amerihealth/Medicaid: $416.15 AMG — AMG: $862.33 Blue Cross Blue Shield of Louisiana — BC HMO: $1,521.86 Blue Cross Blue Shield of Louisiana — BC PPO: $1,956.63 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $1,433.13 Champ VA — Champ VA: $389 Champus/Tricare — Champus/Tricare: $821.27 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $1,529.38
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EGD DX (INCL BRUSH/WASH)	$2,279.25	$1,687.33	$1,481.51 – $2,279.25
Upper GI endoscopy (diagnostic): rates for 3 insurance plans Coventry Health of Louisiana — First Health: $1,823.40 MultiPlan Inc — MultiPlan: $1,481.51 Workers Comp — Workers Comp: $2,279.25
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EGD W/BX SGL OR MULT (BITE/COL	$2,453	$1,815.96	$439.09 – $3,647
Upper GI endoscopy with biopsy: 10 of 33 insurance plan rates Aetna — Aetna/Medicaid: $452.26 Aetna Health Managment — Aetna: $2,011.46 Amerihealth — Amerihealth/Medicaid: $447.87 AMG — AMG: $862.33 Blue Cross Blue Shield of Louisiana — BC HMO: $1,521.86 Blue Cross Blue Shield of Louisiana — BC PPO: $1,956.63 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $1,433.13 Champ VA — Champ VA: $535 Champus/Tricare — Champus/Tricare: $821.27 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $1,645.96
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EGD W/BX SGL OR MULT (BITE/COL	$2,453	$1,815.96	$1,594.45 – $2,453
Upper GI endoscopy with biopsy: rates for 3 insurance plans Coventry Health of Louisiana — First Health: $1,962.40 MultiPlan Inc — MultiPlan: $1,594.45 Workers Comp — Workers Comp: $2,453
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLON DX (INCL BRUSH/WASH)	$2,363.75	$1,749.88	$423.11 – $2,363.75
Colonoscopy (diagnostic): 10 of 33 insurance plan rates Aetna — Aetna/Medicaid: $435.80 Aetna Health Managment — Aetna: $1,938.28 Amerihealth — Amerihealth/Medicaid: $431.57 AMG — AMG: $884.17 Blue Cross Blue Shield of Louisiana — BC HMO: $1,479.18 Blue Cross Blue Shield of Louisiana — BC PPO: $1,901.76 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $1,392.94 Champ VA — Champ VA: $535 Champus/Tricare — Champus/Tricare: $842.07 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $1,586.08
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COLON DX (INCL BRUSH/WASH)	$2,363.75	$1,749.88	$1,536.44 – $2,363.75
Colonoscopy (diagnostic): rates for 3 insurance plans Coventry Health of Louisiana — First Health: $1,891 MultiPlan Inc — MultiPlan: $1,536.44 Workers Comp — Workers Comp: $2,363.75
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLON W/BX SGL OR MLT-BITE/CLD	$2,453	$1,815.96	$439.09 – $2,955.34
Colonoscopy with biopsy: 10 of 33 insurance plan rates Aetna — Aetna/Medicaid: $452.26 Aetna Health Managment — Aetna: $2,011.46 Amerihealth — Amerihealth/Medicaid: $447.87 AMG — AMG: $1,137.73 Blue Cross Blue Shield of Louisiana — BC HMO: $1,944.57 Blue Cross Blue Shield of Louisiana — BC PPO: $2,500.11 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $1,831.20 Champ VA — Champ VA: $590 Champus/Tricare — Champus/Tricare: $1,083.55 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $1,645.96
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COLON W/BX SGL OR MLT-BITE/CLD	$2,453	$1,815.96	$1,594.45 – $2,453
Colonoscopy with biopsy: rates for 3 insurance plans Coventry Health of Louisiana — First Health: $1,962.40 MultiPlan Inc — MultiPlan: $1,594.45 Workers Comp — Workers Comp: $2,453
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLON W/REMOVAL BY SNARE TECH	$3,115.25	$2,306.22	$557.63 – $3,115.25
Colonoscopy with removal of polyps (snare): 10 of 33 insurance plan rates Aetna — Aetna/Medicaid: $574.36 Aetna Health Managment — Aetna: $2,554.50 Amerihealth — Amerihealth/Medicaid: $568.78 AMG — AMG: $1,137.73 Blue Cross Blue Shield of Louisiana — BC HMO: $1,944.57 Blue Cross Blue Shield of Louisiana — BC PPO: $2,500.11 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $1,831.20 Champ VA — Champ VA: $590 Champus/Tricare — Champus/Tricare: $1,083.55 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $2,090.33
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COLON W/REMOVAL BY SNARE TECH	$3,115.25	$2,306.22	$2,024.91 – $3,115.25
Colonoscopy with removal of polyps (snare): rates for 3 insurance plans Coventry Health of Louisiana — First Health: $2,492.20 MultiPlan Inc — MultiPlan: $2,024.91 Workers Comp — Workers Comp: $3,115.25
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLONOSCOPY - AVERAGE RISK	$2,190	$1,621.26	$392.01 – $2,261.90
Screening colonoscopy (not high risk): 10 of 33 insurance plan rates Aetna — Aetna/Medicaid: $403.77 Aetna Health Managment — Aetna: $1,795.80 Amerihealth — Amerihealth/Medicaid: $399.85 AMG — AMG: $884.17 Blue Cross Blue Shield of Louisiana — BC HMO: $1,479.18 Blue Cross Blue Shield of Louisiana — BC PPO: $1,901.76 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $1,392.94 Champ VA — Champ VA: $590 Champus/Tricare — Champus/Tricare: $842.07 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $1,469.49
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COLONOSCOPY - AVERAGE RISK	$2,190	$1,621.26	$1,423.50 – $2,190
Screening colonoscopy (not high risk): rates for 3 insurance plans Coventry Health of Louisiana — First Health: $1,752 MultiPlan Inc — MultiPlan: $1,423.50 Workers Comp — Workers Comp: $2,190
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INJ LUMBAR/SACRAL W/IMAGING GUIDANCE	$1,771.50	$1,311.44	$317.10 – $2,137
Spinal injection, lower back (epidural), with imaging guidance: 10 of 33 insurance plan rates Aetna — Aetna/Medicaid: $326.61 Aetna Health Managment — Aetna: $1,452.63 Amerihealth — Amerihealth/Medicaid: $323.44 AMG — AMG: $671.13 Blue Cross Blue Shield of Louisiana — BC HMO: $1,210.35 Blue Cross Blue Shield of Louisiana — BC PPO: $1,556.12 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $1,139.78 Champ VA — Champ VA: $389 Champus/Tricare — Champus/Tricare: $639.17 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $1,188.68
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC INJ LUMBAR/SACRAL W/IMAGING GUIDANCE	$1,771.50	$1,311.44	$1,151.48 – $1,771.50
Spinal injection, lower back (epidural), with imaging guidance: rates for 3 insurance plans Coventry Health of Louisiana — First Health: $1,417.20 MultiPlan Inc — MultiPlan: $1,151.48 Workers Comp — Workers Comp: $1,771.50

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$67,171.59 – $172,681.86
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 25 insurance plan rates Aetna Health Managment — Aetna: $86,284.30 AMG — AMG: $78,833.02 Blue Cross Blue Shield of Louisiana — BC HMO: $137,547.48 Blue Cross Blue Shield of Louisiana — BC PPO: $166,153.34 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $131,467.28 Dept of Veterans Affairs — Dept of Veterans Affairs: $73,612.21 Gilsbar 360 — Gilsbar 360-Exclusive: $83,398.37 Gilsbar 360 — Gilsbar 360-Non-Exclusive: $88,094.11 Humana — Humana: $99,647.60 Humana Medicare PFFS/HMO — Humana Medicare PFFS/HMO: $73,612.21
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	Not listed in the file	Not listed in the file	$1,000 – $57,301.62
Spinal fusion (not neck), without major complications: 10 of 15 insurance plan rates AMG — AMG: $26,159.44 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $1,000 Dept of Veterans Affairs — Dept of Veterans Affairs: $24,450.19 Humana — Humana: $2,181 Humana Medicare PFFS/HMO — Humana Medicare PFFS/HMO: $24,450.19 Medicare — Medicare: $24,450.19 Medicare Blue Cross Advantage — Medicare Blue Cross Advantage: $24,450.19 PPOplus — PPOplus: $22,393 United Healthcare Medicare — United Healthcare Medicare: $24,450.19 VA CCN Optum - UHC — VA CCN Optum - UHC: $24,913.75
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$1,300 – $32,460.77
Hip or knee replacement (major joint of the leg), without major complications: 10 of 25 insurance plan rates Aetna Health Managment — Aetna: $17,012.90 AMG — AMG: $13,934.53 Blue Cross Blue Shield of Louisiana — BC HMO: $26,872.15 Blue Cross Blue Shield of Louisiana — BC PPO: $32,460.77 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $25,684.28 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $1,300 Dept of Veterans Affairs — Dept of Veterans Affairs: $13,040.28 Gilsbar 360 — Gilsbar 360-Exclusive: $16,443.87 Gilsbar 360 — Gilsbar 360-Non-Exclusive: $17,369.74 Humana — Humana: $19,647.78
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$1,300 – $40,757.16
Neck (cervical) spinal fusion, without complications: 10 of 25 insurance plan rates Aetna Health Managment — Aetna: $21,532.27 AMG — AMG: $17,557.46 Blue Cross Blue Shield of Louisiana — BC HMO: $33,740.18 Blue Cross Blue Shield of Louisiana — BC PPO: $40,757.16 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $32,248.72 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $1,300 Dept of Veterans Affairs — Dept of Veterans Affairs: $16,421.68 Gilsbar 360 — Gilsbar 360-Exclusive: $20,812.08 Gilsbar 360 — Gilsbar 360-Non-Exclusive: $21,983.91 Humana — Humana: $24,867.08
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$1,300 – $20,636.81
Uterus and ovary surgery (not for cancer), without complications: 10 of 25 insurance plan rates Aetna Health Managment — Aetna: $10,942.97 AMG — AMG: $9,068.60 Blue Cross Blue Shield of Louisiana — BC HMO: $17,083.88 Blue Cross Blue Shield of Louisiana — BC PPO: $20,636.81 Blue Cross of LA Blue Connect — Blue Cross of LA Blue Connect: $16,328.69 CIGNA Healthcare of Louisiana Inc — CIGNA PPO: $1,300 Dept of Veterans Affairs — Dept of Veterans Affairs: $8,498.74 Gilsbar 360 — Gilsbar 360-Exclusive: $10,576.97 Gilsbar 360 — Gilsbar 360-Non-Exclusive: $11,172.50 Humana — Humana: $12,637.77

Source: Terrebonne General Medical Center - Parish’s standard charges file (tghealthsystem.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on February 27, 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	Acute Care Hospital
Address	8166 Main Street, Houma, LA 70360
Parish	Terrebonne Parish
State	Louisiana
Phone	(985) 873‑4141
Emergency services	Yes
Ownership	Government - Hospital District or Authority
Medicare overall rating	4 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	190008
Name in Medicare records	TERREBONNE GENERAL MEDICAL CENTER - PARISH
Profile level	Medicare data + hospital website
Name on the hospital’s website	Terrebonne General Health System
Official website	tghealthsystem.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.

Emergency Care in Houma, LA | Emergency Room — tghealthsystem.com
Visitor Policy and Services | Healthcare Services in Houma, LA — tghealthsystem.com
Awards | Terrebonne General Health System — tghealthsystem.com
Services | Terrebonne General Health System — tghealthsystem.com