Medical emergency?Emergency? Call 911. Nearest emergency roomsNearest ERs

Español Near me My list Help
US Patient GuideUSA
Surprise me
Critical Access Hospital

West Feliciana Parish Hospital

Saint Francisville, Louisiana · West Feliciana Parish · Emergency services listed

Summary

West Feliciana Parish Hospital is a critical access hospital in Saint Francisville, Louisiana. Medicare data lists emergency services. Its official website lists 45 services, specialties and programs. Medicare lists 59 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is a critical access hospital?

A small rural hospital with 24-hour emergency care, designated by Medicare to keep care available far from big cities. More about hospital types

Call(225) 635‑3811 Directions Website Medicare profile
Compare

Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-31). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
Not ratedNot rated by CMSMedicare rating
59Doctors and clinicians
45Services listed

Quick answers

Does West Feliciana Parish Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at West Feliciana Parish Hospital. In a medical emergency, call 911.
Where is West Feliciana Parish Hospital?
5266 Commerce Street, Building B, Saint Francisville, LA 70775, in West Feliciana Parish, Louisiana.
What is the phone number of West Feliciana Parish Hospital?
(225) 635-3811, as listed by Medicare (CMS).
What is the Medicare star rating of West Feliciana Parish Hospital?
CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas[4][5][6][8][9][11][12][13]

Conditions treated[4][5][6][8][11][13]

Treatments[6][8][9][11][12][13]

Procedures[4][8]

Programs and centers[5][6][10]

  • Intensive Outpatient Program (mental health)
  • Community CPR and first aid classes
  • Safe Sitter babysitting classes
  • Jump Start a Heart AED program
  • Social services

Emergency care (hospital website)[6]

Emergency roomYes
Open 24/7Yes

Recognition[6]

  • Accredited Chest Pain Center (American College of Cardiology)

Doctors and clinicians (59)

59 doctors and other clinicians list West Feliciana Parish Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (59)

And 35 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

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

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 surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infectionsNot 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 patientsNot reported to Medicare
Deaths within 30 days: heart failure patientsNot reported to Medicare
Deaths within 30 days: pneumonia patientsNot reported to Medicare
Deaths within 30 days: COPD patientsNot reported to Medicare
Deaths within 30 days: stroke patientsToo few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)Not reported to Medicare
Complications after hip or knee replacementNot 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 attackNot reported to Medicare
Readmitted within 30 days: heart failureNot reported to Medicare
Readmitted within 30 days: pneumoniaNot reported to Medicare
Readmitted within 30 days: COPDNot reported to Medicare
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacementNot 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)97 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 LouisianaBest hospitals in Louisiana

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 87 common services exactly as West Feliciana Parish Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

$ 2 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: CLINIC FAC NEW PATIENT E&M =/>30 MINS $156 $93.60 $38 – $162.50
New patient office visit (about 30–44 minutes): 10 of 24 insurance plan rates
  • Aetna — Better Health: $38
  • Aetna — Dual (D-SNP): $38
  • Aetna — Medicare Advantage: $157.56
  • Aetna — POS: $117
  • Amerihealth — Caritas: $38
  • BCBS of Louisiana — Blue Advantage HMO: $117
  • BCBS of Louisiana — HMO: $132.49
  • BCBS of Louisiana — HMO Louisiana Community Blue: $127.85
  • BCBS of Louisiana — PPO: $162.50
  • Cigna — HMO: $141.80
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: CLINIC FAC NEW PATIENT LEVEL 3 $132 $79.20 $38 – $162.50
New patient office visit (about 30–44 minutes): 10 of 24 insurance plan rates
  • Aetna — Better Health: $38
  • Aetna — Dual (D-SNP): $38
  • Aetna — Medicare Advantage: $133.32
  • Aetna — POS: $99
  • Amerihealth — Caritas: $38
  • BCBS of Louisiana — Blue Advantage HMO: $99
  • BCBS of Louisiana — HMO: $132.49
  • BCBS of Louisiana — HMO Louisiana Community Blue: $127.85
  • BCBS of Louisiana — PPO: $162.50
  • Cigna — HMO: $119.98
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: CLINIC GLOBAL NEW PATI E&M =/>30 MINS $208 $124.80 $38 – $210.08
New patient office visit (about 30–44 minutes): 10 of 24 insurance plan rates
  • Aetna — Better Health: $38
  • Aetna — Dual (D-SNP): $38
  • Aetna — Medicare Advantage: $210.08
  • Aetna — POS: $156
  • Amerihealth — Caritas: $38
  • BCBS of Louisiana — Blue Advantage HMO: $156
  • BCBS of Louisiana — HMO: $132.49
  • BCBS of Louisiana — HMO Louisiana Community Blue: $127.85
  • BCBS of Louisiana — PPO: $162.50
  • Cigna — HMO: $189.07
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: CLIN GLOBAL NEW PAT E&M =/>45 MINS $270.67 $162.40 $57 – $273.37
New patient office visit (about 45–59 minutes): 10 of 24 insurance plan rates
  • Aetna — Better Health: $57
  • Aetna — Dual (D-SNP): $57
  • Aetna — Medicare Advantage: $273.37
  • Aetna — POS: $203
  • Amerihealth — Caritas: $57
  • BCBS of Louisiana — Blue Advantage HMO: $203
  • BCBS of Louisiana — HMO: $192.77
  • BCBS of Louisiana — HMO Louisiana Community Blue: $186.03
  • BCBS of Louisiana — PPO: $236.45
  • Cigna — HMO: $246.03
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: CLINIC FAC NEW PAT E&M =/>45 MINS $203 $121.80 $57 – $236.45
New patient office visit (about 45–59 minutes): 10 of 24 insurance plan rates
  • Aetna — Better Health: $57
  • Aetna — Dual (D-SNP): $57
  • Aetna — Medicare Advantage: $205.03
  • Aetna — POS: $152.25
  • Amerihealth — Caritas: $57
  • BCBS of Louisiana — Blue Advantage HMO: $152.25
  • BCBS of Louisiana — HMO: $192.77
  • BCBS of Louisiana — HMO Louisiana Community Blue: $186.03
  • BCBS of Louisiana — PPO: $236.45
  • Cigna — HMO: $184.52
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: CLINIC FAC NEW PATIENT LEVEL 4 $203 $121.80 $57 – $236.45
New patient office visit (about 45–59 minutes): 10 of 24 insurance plan rates
  • Aetna — Better Health: $57
  • Aetna — Dual (D-SNP): $57
  • Aetna — Medicare Advantage: $205.03
  • Aetna — POS: $152.25
  • Amerihealth — Caritas: $57
  • BCBS of Louisiana — Blue Advantage HMO: $152.25
  • BCBS of Louisiana — HMO: $192.77
  • BCBS of Louisiana — HMO Louisiana Community Blue: $186.03
  • BCBS of Louisiana — PPO: $236.45
  • Cigna — HMO: $184.52
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: CLIN GLOBAL NEW PATIENT=/> 60 MINS $430.25 $258.15 $57 – $434.55
New patient office visit (about 60–74 minutes): 10 of 24 insurance plan rates
  • Aetna — Better Health: $57
  • Aetna — Dual (D-SNP): $57
  • Aetna — Medicare Advantage: $434.55
  • Aetna — POS: $322.68
  • Amerihealth — Caritas: $57
  • BCBS of Louisiana — Blue Advantage HMO: $322.68
  • BCBS of Louisiana — HMO: $192.77
  • BCBS of Louisiana — HMO Louisiana Community Blue: $186.03
  • BCBS of Louisiana — PPO: $236.45
  • Cigna — HMO: $391.09
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: CLINIC FAC NEW PAT E&M =/> 60 MINS $323 $193.80 $57 – $326.23
New patient office visit (about 60–74 minutes): 10 of 24 insurance plan rates
  • Aetna — Better Health: $57
  • Aetna — Dual (D-SNP): $57
  • Aetna — Medicare Advantage: $326.23
  • Aetna — POS: $242.25
  • Amerihealth — Caritas: $57
  • BCBS of Louisiana — Blue Advantage HMO: $242.25
  • BCBS of Louisiana — HMO: $192.77
  • BCBS of Louisiana — HMO Louisiana Community Blue: $186.03
  • BCBS of Louisiana — PPO: $236.45
  • Cigna — HMO: $293.60
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: CLINIC FAC NEW PATIENT LEVEL 5 $323 $193.80 $57 – $326.23
New patient office visit (about 60–74 minutes): 10 of 24 insurance plan rates
  • Aetna — Better Health: $57
  • Aetna — Dual (D-SNP): $57
  • Aetna — Medicare Advantage: $326.23
  • Aetna — POS: $242.25
  • Amerihealth — Caritas: $57
  • BCBS of Louisiana — Blue Advantage HMO: $242.25
  • BCBS of Louisiana — HMO: $192.77
  • BCBS of Louisiana — HMO Louisiana Community Blue: $186.03
  • BCBS of Louisiana — PPO: $236.45
  • Cigna — HMO: $293.60
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: CLIN GLOBAL EST PAT LEVEL 3 =/> 20 MINS $138.65 $83.19 $38 – $162.50
Established patient office visit (about 20–29 minutes): 10 of 24 insurance plan rates
  • Aetna — Better Health: $38
  • Aetna — Dual (D-SNP): $38
  • Aetna — Medicare Advantage: $140.03
  • Aetna — POS: $103.98
  • Amerihealth — Caritas: $38
  • BCBS of Louisiana — Blue Advantage HMO: $103.98
  • BCBS of Louisiana — HMO: $132.49
  • BCBS of Louisiana — HMO Louisiana Community Blue: $127.85
  • BCBS of Louisiana — PPO: $162.50
  • Cigna — HMO: $126.03
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: CLINIC FAC EST PAT LEVEL 3 =/> 20 MINS $104 $62.40 $38 – $162.50
Established patient office visit (about 20–29 minutes): 10 of 24 insurance plan rates
  • Aetna — Better Health: $38
  • Aetna — Dual (D-SNP): $38
  • Aetna — Medicare Advantage: $105.04
  • Aetna — POS: $78
  • Amerihealth — Caritas: $38
  • BCBS of Louisiana — Blue Advantage HMO: $78
  • BCBS of Louisiana — HMO: $132.49
  • BCBS of Louisiana — HMO Louisiana Community Blue: $127.85
  • BCBS of Louisiana — PPO: $162.50
  • Cigna — HMO: $94.53
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: CLINIC PROFEE EST PAT LEVEL 3 =/> 20 MIN $35 $21 $17.50 – $162.50
Established patient office visit (about 20–29 minutes): 10 of 24 insurance plan rates
  • Aetna — Better Health: $38
  • Aetna — Dual (D-SNP): $38
  • Aetna — Medicare Advantage: $35.35
  • Aetna — POS: $26.25
  • Amerihealth — Caritas: $38
  • BCBS of Louisiana — Blue Advantage HMO: $26.25
  • BCBS of Louisiana — HMO: $132.49
  • BCBS of Louisiana — HMO Louisiana Community Blue: $127.85
  • BCBS of Louisiana — PPO: $162.50
  • Cigna — HMO: $31.81
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: CLIN GLOBAL EST PAT LVL 4 =/> 30 MINS $264.12 $158.47 $57 – $266.76
Established patient office visit (about 30–39 minutes): 10 of 24 insurance plan rates
  • Aetna — Better Health: $57
  • Aetna — Dual (D-SNP): $57
  • Aetna — Medicare Advantage: $266.76
  • Aetna — POS: $198.09
  • Amerihealth — Caritas: $57
  • BCBS of Louisiana — Blue Advantage HMO: $198.09
  • BCBS of Louisiana — HMO: $192.77
  • BCBS of Louisiana — HMO Louisiana Community Blue: $186.03
  • BCBS of Louisiana — PPO: $236.45
  • Cigna — HMO: $240.08
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: CLINIC FAC EST PT LVL 4 =/> 30 MINS $198 $118.80 $57 – $236.45
Established patient office visit (about 30–39 minutes): 10 of 24 insurance plan rates
  • Aetna — Better Health: $57
  • Aetna — Dual (D-SNP): $57
  • Aetna — Medicare Advantage: $199.98
  • Aetna — POS: $148.50
  • Amerihealth — Caritas: $57
  • BCBS of Louisiana — Blue Advantage HMO: $148.50
  • BCBS of Louisiana — HMO: $192.77
  • BCBS of Louisiana — HMO Louisiana Community Blue: $186.03
  • BCBS of Louisiana — PPO: $236.45
  • Cigna — HMO: $179.98
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: CLINIC PROFEE EST PAT LVL 4 =/> 30 MINS $66 $39.60 $33 – $236.45
Established patient office visit (about 30–39 minutes): 10 of 24 insurance plan rates
  • Aetna — Better Health: $57
  • Aetna — Dual (D-SNP): $57
  • Aetna — Medicare Advantage: $66.66
  • Aetna — POS: $49.50
  • Amerihealth — Caritas: $57
  • BCBS of Louisiana — Blue Advantage HMO: $49.50
  • BCBS of Louisiana — HMO: $192.77
  • BCBS of Louisiana — HMO Louisiana Community Blue: $186.03
  • BCBS of Louisiana — PPO: $236.45
  • Cigna — HMO: $59.99
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Hospital (facility) fee In the file: CLIN GLOBAL OFFICE CONSULT LEVEL 3 $250.46 $150.28 $125.23 – $275.50
Office consultation with a specialist (moderate): 10 of 24 insurance plan rates
  • Aetna — Better Health: $250.46
  • Aetna — Dual (D-SNP): $250.46
  • Aetna — Medicare Advantage: $252.96
  • Aetna — POS: $187.84
  • Amerihealth — Caritas: $250.46
  • BCBS of Louisiana — Blue Advantage HMO: $187.84
  • BCBS of Louisiana — HMO: $125.23
  • BCBS of Louisiana — HMO Louisiana Community Blue: $125.23
  • BCBS of Louisiana — PPO: $125.23
  • Cigna — HMO: $227.66
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Hospital (facility) fee In the file: CLIN GLOBAL OFFICE CONSULT LEVEL 4 $357.40 $214.44 $178.70 – $393.14
Office consultation with a specialist (moderate to high): 10 of 24 insurance plan rates
  • Aetna — Better Health: $357.40
  • Aetna — Dual (D-SNP): $357.40
  • Aetna — Medicare Advantage: $360.97
  • Aetna — POS: $268.05
  • Amerihealth — Caritas: $357.40
  • BCBS of Louisiana — Blue Advantage HMO: $268.05
  • BCBS of Louisiana — HMO: $178.70
  • BCBS of Louisiana — HMO Louisiana Community Blue: $178.70
  • BCBS of Louisiana — PPO: $178.70
  • Cigna — HMO: $324.87
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Hospital (facility) fee In the file: CLIN GLOBAL NEW PATIENT 18-39 YRS $222.78 $133.67 $111.39 – $245.05
Preventive checkup, new patient, age 18–39: 10 of 24 insurance plan rates
  • Aetna — Better Health: $222.78
  • Aetna — Dual (D-SNP): $222.78
  • Aetna — Medicare Advantage: $225
  • Aetna — POS: $167.08
  • Amerihealth — Caritas: $222.78
  • BCBS of Louisiana — Blue Advantage HMO: $167.08
  • BCBS of Louisiana — HMO: $111.39
  • BCBS of Louisiana — HMO Louisiana Community Blue: $111.39
  • BCBS of Louisiana — PPO: $111.39
  • Cigna — HMO: $202.50
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Hospital (facility) fee In the file: CLINIC FAC NEW PATIENT 18-39 YRS $167 $100.20 $83.50 – $183.70
Preventive checkup, new patient, age 18–39: 10 of 24 insurance plan rates
  • Aetna — Better Health: $167
  • Aetna — Dual (D-SNP): $167
  • Aetna — Medicare Advantage: $168.67
  • Aetna — POS: $125.25
  • Amerihealth — Caritas: $167
  • BCBS of Louisiana — Blue Advantage HMO: $125.25
  • BCBS of Louisiana — HMO: $83.50
  • BCBS of Louisiana — HMO Louisiana Community Blue: $83.50
  • BCBS of Louisiana — PPO: $83.50
  • Cigna — HMO: $151.80
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Hospital (facility) fee In the file: CLINIC PROFEE NEW PATIENT 18-39 YRS $56 $33.60 $28 – $61.60
Preventive checkup, new patient, age 18–39: 10 of 24 insurance plan rates
  • Aetna — Better Health: $56
  • Aetna — Dual (D-SNP): $56
  • Aetna — Medicare Advantage: $56.56
  • Aetna — POS: $42
  • Amerihealth — Caritas: $56
  • BCBS of Louisiana — Blue Advantage HMO: $42
  • BCBS of Louisiana — HMO: $28
  • BCBS of Louisiana — HMO Louisiana Community Blue: $28
  • BCBS of Louisiana — PPO: $28
  • Cigna — HMO: $50.90
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Hospital (facility) fee In the file: CLIN GLOBAL NEW PATIENT 40-64 YRS $290 $174 $145 – $319
Preventive checkup, new patient, age 40–64: 10 of 24 insurance plan rates
  • Aetna — Better Health: $290
  • Aetna — Dual (D-SNP): $290
  • Aetna — Medicare Advantage: $292.90
  • Aetna — POS: $217.50
  • Amerihealth — Caritas: $290
  • BCBS of Louisiana — Blue Advantage HMO: $217.50
  • BCBS of Louisiana — HMO: $145
  • BCBS of Louisiana — HMO Louisiana Community Blue: $145
  • BCBS of Louisiana — PPO: $145
  • Cigna — HMO: $263.61
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Hospital (facility) fee In the file: CLINIC FAC NEW PATIENT 40-64 YRS $218 $130.80 $109 – $239.80
Preventive checkup, new patient, age 40–64: 10 of 24 insurance plan rates
  • Aetna — Better Health: $218
  • Aetna — Dual (D-SNP): $218
  • Aetna — Medicare Advantage: $220.18
  • Aetna — POS: $163.50
  • Amerihealth — Caritas: $218
  • BCBS of Louisiana — Blue Advantage HMO: $163.50
  • BCBS of Louisiana — HMO: $109
  • BCBS of Louisiana — HMO Louisiana Community Blue: $109
  • BCBS of Louisiana — PPO: $109
  • Cigna — HMO: $198.16
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Hospital (facility) fee In the file: CLINIC PROFEE NEW PATIENT 40-64 YRS $73 $43.80 $36.50 – $80.30
Preventive checkup, new patient, age 40–64: 10 of 24 insurance plan rates
  • Aetna — Better Health: $73
  • Aetna — Dual (D-SNP): $73
  • Aetna — Medicare Advantage: $73.73
  • Aetna — POS: $54.75
  • Amerihealth — Caritas: $73
  • BCBS of Louisiana — Blue Advantage HMO: $54.75
  • BCBS of Louisiana — HMO: $36.50
  • BCBS of Louisiana — HMO Louisiana Community Blue: $36.50
  • BCBS of Louisiana — PPO: $36.50
  • Cigna — HMO: $66.35
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: FAC ER- HIS/EXAM & LOW LEVEL MDM $613.70 $368.22 $274.11 – $675.07
Emergency room visit (moderate): 10 of 24 insurance plan rates
  • Aetna — Better Health: $613.70
  • Aetna — Dual (D-SNP): $613.70
  • Aetna — Medicare Advantage: $619.83
  • Aetna — POS: $460.27
  • Amerihealth — Caritas: $613.70
  • BCBS of Louisiana — Blue Advantage HMO: $460.27
  • BCBS of Louisiana — HMO: $284.05
  • BCBS of Louisiana — HMO Louisiana Community Blue: $274.11
  • BCBS of Louisiana — PPO: $348.40
  • Cigna — HMO: $557.85
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: PHY ER- HIS/EXAM & LOW LEVEL MDM $153.42 $92.05 $87.06 – $348.40
Emergency room visit (moderate): 10 of 23 insurance plan rates
  • Aetna — Better Health: $153.42
  • Aetna — Dual (D-SNP): $153.42
  • Aetna — Medicare Advantage: $154.95
  • Aetna — POS: $115.06
  • Amerihealth — Caritas: $153.42
  • BCBS of Louisiana — Blue Advantage HMO: $115.06
  • BCBS of Louisiana — HMO: $284.05
  • BCBS of Louisiana — HMO Louisiana Community Blue: $274.11
  • BCBS of Louisiana — PPO: $348.40
  • Cigna — HMO: $139.45
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT LOW MDM Not listed in the file Not listed in the file $485
Emergency room visit (moderate): rates for 1 insurance plan
  • Verity — Healthnet: $485
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: FAC ER- HIS/EXAM & MODERATE LEVEL MDM $1,053.04 $631.82 $476.96 – $1,158.34
Emergency room visit (moderately high): 10 of 24 insurance plan rates
  • Aetna — Better Health: $1,053.04
  • Aetna — Dual (D-SNP): $1,053.04
  • Aetna — Medicare Advantage: $1,063.57
  • Aetna — POS: $789.78
  • Amerihealth — Caritas: $1,053.04
  • BCBS of Louisiana — Blue Advantage HMO: $789.78
  • BCBS of Louisiana — HMO: $494.26
  • BCBS of Louisiana — HMO Louisiana Community Blue: $476.96
  • BCBS of Louisiana — PPO: $606.24
  • Cigna — HMO: $957.21
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: PHY ER- HIS/EXAM & MODERATE LEVEL MDM $263.26 $157.96 $149.40 – $606.24
Emergency room visit (moderately high): 10 of 23 insurance plan rates
  • Aetna — Better Health: $263.26
  • Aetna — Dual (D-SNP): $263.26
  • Aetna — Medicare Advantage: $265.89
  • Aetna — POS: $197.44
  • Amerihealth — Caritas: $263.26
  • BCBS of Louisiana — Blue Advantage HMO: $197.44
  • BCBS of Louisiana — HMO: $494.26
  • BCBS of Louisiana — HMO Louisiana Community Blue: $476.96
  • BCBS of Louisiana — PPO: $606.24
  • Cigna — HMO: $239.30
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT MOD MDM Not listed in the file Not listed in the file $1,150
Emergency room visit (moderately high): rates for 1 insurance plan
  • Verity — Healthnet: $1,150
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: FAC ER- HIS/EXAM & HIGH LEVEL MDM $1,468.80 $881.28 $476.96 – $1,615.68
Emergency room visit (high): 10 of 24 insurance plan rates
  • Aetna — Better Health: $1,468.80
  • Aetna — Dual (D-SNP): $1,468.80
  • Aetna — Medicare Advantage: $1,483.48
  • Aetna — POS: $1,101.60
  • Amerihealth — Caritas: $1,468.80
  • BCBS of Louisiana — Blue Advantage HMO: $1,101.60
  • BCBS of Louisiana — HMO: $494.26
  • BCBS of Louisiana — HMO Louisiana Community Blue: $476.96
  • BCBS of Louisiana — PPO: $606.24
  • Cigna — HMO: $1,335.13
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: PHY ER- HIS/EXAM & HIGH LEVEL MDM $367.20 $220.32 $208.38 – $606.24
Emergency room visit (high): 10 of 23 insurance plan rates
  • Aetna — Better Health: $367.20
  • Aetna — Dual (D-SNP): $367.20
  • Aetna — Medicare Advantage: $370.87
  • Aetna — POS: $275.40
  • Amerihealth — Caritas: $367.20
  • BCBS of Louisiana — Blue Advantage HMO: $275.40
  • BCBS of Louisiana — HMO: $494.26
  • BCBS of Louisiana — HMO Louisiana Community Blue: $476.96
  • BCBS of Louisiana — PPO: $606.24
  • Cigna — HMO: $333.78
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT HI MDM Not listed in the file Not listed in the file $1,489
Emergency room visit (high): rates for 1 insurance plan
  • Verity — Healthnet: $1,489

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: BASIC METABOLIC PANEL $185.67 $111.40 $8.46 – $187.52
Basic metabolic panel (blood test): 10 of 24 insurance plan rates
  • Aetna — Better Health: $8.46
  • Aetna — Dual (D-SNP): $8.46
  • Aetna — Medicare Advantage: $187.52
  • Aetna — POS: $139.25
  • Amerihealth — Caritas: $8.46
  • BCBS of Louisiana — Blue Advantage HMO: $139.25
  • BCBS of Louisiana — HMO: $25.63
  • BCBS of Louisiana — HMO Louisiana Community Blue: $24.74
  • BCBS of Louisiana — PPO: $31.44
  • Cigna — HMO: $168.77
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: O BASIC METABOLIC PANEL $185.67 $111.40 $8.46 – $187.52
Basic metabolic panel (blood test): 10 of 24 insurance plan rates
  • Aetna — Better Health: $8.46
  • Aetna — Dual (D-SNP): $8.46
  • Aetna — Medicare Advantage: $187.52
  • Aetna — POS: $139.25
  • Amerihealth — Caritas: $8.46
  • BCBS of Louisiana — Blue Advantage HMO: $139.25
  • BCBS of Louisiana — HMO: $25.63
  • BCBS of Louisiana — HMO Louisiana Community Blue: $24.74
  • BCBS of Louisiana — PPO: $31.44
  • Cigna — HMO: $168.77
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: O R/ BASIC METABOLIC PANEL $185.67 $111.40 $8.46 – $187.52
Basic metabolic panel (blood test): 10 of 24 insurance plan rates
  • Aetna — Better Health: $8.46
  • Aetna — Dual (D-SNP): $8.46
  • Aetna — Medicare Advantage: $187.52
  • Aetna — POS: $139.25
  • Amerihealth — Caritas: $8.46
  • BCBS of Louisiana — Blue Advantage HMO: $139.25
  • BCBS of Louisiana — HMO: $25.63
  • BCBS of Louisiana — HMO Louisiana Community Blue: $24.74
  • BCBS of Louisiana — PPO: $31.44
  • Cigna — HMO: $168.77
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL $196.21 $117.73 $10.56 – $198.17
Comprehensive metabolic panel (blood test): 10 of 24 insurance plan rates
  • Aetna — Better Health: $10.56
  • Aetna — Dual (D-SNP): $10.56
  • Aetna — Medicare Advantage: $198.17
  • Aetna — POS: $147.15
  • Amerihealth — Caritas: $10.56
  • BCBS of Louisiana — Blue Advantage HMO: $147.15
  • BCBS of Louisiana — HMO: $32
  • BCBS of Louisiana — HMO Louisiana Community Blue: $30.88
  • BCBS of Louisiana — PPO: $39.25
  • Cigna — HMO: $178.35
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: O COMPREHENSIVE METABOLIC PANEL $196.21 $117.73 $10.56 – $198.17
Comprehensive metabolic panel (blood test): 10 of 24 insurance plan rates
  • Aetna — Better Health: $10.56
  • Aetna — Dual (D-SNP): $10.56
  • Aetna — Medicare Advantage: $198.17
  • Aetna — POS: $147.15
  • Amerihealth — Caritas: $10.56
  • BCBS of Louisiana — Blue Advantage HMO: $147.15
  • BCBS of Louisiana — HMO: $32
  • BCBS of Louisiana — HMO Louisiana Community Blue: $30.88
  • BCBS of Louisiana — PPO: $39.25
  • Cigna — HMO: $178.35
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: O R/ COMP METABOLIC PANEL $196.21 $117.73 $10.56 – $198.17
Comprehensive metabolic panel (blood test): 10 of 24 insurance plan rates
  • Aetna — Better Health: $10.56
  • Aetna — Dual (D-SNP): $10.56
  • Aetna — Medicare Advantage: $198.17
  • Aetna — POS: $147.15
  • Amerihealth — Caritas: $10.56
  • BCBS of Louisiana — Blue Advantage HMO: $147.15
  • BCBS of Louisiana — HMO: $32
  • BCBS of Louisiana — HMO Louisiana Community Blue: $30.88
  • BCBS of Louisiana — PPO: $39.25
  • Cigna — HMO: $178.35
Obstetric blood test panel CPT 80055 · Inpatient or outpatient · Hospital (facility) fee In the file: O R/ PRENATAL PROFILE I $430.13 $258.08 $24.12 – $434.43
Obstetric blood test panel: 10 of 24 insurance plan rates
  • Aetna — Better Health: $24.12
  • Aetna — Dual (D-SNP): $24.12
  • Aetna — Medicare Advantage: $434.43
  • Aetna — POS: $322.59
  • Amerihealth — Caritas: $24.12
  • BCBS of Louisiana — Blue Advantage HMO: $322.59
  • BCBS of Louisiana — HMO: $61.53
  • BCBS of Louisiana — HMO Louisiana Community Blue: $59.38
  • BCBS of Louisiana — PPO: $75.47
  • Cigna — HMO: $390.98
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL Not listed in the file Not listed in the file $55.74
Obstetric blood test panel: rates for 2 insurance plans
  • Verity — Healthnet: $55.74
  • United Healthcare — HMOPPOPOS: 70% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: .LIPID PANEL $140 $84 $13.39 – $141.40
Cholesterol panel (lipid panel): 10 of 24 insurance plan rates
  • Aetna — Better Health: $13.39
  • Aetna — Dual (D-SNP): $13.39
  • Aetna — Medicare Advantage: $141.40
  • Aetna — POS: $105
  • Amerihealth — Caritas: $13.39
  • BCBS of Louisiana — Blue Advantage HMO: $105
  • BCBS of Louisiana — HMO: $36.15
  • BCBS of Louisiana — HMO Louisiana Community Blue: $34.89
  • BCBS of Louisiana — PPO: $44.35
  • Cigna — HMO: $127.26
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: LIPID PANEL $117.79 $70.67 $13.39 – $118.96
Cholesterol panel (lipid panel): 10 of 24 insurance plan rates
  • Aetna — Better Health: $13.39
  • Aetna — Dual (D-SNP): $13.39
  • Aetna — Medicare Advantage: $118.96
  • Aetna — POS: $88.34
  • Amerihealth — Caritas: $13.39
  • BCBS of Louisiana — Blue Advantage HMO: $88.34
  • BCBS of Louisiana — HMO: $36.15
  • BCBS of Louisiana — HMO Louisiana Community Blue: $34.89
  • BCBS of Louisiana — PPO: $44.35
  • Cigna — HMO: $107.07
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: O LIPID PANEL $117.79 $70.67 $13.39 – $118.96
Cholesterol panel (lipid panel): 10 of 24 insurance plan rates
  • Aetna — Better Health: $13.39
  • Aetna — Dual (D-SNP): $13.39
  • Aetna — Medicare Advantage: $118.96
  • Aetna — POS: $88.34
  • Amerihealth — Caritas: $13.39
  • BCBS of Louisiana — Blue Advantage HMO: $88.34
  • BCBS of Louisiana — HMO: $36.15
  • BCBS of Louisiana — HMO Louisiana Community Blue: $34.89
  • BCBS of Louisiana — PPO: $44.35
  • Cigna — HMO: $107.07
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: O RENAL PANEL $153.08 $91.85 $8.68 – $154.61
Kidney function panel: 10 of 24 insurance plan rates
  • Aetna — Better Health: $8.68
  • Aetna — Dual (D-SNP): $8.68
  • Aetna — Medicare Advantage: $154.61
  • Aetna — POS: $114.81
  • Amerihealth — Caritas: $8.68
  • BCBS of Louisiana — Blue Advantage HMO: $114.81
  • BCBS of Louisiana — HMO: $26.28
  • BCBS of Louisiana — HMO Louisiana Community Blue: $25.36
  • BCBS of Louisiana — PPO: $32.24
  • Cigna — HMO: $139.14
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: RENAL PANEL $153.08 $91.85 $8.68 – $154.61
Kidney function panel: 10 of 24 insurance plan rates
  • Aetna — Better Health: $8.68
  • Aetna — Dual (D-SNP): $8.68
  • Aetna — Medicare Advantage: $154.61
  • Aetna — POS: $114.81
  • Amerihealth — Caritas: $8.68
  • BCBS of Louisiana — Blue Advantage HMO: $114.81
  • BCBS of Louisiana — HMO: $26.28
  • BCBS of Louisiana — HMO Louisiana Community Blue: $25.36
  • BCBS of Louisiana — PPO: $32.24
  • Cigna — HMO: $139.14
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL Not listed in the file Not listed in the file $10.12
Kidney function panel: rates for 2 insurance plans
  • Verity — Healthnet: $10.12
  • United Healthcare — HMOPPOPOS: 70% (a percentage in the contract, not a dollar amount)
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: LIVER PROFILE $164.03 $98.42 $8.17 – $165.67
Liver function panel: 10 of 24 insurance plan rates
  • Aetna — Better Health: $8.17
  • Aetna — Dual (D-SNP): $8.17
  • Aetna — Medicare Advantage: $165.67
  • Aetna — POS: $123.02
  • Amerihealth — Caritas: $8.17
  • BCBS of Louisiana — Blue Advantage HMO: $123.02
  • BCBS of Louisiana — HMO: $24.73
  • BCBS of Louisiana — HMO Louisiana Community Blue: $23.87
  • BCBS of Louisiana — PPO: $30.33
  • Cigna — HMO: $149.10
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: O LIVER PROFILE $164.03 $98.42 $8.17 – $165.67
Liver function panel: 10 of 24 insurance plan rates
  • Aetna — Better Health: $8.17
  • Aetna — Dual (D-SNP): $8.17
  • Aetna — Medicare Advantage: $165.67
  • Aetna — POS: $123.02
  • Amerihealth — Caritas: $8.17
  • BCBS of Louisiana — Blue Advantage HMO: $123.02
  • BCBS of Louisiana — HMO: $24.73
  • BCBS of Louisiana — HMO Louisiana Community Blue: $23.87
  • BCBS of Louisiana — PPO: $30.33
  • Cigna — HMO: $149.10
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: Z/ LIVER PANEL $164.03 $98.42 $8.17 – $165.67
Liver function panel: 10 of 24 insurance plan rates
  • Aetna — Better Health: $8.17
  • Aetna — Dual (D-SNP): $8.17
  • Aetna — Medicare Advantage: $165.67
  • Aetna — POS: $123.02
  • Amerihealth — Caritas: $8.17
  • BCBS of Louisiana — Blue Advantage HMO: $123.02
  • BCBS of Louisiana — HMO: $24.73
  • BCBS of Louisiana — HMO Louisiana Community Blue: $23.87
  • BCBS of Louisiana — PPO: $30.33
  • Cigna — HMO: $149.10
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: O R/ URINALYSIS $76.25 $45.75 $3.17 – $77.01
Urine test (automated, with microscope): 10 of 24 insurance plan rates
  • Aetna — Better Health: $3.17
  • Aetna — Dual (D-SNP): $3.17
  • Aetna — Medicare Advantage: $77.01
  • Aetna — POS: $57.18
  • Amerihealth — Caritas: $3.17
  • BCBS of Louisiana — Blue Advantage HMO: $57.18
  • BCBS of Louisiana — HMO: $9.59
  • BCBS of Louisiana — HMO Louisiana Community Blue: $9.26
  • BCBS of Louisiana — PPO: $11.77
  • Cigna — HMO: $69.31
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: O URINALYSIS UA-AUTO W/MICRO $76.25 $45.75 $3.17 – $77.01
Urine test (automated, with microscope): 10 of 24 insurance plan rates
  • Aetna — Better Health: $3.17
  • Aetna — Dual (D-SNP): $3.17
  • Aetna — Medicare Advantage: $77.01
  • Aetna — POS: $57.18
  • Amerihealth — Caritas: $3.17
  • BCBS of Louisiana — Blue Advantage HMO: $57.18
  • BCBS of Louisiana — HMO: $9.59
  • BCBS of Louisiana — HMO Louisiana Community Blue: $9.26
  • BCBS of Louisiana — PPO: $11.77
  • Cigna — HMO: $69.31
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: R/ URINALYSIS $76.25 $45.75 $3.17 – $77.01
Urine test (automated, with microscope): 10 of 24 insurance plan rates
  • Aetna — Better Health: $3.17
  • Aetna — Dual (D-SNP): $3.17
  • Aetna — Medicare Advantage: $77.01
  • Aetna — POS: $57.18
  • Amerihealth — Caritas: $3.17
  • BCBS of Louisiana — Blue Advantage HMO: $57.18
  • BCBS of Louisiana — HMO: $9.59
  • BCBS of Louisiana — HMO Louisiana Community Blue: $9.26
  • BCBS of Louisiana — PPO: $11.77
  • Cigna — HMO: $69.31
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: CLIN FAC URINALYSIS W/MICRO $19.23 $11.54 $2.98 – $19.42
Urine test (manual, without microscope): 10 of 24 insurance plan rates
  • Aetna — Better Health: $3.48
  • Aetna — Dual (D-SNP): $3.48
  • Aetna — Medicare Advantage: $19.42
  • Aetna — POS: $14.42
  • Amerihealth — Caritas: $3.48
  • BCBS of Louisiana — Blue Advantage HMO: $14.42
  • BCBS of Louisiana — HMO: $7.73
  • BCBS of Louisiana — HMO Louisiana Community Blue: $7.46
  • BCBS of Louisiana — PPO: $9.48
  • Cigna — HMO: $17.48
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: O UA DIPSTICK NON-AUTO W/O /MICRO $19.23 $11.54 $2.98 – $19.42
Urine test (manual, without microscope): 10 of 24 insurance plan rates
  • Aetna — Better Health: $3.48
  • Aetna — Dual (D-SNP): $3.48
  • Aetna — Medicare Advantage: $19.42
  • Aetna — POS: $14.42
  • Amerihealth — Caritas: $3.48
  • BCBS of Louisiana — Blue Advantage HMO: $14.42
  • BCBS of Louisiana — HMO: $7.73
  • BCBS of Louisiana — HMO Louisiana Community Blue: $7.46
  • BCBS of Louisiana — PPO: $9.48
  • Cigna — HMO: $17.48
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: UA DIPSTICK NON-AUTO W/O /MICRO $19.23 $11.54 $2.98 – $19.42
Urine test (manual, without microscope): 10 of 24 insurance plan rates
  • Aetna — Better Health: $3.48
  • Aetna — Dual (D-SNP): $3.48
  • Aetna — Medicare Advantage: $19.42
  • Aetna — POS: $14.42
  • Amerihealth — Caritas: $3.48
  • BCBS of Louisiana — Blue Advantage HMO: $14.42
  • BCBS of Louisiana — HMO: $7.73
  • BCBS of Louisiana — HMO Louisiana Community Blue: $7.46
  • BCBS of Louisiana — PPO: $9.48
  • Cigna — HMO: $17.48
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: O Z/ PH (URINE) $47.22 $28.33 $2.25 – $47.69
Urine test (automated, without microscope): 10 of 24 insurance plan rates
  • Aetna — Better Health: $2.25
  • Aetna — Dual (D-SNP): $2.25
  • Aetna — Medicare Advantage: $47.69
  • Aetna — POS: $35.41
  • Amerihealth — Caritas: $2.25
  • BCBS of Louisiana — Blue Advantage HMO: $35.41
  • BCBS of Louisiana — HMO: $6.80
  • BCBS of Louisiana — HMO Louisiana Community Blue: $6.57
  • BCBS of Louisiana — PPO: $8.35
  • Cigna — HMO: $42.92
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Z/ PH (URINE) AUTOMATED $47.22 $28.33 $2.25 – $47.69
Urine test (automated, without microscope): 10 of 24 insurance plan rates
  • Aetna — Better Health: $2.25
  • Aetna — Dual (D-SNP): $2.25
  • Aetna — Medicare Advantage: $47.69
  • Aetna — POS: $35.41
  • Amerihealth — Caritas: $2.25
  • BCBS of Louisiana — Blue Advantage HMO: $35.41
  • BCBS of Louisiana — HMO: $6.80
  • BCBS of Louisiana — HMO Louisiana Community Blue: $6.57
  • BCBS of Louisiana — PPO: $8.35
  • Cigna — HMO: $42.92
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/O SCOPE Not listed in the file Not listed in the file $2.62
Urine test (automated, without microscope): rates for 2 insurance plans
  • Verity — Healthnet: $2.62
  • United Healthcare — HMOPPOPOS: 70% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: .1 PSA TOTAL $140.99 $84.59 $18.39 – $142.39
PSA (prostate specific antigen) blood test: 10 of 24 insurance plan rates
  • Aetna — Better Health: $18.39
  • Aetna — Dual (D-SNP): $18.39
  • Aetna — Medicare Advantage: $142.39
  • Aetna — POS: $105.74
  • Amerihealth — Caritas: $18.39
  • BCBS of Louisiana — Blue Advantage HMO: $105.74
  • BCBS of Louisiana — HMO: $55.68
  • BCBS of Louisiana — HMO Louisiana Community Blue: $53.73
  • BCBS of Louisiana — PPO: $68.29
  • Cigna — HMO: $128.15
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: DELETE.O Z/ PSA TOTAL (DX) $140.99 $84.59 $18.39 – $142.39
PSA (prostate specific antigen) blood test: 10 of 24 insurance plan rates
  • Aetna — Better Health: $18.39
  • Aetna — Dual (D-SNP): $18.39
  • Aetna — Medicare Advantage: $142.39
  • Aetna — POS: $105.74
  • Amerihealth — Caritas: $18.39
  • BCBS of Louisiana — Blue Advantage HMO: $105.74
  • BCBS of Louisiana — HMO: $55.68
  • BCBS of Louisiana — HMO Louisiana Community Blue: $53.73
  • BCBS of Louisiana — PPO: $68.29
  • Cigna — HMO: $128.15
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: DELETE.PSA :TOTAL W/REFLX FREE $140.99 $84.59 $18.39 – $142.39
PSA (prostate specific antigen) blood test: 10 of 24 insurance plan rates
  • Aetna — Better Health: $18.39
  • Aetna — Dual (D-SNP): $18.39
  • Aetna — Medicare Advantage: $142.39
  • Aetna — POS: $105.74
  • Amerihealth — Caritas: $18.39
  • BCBS of Louisiana — Blue Advantage HMO: $105.74
  • BCBS of Louisiana — HMO: $55.68
  • BCBS of Louisiana — HMO Louisiana Community Blue: $53.73
  • BCBS of Louisiana — PPO: $68.29
  • Cigna — HMO: $128.15
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: INACTIVATE $145.96 $87.58 $16.80 – $147.41
Thyroid stimulating hormone (TSH) test: 10 of 24 insurance plan rates
  • Aetna — Better Health: $16.80
  • Aetna — Dual (D-SNP): $16.80
  • Aetna — Medicare Advantage: $147.41
  • Aetna — POS: $109.47
  • Amerihealth — Caritas: $16.80
  • BCBS of Louisiana — Blue Advantage HMO: $109.47
  • BCBS of Louisiana — HMO: $50.85
  • BCBS of Louisiana — HMO Louisiana Community Blue: $49.07
  • BCBS of Louisiana — PPO: $62.37
  • Cigna — HMO: $132.67
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: O R/ THYROID CASCADE PROFILE $145.96 $87.58 $16.80 – $147.41
Thyroid stimulating hormone (TSH) test: 10 of 24 insurance plan rates
  • Aetna — Better Health: $16.80
  • Aetna — Dual (D-SNP): $16.80
  • Aetna — Medicare Advantage: $147.41
  • Aetna — POS: $109.47
  • Amerihealth — Caritas: $16.80
  • BCBS of Louisiana — Blue Advantage HMO: $109.47
  • BCBS of Louisiana — HMO: $50.85
  • BCBS of Louisiana — HMO Louisiana Community Blue: $49.07
  • BCBS of Louisiana — PPO: $62.37
  • Cigna — HMO: $132.67
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: O THYROID PROFILE (TSH) $145.96 $87.58 $16.80 – $147.41
Thyroid stimulating hormone (TSH) test: 10 of 24 insurance plan rates
  • Aetna — Better Health: $16.80
  • Aetna — Dual (D-SNP): $16.80
  • Aetna — Medicare Advantage: $147.41
  • Aetna — POS: $109.47
  • Amerihealth — Caritas: $16.80
  • BCBS of Louisiana — Blue Advantage HMO: $109.47
  • BCBS of Louisiana — HMO: $50.85
  • BCBS of Louisiana — HMO Louisiana Community Blue: $49.07
  • BCBS of Louisiana — PPO: $62.37
  • Cigna — HMO: $132.67
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: .CBC $94.43 $56.66 $7.77 – $95.37
Complete blood count (CBC) with differential: 10 of 24 insurance plan rates
  • Aetna — Better Health: $7.77
  • Aetna — Dual (D-SNP): $7.77
  • Aetna — Medicare Advantage: $95.37
  • Aetna — POS: $70.82
  • Amerihealth — Caritas: $7.77
  • BCBS of Louisiana — Blue Advantage HMO: $70.82
  • BCBS of Louisiana — HMO: $23.53
  • BCBS of Louisiana — HMO Louisiana Community Blue: $22.70
  • BCBS of Louisiana — PPO: $28.86
  • Cigna — HMO: $85.83
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: CBC AUTOMATED W/WBC DIFF $94.43 $56.66 $7.77 – $95.37
Complete blood count (CBC) with differential: 10 of 24 insurance plan rates
  • Aetna — Better Health: $7.77
  • Aetna — Dual (D-SNP): $7.77
  • Aetna — Medicare Advantage: $95.37
  • Aetna — POS: $70.82
  • Amerihealth — Caritas: $7.77
  • BCBS of Louisiana — Blue Advantage HMO: $70.82
  • BCBS of Louisiana — HMO: $23.53
  • BCBS of Louisiana — HMO Louisiana Community Blue: $22.70
  • BCBS of Louisiana — PPO: $28.86
  • Cigna — HMO: $85.83
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: FINGER STICK CBC $94.43 $56.66 $7.77 – $95.37
Complete blood count (CBC) with differential: 10 of 24 insurance plan rates
  • Aetna — Better Health: $7.77
  • Aetna — Dual (D-SNP): $7.77
  • Aetna — Medicare Advantage: $95.37
  • Aetna — POS: $70.82
  • Amerihealth — Caritas: $7.77
  • BCBS of Louisiana — Blue Advantage HMO: $70.82
  • BCBS of Louisiana — HMO: $23.53
  • BCBS of Louisiana — HMO Louisiana Community Blue: $22.70
  • BCBS of Louisiana — PPO: $28.86
  • Cigna — HMO: $85.83
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: DELETE.CBC-COMPLETE AUTOMATED $115.55 $69.33 $6.47 – $116.70
Complete blood count (CBC), automated: 10 of 24 insurance plan rates
  • Aetna — Better Health: $6.47
  • Aetna — Dual (D-SNP): $6.47
  • Aetna — Medicare Advantage: $116.70
  • Aetna — POS: $86.66
  • Amerihealth — Caritas: $6.47
  • BCBS of Louisiana — Blue Advantage HMO: $86.66
  • BCBS of Louisiana — HMO: $19.59
  • BCBS of Louisiana — HMO Louisiana Community Blue: $18.91
  • BCBS of Louisiana — PPO: $24.03
  • Cigna — HMO: $105.03
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC AUTOMATED Not listed in the file Not listed in the file $7.54
Complete blood count (CBC), automated: rates for 2 insurance plans
  • Verity — Healthnet: $7.54
  • United Healthcare — HMOPPOPOS: 70% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: .R3 FACTOR V INH PROFILE COMP $76.03 $45.62 $4.29 – $76.79
Blood clotting time test (prothrombin time, PT): 10 of 24 insurance plan rates
  • Aetna — Better Health: $4.29
  • Aetna — Dual (D-SNP): $4.29
  • Aetna — Medicare Advantage: $76.79
  • Aetna — POS: $57.02
  • Amerihealth — Caritas: $4.29
  • BCBS of Louisiana — Blue Advantage HMO: $57.02
  • BCBS of Louisiana — HMO: $11.90
  • BCBS of Louisiana — HMO Louisiana Community Blue: $11.48
  • BCBS of Louisiana — PPO: $14.59
  • Cigna — HMO: $69.11
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: O .1 PROTIME MIXING STUDY $76.03 $45.62 $4.29 – $76.79
Blood clotting time test (prothrombin time, PT): 10 of 24 insurance plan rates
  • Aetna — Better Health: $4.29
  • Aetna — Dual (D-SNP): $4.29
  • Aetna — Medicare Advantage: $76.79
  • Aetna — POS: $57.02
  • Amerihealth — Caritas: $4.29
  • BCBS of Louisiana — Blue Advantage HMO: $57.02
  • BCBS of Louisiana — HMO: $11.90
  • BCBS of Louisiana — HMO Louisiana Community Blue: $11.48
  • BCBS of Louisiana — PPO: $14.59
  • Cigna — HMO: $69.11
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: O .R3 FACTOR V INH PROFILE COMP $76.03 $45.62 $4.29 – $76.79
Blood clotting time test (prothrombin time, PT): 10 of 24 insurance plan rates
  • Aetna — Better Health: $4.29
  • Aetna — Dual (D-SNP): $4.29
  • Aetna — Medicare Advantage: $76.79
  • Aetna — POS: $57.02
  • Amerihealth — Caritas: $4.29
  • BCBS of Louisiana — Blue Advantage HMO: $57.02
  • BCBS of Louisiana — HMO: $11.90
  • BCBS of Louisiana — HMO Louisiana Community Blue: $11.48
  • BCBS of Louisiana — PPO: $14.59
  • Cigna — HMO: $69.11
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: O PARTIAL THROMBOPLAST $111.09 $66.65 $6.01 – $112.20
Blood clotting test (partial thromboplastin time, PTT): 10 of 24 insurance plan rates
  • Aetna — Better Health: $6.01
  • Aetna — Dual (D-SNP): $6.01
  • Aetna — Medicare Advantage: $112.20
  • Aetna — POS: $83.31
  • Amerihealth — Caritas: $6.01
  • BCBS of Louisiana — Blue Advantage HMO: $83.31
  • BCBS of Louisiana — HMO: $18.16
  • BCBS of Louisiana — HMO Louisiana Community Blue: $17.52
  • BCBS of Louisiana — PPO: $22.27
  • Cigna — HMO: $100.98
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: O R/ PTT ACTIVATED $111.09 $66.65 $6.01 – $112.20
Blood clotting test (partial thromboplastin time, PTT): 10 of 24 insurance plan rates
  • Aetna — Better Health: $6.01
  • Aetna — Dual (D-SNP): $6.01
  • Aetna — Medicare Advantage: $112.20
  • Aetna — POS: $83.31
  • Amerihealth — Caritas: $6.01
  • BCBS of Louisiana — Blue Advantage HMO: $83.31
  • BCBS of Louisiana — HMO: $18.16
  • BCBS of Louisiana — HMO Louisiana Community Blue: $17.52
  • BCBS of Louisiana — PPO: $22.27
  • Cigna — HMO: $100.98
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: O Z/ LUPUS ANTICOAGULANT PANEL $111.09 $66.65 $6.01 – $112.20
Blood clotting test (partial thromboplastin time, PTT): 10 of 24 insurance plan rates
  • Aetna — Better Health: $6.01
  • Aetna — Dual (D-SNP): $6.01
  • Aetna — Medicare Advantage: $112.20
  • Aetna — POS: $83.31
  • Amerihealth — Caritas: $6.01
  • BCBS of Louisiana — Blue Advantage HMO: $83.31
  • BCBS of Louisiana — HMO: $18.16
  • BCBS of Louisiana — HMO Louisiana Community Blue: $17.52
  • BCBS of Louisiana — PPO: $22.27
  • Cigna — HMO: $100.98

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: CT HEAD WO CONTRAST $1,966.78 $1,180.07 $119.39 – $2,163.45
CT scan of the head or brain, without contrast: 10 of 24 insurance plan rates
  • Aetna — Better Health: $1,966.78
  • Aetna — Dual (D-SNP): $1,966.78
  • Aetna — Medicare Advantage: $1,986.44
  • Aetna — POS: $1,475.08
  • Amerihealth — Caritas: $1,966.78
  • BCBS of Louisiana — Blue Advantage HMO: $1,475.08
  • BCBS of Louisiana — HMO: $354.21
  • BCBS of Louisiana — HMO Louisiana Community Blue: $341.82
  • BCBS of Louisiana — PPO: $434.47
  • Cigna — HMO: $1,787.80
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: CT HEAD/BRAIN WITHOUT CONTRAST $1,966.78 $1,180.07 $119.39 – $2,163.45
CT scan of the head or brain, without contrast: 10 of 24 insurance plan rates
  • Aetna — Better Health: $1,966.78
  • Aetna — Dual (D-SNP): $1,966.78
  • Aetna — Medicare Advantage: $1,986.44
  • Aetna — POS: $1,475.08
  • Amerihealth — Caritas: $1,966.78
  • BCBS of Louisiana — Blue Advantage HMO: $1,475.08
  • BCBS of Louisiana — HMO: $354.21
  • BCBS of Louisiana — HMO Louisiana Community Blue: $341.82
  • BCBS of Louisiana — PPO: $434.47
  • Cigna — HMO: $1,787.80
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD/BRAIN W/O DYE Not listed in the file Not listed in the file $119.39
CT scan of the head or brain, without contrast: rates for 1 insurance plan
  • Verity — Healthnet: $119.39
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI BRAIN & IACS W/WO CONTRAST $4,417.37 $2,650.42 $385.36 – $4,859.10
MRI of the brain, before and after contrast: 10 of 24 insurance plan rates
  • Aetna — Better Health: $4,417.37
  • Aetna — Dual (D-SNP): $4,417.37
  • Aetna — Medicare Advantage: $4,461.54
  • Aetna — POS: $3,313.02
  • Amerihealth — Caritas: $4,417.37
  • BCBS of Louisiana — Blue Advantage HMO: $3,313.02
  • BCBS of Louisiana — HMO: $1,025.32
  • BCBS of Louisiana — HMO Louisiana Community Blue: $989.44
  • BCBS of Louisiana — PPO: $1,257.62
  • Cigna — HMO: $4,015.38
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI BRAIN & PITUITARY W WO CONTRAST $4,417.37 $2,650.42 $385.36 – $4,859.10
MRI of the brain, before and after contrast: 10 of 24 insurance plan rates
  • Aetna — Better Health: $4,417.37
  • Aetna — Dual (D-SNP): $4,417.37
  • Aetna — Medicare Advantage: $4,461.54
  • Aetna — POS: $3,313.02
  • Amerihealth — Caritas: $4,417.37
  • BCBS of Louisiana — Blue Advantage HMO: $3,313.02
  • BCBS of Louisiana — HMO: $1,025.32
  • BCBS of Louisiana — HMO Louisiana Community Blue: $989.44
  • BCBS of Louisiana — PPO: $1,257.62
  • Cigna — HMO: $4,015.38
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI BRAIN W/WO CONTRAST $4,417.37 $2,650.42 $385.36 – $4,859.10
MRI of the brain, before and after contrast: 10 of 24 insurance plan rates
  • Aetna — Better Health: $4,417.37
  • Aetna — Dual (D-SNP): $4,417.37
  • Aetna — Medicare Advantage: $4,461.54
  • Aetna — POS: $3,313.02
  • Amerihealth — Caritas: $4,417.37
  • BCBS of Louisiana — Blue Advantage HMO: $3,313.02
  • BCBS of Louisiana — HMO: $1,025.32
  • BCBS of Louisiana — HMO Louisiana Community Blue: $989.44
  • BCBS of Louisiana — PPO: $1,257.62
  • Cigna — HMO: $4,015.38
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: CHEST 2 VIEWS FR/LAT FLOUROSCOPY $380.16 $228.10 $31.24 – $418.17
Chest X-ray, 2 views: 10 of 24 insurance plan rates
  • Aetna — Better Health: $380.16
  • Aetna — Dual (D-SNP): $380.16
  • Aetna — Medicare Advantage: $383.96
  • Aetna — POS: $285.12
  • Amerihealth — Caritas: $380.16
  • BCBS of Louisiana — Blue Advantage HMO: $285.12
  • BCBS of Louisiana — HMO: $64.43
  • BCBS of Louisiana — HMO Louisiana Community Blue: $62.17
  • BCBS of Louisiana — PPO: $79.02
  • Cigna — HMO: $345.56
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: XR CHEST 2 VIEWS $380.16 $228.10 $31.24 – $418.17
Chest X-ray, 2 views: 10 of 24 insurance plan rates
  • Aetna — Better Health: $380.16
  • Aetna — Dual (D-SNP): $380.16
  • Aetna — Medicare Advantage: $383.96
  • Aetna — POS: $285.12
  • Amerihealth — Caritas: $380.16
  • BCBS of Louisiana — Blue Advantage HMO: $285.12
  • BCBS of Louisiana — HMO: $64.43
  • BCBS of Louisiana — HMO Louisiana Community Blue: $62.17
  • BCBS of Louisiana — PPO: $79.02
  • Cigna — HMO: $345.56
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM CHEST 2 VIEWS Not listed in the file Not listed in the file $31.24
Chest X-ray, 2 views: rates for 1 insurance plan
  • Verity — Healthnet: $31.24
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: XR SPINE LUMBOSACRAL MIN 4 VIEWS $594.44 $356.66 $50.08 – $653.88
X-ray of the lower spine, at least 4 views: 10 of 24 insurance plan rates
  • Aetna — Better Health: $594.44
  • Aetna — Dual (D-SNP): $594.44
  • Aetna — Medicare Advantage: $600.38
  • Aetna — POS: $445.83
  • Amerihealth — Caritas: $594.44
  • BCBS of Louisiana — Blue Advantage HMO: $445.83
  • BCBS of Louisiana — HMO: $109.63
  • BCBS of Louisiana — HMO Louisiana Community Blue: $105.79
  • BCBS of Louisiana — PPO: $134.47
  • Cigna — HMO: $540.34
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM L-2 SPINE 4/>VWS Not listed in the file Not listed in the file $50.08
X-ray of the lower spine, at least 4 views: rates for 1 insurance plan
  • Verity — Healthnet: $50.08
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI L- SPINE W/O CONTRAST $3,108.74 $1,865.24 $229.15 – $3,419.61
MRI of the lower back (lumbar spine), without contrast: 10 of 24 insurance plan rates
  • Aetna — Better Health: $3,108.74
  • Aetna — Dual (D-SNP): $3,108.74
  • Aetna — Medicare Advantage: $3,139.82
  • Aetna — POS: $2,331.55
  • Amerihealth — Caritas: $3,108.74
  • BCBS of Louisiana — Blue Advantage HMO: $2,331.55
  • BCBS of Louisiana — HMO: $707.23
  • BCBS of Louisiana — HMO Louisiana Community Blue: $682.48
  • BCBS of Louisiana — PPO: $867.46
  • Cigna — HMO: $2,825.84
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LUMBAR SPINE W/O DYE Not listed in the file Not listed in the file $229.15
MRI of the lower back (lumbar spine), without contrast: rates for 1 insurance plan
  • Verity — Healthnet: $229.15
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: CT PELVIS WITH CONTRAST $2,704.06 $1,622.44 $229.57 – $2,974.46
CT scan of the pelvis, with contrast: 10 of 24 insurance plan rates
  • Aetna — Better Health: $2,704.06
  • Aetna — Dual (D-SNP): $2,704.06
  • Aetna — Medicare Advantage: $2,731.10
  • Aetna — POS: $2,028.04
  • Amerihealth — Caritas: $2,704.06
  • BCBS of Louisiana — Blue Advantage HMO: $2,028.04
  • BCBS of Louisiana — HMO: $513.11
  • BCBS of Louisiana — HMO Louisiana Community Blue: $495.16
  • BCBS of Louisiana — PPO: $629.36
  • Cigna — HMO: $2,457.99
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W/DYE Not listed in the file Not listed in the file $229.57
CT scan of the pelvis, with contrast: rates for 1 insurance plan
  • Verity — Healthnet: $229.57
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI JNT OF LWR EXTRE W/O DYE Not listed in the file Not listed in the file $682.48 – $867.46
MRI of a leg joint (such as the knee), without contrast: 10 of 24 insurance plan rates
  • BCBS of Louisiana — HMO: $707.23
  • BCBS of Louisiana — HMO Louisiana Community Blue: $682.48
  • BCBS of Louisiana — PPO: $867.46
  • Verity — Healthnet: $241.53
  • Aetna — Better Health: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Dual (D-SNP): 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 101% (a percentage in the contract, not a dollar amount)
  • Aetna — POS: 75% (a percentage in the contract, not a dollar amount)
  • Amerihealth — Caritas: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of Louisiana — Blue Advantage HMO: 75% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee · modifier LT In the file: MRI ANKLE LT W/O CONTRAST $3,060.09 $1,836.05 Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee · modifier RT In the file: MRI ANKLE RT W/O CONTRAST $3,060.09 $1,836.05 Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: CT ABDOMEN & PELVIS W CONTRAST $4,572.42 $2,743.45 $317.28 – $5,029.66
CT scan of the abdomen and pelvis, with contrast: 10 of 24 insurance plan rates
  • Aetna — Better Health: $4,572.42
  • Aetna — Dual (D-SNP): $4,572.42
  • Aetna — Medicare Advantage: $4,618.14
  • Aetna — POS: $3,429.31
  • Amerihealth — Caritas: $4,572.42
  • BCBS of Louisiana — Blue Advantage HMO: $3,429.31
  • BCBS of Louisiana — HMO: $657.77
  • BCBS of Louisiana — HMO Louisiana Community Blue: $634.76
  • BCBS of Louisiana — PPO: $806.80
  • Cigna — HMO: $4,156.32
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD & PELV W/CONTRAST Not listed in the file Not listed in the file $317.28
CT scan of the abdomen and pelvis, with contrast: rates for 1 insurance plan
  • Verity — Healthnet: $317.28
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: US UPPER ABDOMEN COMPLETE $1,109.14 $665.48 $126.09 – $1,220.05
Ultrasound of the abdomen, complete: 10 of 24 insurance plan rates
  • Aetna — Better Health: $1,109.14
  • Aetna — Dual (D-SNP): $1,109.14
  • Aetna — Medicare Advantage: $1,120.23
  • Aetna — POS: $831.85
  • Amerihealth — Caritas: $1,109.14
  • BCBS of Louisiana — Blue Advantage HMO: $831.85
  • BCBS of Louisiana — HMO: $148.34
  • BCBS of Louisiana — HMO Louisiana Community Blue: $143.15
  • BCBS of Louisiana — PPO: $181.95
  • Cigna — HMO: $1,008.20
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US EXAM ABDOM COMPLETE Not listed in the file Not listed in the file $126.09
Ultrasound of the abdomen, complete: rates for 1 insurance plan
  • Verity — Healthnet: $126.09
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: US 1ST TRIMESTER > THAN 14 WEEKS $633.14 $379.88 $147.58 – $696.45
Pregnancy ultrasound (after the first trimester): 10 of 24 insurance plan rates
  • Aetna — Better Health: $633.14
  • Aetna — Dual (D-SNP): $633.14
  • Aetna — Medicare Advantage: $639.47
  • Aetna — POS: $474.85
  • Amerihealth — Caritas: $633.14
  • BCBS of Louisiana — Blue Advantage HMO: $474.85
  • BCBS of Louisiana — HMO: $158.36
  • BCBS of Louisiana — HMO Louisiana Community Blue: $152.82
  • BCBS of Louisiana — PPO: $194.24
  • Cigna — HMO: $575.52
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB US >= 14 WKS SNGL FETUS Not listed in the file Not listed in the file $147.58
Pregnancy ultrasound (after the first trimester): rates for 1 insurance plan
  • Verity — Healthnet: $147.58
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: US PELVIC TRANSVAGINAL $702.11 $421.27 $125.55 – $772.32
Transvaginal ultrasound: 10 of 24 insurance plan rates
  • Aetna — Better Health: $702.11
  • Aetna — Dual (D-SNP): $702.11
  • Aetna — Medicare Advantage: $709.13
  • Aetna — POS: $526.58
  • Amerihealth — Caritas: $702.11
  • BCBS of Louisiana — Blue Advantage HMO: $526.58
  • BCBS of Louisiana — HMO: $140.24
  • BCBS of Louisiana — HMO Louisiana Community Blue: $135.33
  • BCBS of Louisiana — PPO: $172.02
  • Cigna — HMO: $638.21
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TRANSVAGINAL US NON-OB Not listed in the file Not listed in the file $125.55
Transvaginal ultrasound: rates for 1 insurance plan
  • Verity — Healthnet: $125.55
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD UNI Not listed in the file Not listed in the file $105.82 – $134.50
Diagnostic mammogram, one breast: 10 of 24 insurance plan rates
  • BCBS of Louisiana — HMO: $109.65
  • BCBS of Louisiana — HMO Louisiana Community Blue: $105.82
  • BCBS of Louisiana — PPO: $134.50
  • Verity — Healthnet: $136.75
  • Aetna — Better Health: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Dual (D-SNP): 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 101% (a percentage in the contract, not a dollar amount)
  • Aetna — POS: 75% (a percentage in the contract, not a dollar amount)
  • Amerihealth — Caritas: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of Louisiana — Blue Advantage HMO: 75% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee · modifier LT In the file: DIAG MAMMO W/CAD UNILATERAL LT $428.59 $257.15 Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee · modifier RT In the file: DIAG MAMMO W/CAD UNILATERAL RT $428.59 $257.15 Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: DIAG MAMMO W/CAD BILATERAL $546.54 $327.92 $124.32 – $601.19
Diagnostic mammogram, both breasts: 10 of 24 insurance plan rates
  • Aetna — Better Health: $546.54
  • Aetna — Dual (D-SNP): $546.54
  • Aetna — Medicare Advantage: $552
  • Aetna — POS: $409.90
  • Amerihealth — Caritas: $546.54
  • BCBS of Louisiana — Blue Advantage HMO: $409.90
  • BCBS of Louisiana — HMO: $128.83
  • BCBS of Louisiana — HMO Louisiana Community Blue: $124.32
  • BCBS of Louisiana — PPO: $158.02
  • Cigna — HMO: $496.80
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD BI Not listed in the file Not listed in the file $173.03
Diagnostic mammogram, both breasts: rates for 1 insurance plan
  • Verity — Healthnet: $173.03
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: SCR MAMMO BILATERAL 2 OR 3D $456.06 $273.64 $118.88 – $501.66
Screening mammogram, both breasts: 10 of 24 insurance plan rates
  • Aetna — Better Health: $456.06
  • Aetna — Dual (D-SNP): $456.06
  • Aetna — Medicare Advantage: $460.62
  • Aetna — POS: $342.04
  • Amerihealth — Caritas: $456.06
  • BCBS of Louisiana — Blue Advantage HMO: $342.04
  • BCBS of Louisiana — HMO: $123.19
  • BCBS of Louisiana — HMO Louisiana Community Blue: $118.88
  • BCBS of Louisiana — PPO: $151.11
  • Cigna — HMO: $414.55
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: SCR MAMMO W/CAD BILATERAL 2 OR 3D $456.06 $273.64 $118.88 – $501.66
Screening mammogram, both breasts: 10 of 24 insurance plan rates
  • Aetna — Better Health: $456.06
  • Aetna — Dual (D-SNP): $456.06
  • Aetna — Medicare Advantage: $460.62
  • Aetna — POS: $342.04
  • Amerihealth — Caritas: $456.06
  • BCBS of Louisiana — Blue Advantage HMO: $342.04
  • BCBS of Louisiana — HMO: $123.19
  • BCBS of Louisiana — HMO Louisiana Community Blue: $118.88
  • BCBS of Louisiana — PPO: $151.11
  • Cigna — HMO: $414.55
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCR MAMMO BI INCL CAD Not listed in the file Not listed in the file $139.61
Screening mammogram, both breasts: rates for 1 insurance plan
  • Verity — Healthnet: $139.61

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM COMPLETE Not listed in the file Not listed in the file $102.82 – $130.69
Electrocardiogram (ECG/EKG) with reading: 10 of 24 insurance plan rates
  • BCBS of Louisiana — HMO: $106.55
  • BCBS of Louisiana — HMO Louisiana Community Blue: $102.82
  • BCBS of Louisiana — PPO: $130.69
  • Aetna — Better Health: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Dual (D-SNP): 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 101% (a percentage in the contract, not a dollar amount)
  • Aetna — POS: 75% (a percentage in the contract, not a dollar amount)
  • Amerihealth — Caritas: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of Louisiana — Blue Advantage HMO: 75% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO: 90.9% (a percentage in the contract, not a dollar amount)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY Not listed in the file Not listed in the file $7,187.01 – $9,134.99
Left heart catheterization (diagnostic): 10 of 24 insurance plan rates
  • BCBS of Louisiana — HMO: $7,447.64
  • BCBS of Louisiana — HMO Louisiana Community Blue: $7,187.01
  • BCBS of Louisiana — PPO: $9,134.99
  • Verity — Healthnet: $2,485.08
  • Aetna — Better Health: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Dual (D-SNP): 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 101% (a percentage in the contract, not a dollar amount)
  • Aetna — POS: 75% (a percentage in the contract, not a dollar amount)
  • Amerihealth — Caritas: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of Louisiana — Blue Advantage HMO: 75% (a percentage in the contract, not a dollar amount)
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROPHYSIOLOGY EVALUATION Not listed in the file Not listed in the file $4,319.38 – $5,490.11
Heart rhythm study (electrophysiology evaluation): 10 of 24 insurance plan rates
  • BCBS of Louisiana — HMO: $4,476.02
  • BCBS of Louisiana — HMO Louisiana Community Blue: $4,319.38
  • BCBS of Louisiana — PPO: $5,490.11
  • Aetna — Better Health: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Dual (D-SNP): 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 101% (a percentage in the contract, not a dollar amount)
  • Aetna — POS: 75% (a percentage in the contract, not a dollar amount)
  • Amerihealth — Caritas: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of Louisiana — Blue Advantage HMO: 75% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO: 90.9% (a percentage in the contract, not a dollar amount)
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB Not listed in the file Not listed in the file $23,650.33 – $30,060.57
Heart rhythm study with ablation for atrial fibrillation: 10 of 24 insurance plan rates
  • BCBS of Louisiana — HMO: $24,507.99
  • BCBS of Louisiana — HMO Louisiana Community Blue: $23,650.33
  • BCBS of Louisiana — PPO: $30,060.57
  • Verity — Healthnet: $16,246.78
  • Aetna — Better Health: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Dual (D-SNP): 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 101% (a percentage in the contract, not a dollar amount)
  • Aetna — POS: 75% (a percentage in the contract, not a dollar amount)
  • Amerihealth — Caritas: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of Louisiana — Blue Advantage HMO: 75% (a percentage in the contract, not a dollar amount)
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: POLYSOMNOGRAPHY 6YRS OR OLDER $4,546.98 $2,728.19 $1,125.49 – $5,001.67
Sleep study (overnight, in a sleep lab): 10 of 24 insurance plan rates
  • Aetna — Better Health: $4,546.98
  • Aetna — Dual (D-SNP): $4,546.98
  • Aetna — Medicare Advantage: $4,592.44
  • Aetna — POS: $3,410.23
  • Amerihealth — Caritas: $4,546.98
  • BCBS of Louisiana — Blue Advantage HMO: $3,410.23
  • BCBS of Louisiana — HMO: $1,166.30
  • BCBS of Louisiana — HMO Louisiana Community Blue: $1,125.49
  • BCBS of Louisiana — PPO: $1,430.54
  • Cigna — HMO: $4,133.20

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPEUTIC EXERCISES Not listed in the file Not listed in the file $11 – $63.62
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 24 insurance plan rates
  • Aetna — Better Health: $11
  • Aetna — Dual (D-SNP): $11
  • Amerihealth — Caritas: $11
  • BCBS of Louisiana — HMO: $51.87
  • BCBS of Louisiana — HMO Louisiana Community Blue: $50.05
  • BCBS of Louisiana — PPO: $63.62
  • Healthy Blue — Managed Medicaid: $11
  • Humana — Dual (D-SNP): $12.10
  • Humana — Healthy Horizons Medicaid: $12.10
  • Humana — PPO: $70
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee · modifier GO In the file: OT EXERCISE 15 MIN $147.35 $88.41 Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: PT EXERCISE 15 MIN $147.35 $88.41 Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX 20 MIN Not listed in the file Not listed in the file $58.94 – $171.65
Physical therapy evaluation (low complexity): 10 of 24 insurance plan rates
  • Aetna — Better Health: $58.94
  • Aetna — Dual (D-SNP): $58.94
  • Amerihealth — Caritas: $58.94
  • BCBS of Louisiana — HMO: $139.94
  • BCBS of Louisiana — HMO Louisiana Community Blue: $135.04
  • BCBS of Louisiana — PPO: $171.65
  • Healthy Blue — Managed Medicaid: $58.94
  • Humana — Dual (D-SNP): $64.83
  • Humana — Healthy Horizons Medicaid: $64.83
  • Humana — PPO: $70
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: PT EVALUATION LOW COMPLEXITY $341.15 $204.69 Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee · modifier GP|95 In the file: PT EVALUATION LOW COMPLEXITY TELEMED $341.15 $204.69 Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX 30 MIN Not listed in the file Not listed in the file $58.94 – $171.65
Physical therapy evaluation (moderate complexity): 10 of 24 insurance plan rates
  • Aetna — Better Health: $58.94
  • Aetna — Dual (D-SNP): $58.94
  • Amerihealth — Caritas: $58.94
  • BCBS of Louisiana — HMO: $139.94
  • BCBS of Louisiana — HMO Louisiana Community Blue: $135.04
  • BCBS of Louisiana — PPO: $171.65
  • Healthy Blue — Managed Medicaid: $58.94
  • Humana — Dual (D-SNP): $64.83
  • Humana — Healthy Horizons Medicaid: $64.83
  • Humana — PPO: $70
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee · modifier GP|95 In the file: PT EVALUATION MOD COMPLEXITY TELEMED $369.65 $221.79 Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: PT EVALUATION MODERATE COMPLEXITY $369.65 $221.79 Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX 45 MIN Not listed in the file Not listed in the file $58.94 – $171.65
Physical therapy evaluation (high complexity): 10 of 24 insurance plan rates
  • Aetna — Better Health: $58.94
  • Aetna — Dual (D-SNP): $58.94
  • Amerihealth — Caritas: $58.94
  • BCBS of Louisiana — HMO: $139.94
  • BCBS of Louisiana — HMO Louisiana Community Blue: $135.04
  • BCBS of Louisiana — PPO: $171.65
  • Healthy Blue — Managed Medicaid: $58.94
  • Humana — Dual (D-SNP): $64.83
  • Humana — Healthy Horizons Medicaid: $64.83
  • Humana — PPO: $70
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee · modifier 95|GP In the file: PT EVALUATION HIGH COMP TELEMED $374.61 $224.77 Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: PT EVALUATION HIGH COMPLEXITY $374.61 $224.77 Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: HOSP IND PSYCHOTHERAPY 20-30 MINUTES $207.53 $124.52 $103.76 – $228.28
Psychotherapy, 30 minutes: 10 of 24 insurance plan rates
  • Aetna — Better Health: $207.53
  • Aetna — Dual (D-SNP): $207.53
  • Aetna — Medicare Advantage: $209.60
  • Aetna — POS: $155.64
  • Amerihealth — Caritas: $207.53
  • BCBS of Louisiana — Blue Advantage HMO: $155.64
  • BCBS of Louisiana — HMO: $103.76
  • BCBS of Louisiana — HMO Louisiana Community Blue: $103.76
  • BCBS of Louisiana — PPO: $103.76
  • Cigna — HMO: $188.64
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: INDIVIDUAL SESSION 16-37 MIN $207.53 $124.52 $103.76 – $228.28
Psychotherapy, 30 minutes: 10 of 24 insurance plan rates
  • Aetna — Better Health: $207.53
  • Aetna — Dual (D-SNP): $207.53
  • Aetna — Medicare Advantage: $209.60
  • Aetna — POS: $155.64
  • Amerihealth — Caritas: $207.53
  • BCBS of Louisiana — Blue Advantage HMO: $155.64
  • BCBS of Louisiana — HMO: $103.76
  • BCBS of Louisiana — HMO Louisiana Community Blue: $103.76
  • BCBS of Louisiana — PPO: $103.76
  • Cigna — HMO: $188.64
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee · modifier GT In the file: AUDIO TELEHEALTH 16-37 MIN $207.53 $124.52 Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: INDIVIDUAL THERAPY 38-52 $492.85 $295.71 $246.42 – $542.13
Psychotherapy, 45 minutes: 10 of 24 insurance plan rates
  • Aetna — Better Health: $492.85
  • Aetna — Dual (D-SNP): $492.85
  • Aetna — Medicare Advantage: $497.77
  • Aetna — POS: $369.63
  • Amerihealth — Caritas: $492.85
  • BCBS of Louisiana — Blue Advantage HMO: $369.63
  • BCBS of Louisiana — HMO: $246.42
  • BCBS of Louisiana — HMO Louisiana Community Blue: $246.42
  • BCBS of Louisiana — PPO: $246.42
  • Cigna — HMO: $448
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee · modifier GT In the file: AUDIO TELEPSYCH THERAPY 38-52 MIN $492.85 $295.71 Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 60 MINUTES Not listed in the file Not listed in the file $278.73 – $354.28
Psychotherapy, 60 minutes: 10 of 24 insurance plan rates
  • BCBS of Louisiana — HMO: $288.84
  • BCBS of Louisiana — HMO Louisiana Community Blue: $278.73
  • BCBS of Louisiana — PPO: $354.28
  • Aetna — Better Health: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Dual (D-SNP): 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 101% (a percentage in the contract, not a dollar amount)
  • Aetna — POS: 75% (a percentage in the contract, not a dollar amount)
  • Amerihealth — Caritas: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of Louisiana — Blue Advantage HMO: 75% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO: 90.9% (a percentage in the contract, not a dollar amount)
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Hospital (facility) fee In the file: FAMILY PSYCHOTHERAPY W/O PATIENT 50 MIN $354 $212.40 $177 – $389.40
Family psychotherapy, without the patient: 10 of 24 insurance plan rates
  • Aetna — Better Health: $354
  • Aetna — Dual (D-SNP): $354
  • Aetna — Medicare Advantage: $357.54
  • Aetna — POS: $265.50
  • Amerihealth — Caritas: $354
  • BCBS of Louisiana — Blue Advantage HMO: $265.50
  • BCBS of Louisiana — HMO: $177
  • BCBS of Louisiana — HMO Louisiana Community Blue: $177
  • BCBS of Louisiana — PPO: $177
  • Cigna — HMO: $321.78
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Hospital (facility) fee In the file: FAMILY PSYCHOTHERAPY WITH PATIENT 50 MIN $400.85 $240.51 $200.42 – $440.93
Family psychotherapy, with the patient: 10 of 24 insurance plan rates
  • Aetna — Better Health: $400.85
  • Aetna — Dual (D-SNP): $400.85
  • Aetna — Medicare Advantage: $404.85
  • Aetna — POS: $300.63
  • Amerihealth — Caritas: $400.85
  • BCBS of Louisiana — Blue Advantage HMO: $300.63
  • BCBS of Louisiana — HMO: $200.42
  • BCBS of Louisiana — HMO Louisiana Community Blue: $200.42
  • BCBS of Louisiana — PPO: $200.42
  • Cigna — HMO: $364.37
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: GOAL SETTING GRP THERAPY $234.21 $140.53 $117.10 – $257.63
Group psychotherapy: 10 of 24 insurance plan rates
  • Aetna — Better Health: $234.21
  • Aetna — Dual (D-SNP): $234.21
  • Aetna — Medicare Advantage: $236.55
  • Aetna — POS: $175.65
  • Amerihealth — Caritas: $234.21
  • BCBS of Louisiana — Blue Advantage HMO: $175.65
  • BCBS of Louisiana — HMO: $175.81
  • BCBS of Louisiana — HMO Louisiana Community Blue: $169.65
  • BCBS of Louisiana — PPO: $215.64
  • Cigna — HMO: $212.89
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY $234.21 $140.53 $117.10 – $257.63
Group psychotherapy: 10 of 24 insurance plan rates
  • Aetna — Better Health: $234.21
  • Aetna — Dual (D-SNP): $234.21
  • Aetna — Medicare Advantage: $236.55
  • Aetna — POS: $175.65
  • Amerihealth — Caritas: $234.21
  • BCBS of Louisiana — Blue Advantage HMO: $175.65
  • BCBS of Louisiana — HMO: $175.81
  • BCBS of Louisiana — HMO Louisiana Community Blue: $169.65
  • BCBS of Louisiana — PPO: $215.64
  • Cigna — HMO: $212.89

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION Not listed in the file Not listed in the file $535.50 – $3,874.62
Removal of breast growth (open surgery): 10 of 24 insurance plan rates
  • Aetna — Better Health: $535.50
  • Aetna — Dual (D-SNP): $535.50
  • Amerihealth — Caritas: $535.50
  • BCBS of Louisiana — HMO: $3,158.93
  • BCBS of Louisiana — HMO Louisiana Community Blue: $3,048.38
  • BCBS of Louisiana — PPO: $3,874.62
  • Healthy Blue — Managed Medicaid: $535.50
  • Humana — Dual (D-SNP): $589.05
  • Humana — Healthy Horizons Medicaid: $589.05
  • Louisiana Health Care Connections — Managed Medicaid: $535.50
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY Not listed in the file Not listed in the file $5,209.84 – $6,621.92
Total hip replacement: 10 of 23 insurance plan rates
  • BCBS of Louisiana — HMO: $5,398.77
  • BCBS of Louisiana — HMO Louisiana Community Blue: $5,209.84
  • BCBS of Louisiana — PPO: $6,621.92
  • Aetna — Better Health: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Dual (D-SNP): 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 101% (a percentage in the contract, not a dollar amount)
  • Aetna — POS: 75% (a percentage in the contract, not a dollar amount)
  • Amerihealth — Caritas: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of Louisiana — Blue Advantage HMO: 75% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO: 90.9% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY Not listed in the file Not listed in the file $8,288.79 – $10,535.40
Total knee replacement: 10 of 24 insurance plan rates
  • BCBS of Louisiana — HMO: $8,589.38
  • BCBS of Louisiana — HMO Louisiana Community Blue: $8,288.79
  • BCBS of Louisiana — PPO: $10,535.40
  • Verity — Healthnet: $11,840
  • Aetna — Better Health: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Dual (D-SNP): 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 101% (a percentage in the contract, not a dollar amount)
  • Aetna — POS: 75% (a percentage in the contract, not a dollar amount)
  • Amerihealth — Caritas: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of Louisiana — Blue Advantage HMO: 75% (a percentage in the contract, not a dollar amount)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION Not listed in the file Not listed in the file $535.50 – $8,813.32
Shoulder arthroscopy: shaving of shoulder bone: 10 of 23 insurance plan rates
  • Aetna — Better Health: $535.50
  • Aetna — Dual (D-SNP): $535.50
  • Amerihealth — Caritas: $535.50
  • BCBS of Louisiana — HMO: $7,185.39
  • BCBS of Louisiana — HMO Louisiana Community Blue: $6,933.93
  • BCBS of Louisiana — PPO: $8,813.32
  • Healthy Blue — Managed Medicaid: $535.50
  • Humana — Dual (D-SNP): $589.05
  • Humana — Healthy Horizons Medicaid: $589.05
  • Louisiana Health Care Connections — Managed Medicaid: $535.50
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KNEE ARTHROSCOPY/SURGERY Not listed in the file Not listed in the file $661.50 – $5,595.84
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 24 insurance plan rates
  • Aetna — Better Health: $661.50
  • Aetna — Dual (D-SNP): $661.50
  • Amerihealth — Caritas: $661.50
  • BCBS of Louisiana — HMO: $4,562.22
  • BCBS of Louisiana — HMO Louisiana Community Blue: $4,402.56
  • BCBS of Louisiana — PPO: $5,595.84
  • Healthy Blue — Managed Medicaid: $661.50
  • Humana — Dual (D-SNP): $727.65
  • Humana — Healthy Horizons Medicaid: $727.65
  • Louisiana Health Care Connections — Managed Medicaid: $661.50
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS Not listed in the file Not listed in the file $535.50 – $4,361.29
Removal of tonsils and adenoids (under age 12): 10 of 24 insurance plan rates
  • Aetna — Better Health: $535.50
  • Aetna — Dual (D-SNP): $535.50
  • Amerihealth — Caritas: $535.50
  • BCBS of Louisiana — HMO: $3,555.70
  • BCBS of Louisiana — HMO Louisiana Community Blue: $3,431.27
  • BCBS of Louisiana — PPO: $4,361.29
  • Healthy Blue — Managed Medicaid: $535.50
  • Humana — Dual (D-SNP): $589.05
  • Humana — Healthy Horizons Medicaid: $589.05
  • Louisiana Health Care Connections — Managed Medicaid: $535.50
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: FAC EGD FLEXIBLE $2,767 $1,660.20 $349.65 – $2,794.67
Upper GI endoscopy (diagnostic): 10 of 24 insurance plan rates
  • Aetna — Better Health: $349.65
  • Aetna — Dual (D-SNP): $349.65
  • Aetna — Medicare Advantage: $2,794.67
  • Aetna — POS: $2,075.25
  • Amerihealth — Caritas: $349.65
  • BCBS of Louisiana — Blue Advantage HMO: $2,075.25
  • BCBS of Louisiana — HMO: $1,311.07
  • BCBS of Louisiana — HMO Louisiana Community Blue: $1,265.19
  • BCBS of Louisiana — PPO: $1,608.11
  • Cigna — HMO: $2,515.20
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: GASTROSCOPY $3,458.17 $2,074.90 $349.65 – $3,492.75
Upper GI endoscopy (diagnostic): 10 of 24 insurance plan rates
  • Aetna — Better Health: $349.65
  • Aetna — Dual (D-SNP): $349.65
  • Aetna — Medicare Advantage: $3,492.75
  • Aetna — POS: $2,593.62
  • Amerihealth — Caritas: $349.65
  • BCBS of Louisiana — Blue Advantage HMO: $2,593.62
  • BCBS of Louisiana — HMO: $1,311.07
  • BCBS of Louisiana — HMO Louisiana Community Blue: $1,265.19
  • BCBS of Louisiana — PPO: $1,608.11
  • Cigna — HMO: $3,143.47
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: PHY EGD FLEXIBLE $692 $415.20 $349.65 – $1,608.11
Upper GI endoscopy (diagnostic): 10 of 23 insurance plan rates
  • Aetna — Better Health: $349.65
  • Aetna — Dual (D-SNP): $349.65
  • Aetna — Medicare Advantage: $698.92
  • Aetna — POS: $519
  • Amerihealth — Caritas: $349.65
  • BCBS of Louisiana — Blue Advantage HMO: $519
  • BCBS of Louisiana — HMO: $1,311.07
  • BCBS of Louisiana — HMO Louisiana Community Blue: $1,265.19
  • BCBS of Louisiana — PPO: $1,608.11
  • Cigna — HMO: $629.02
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: EGD WITH BIOPSY SNG/MULTI $2,944 $1,766.40 $468.30 – $2,973.44
Upper GI endoscopy with biopsy: 10 of 24 insurance plan rates
  • Aetna — Better Health: $468.30
  • Aetna — Dual (D-SNP): $468.30
  • Aetna — Medicare Advantage: $2,973.44
  • Aetna — POS: $2,208
  • Amerihealth — Caritas: $468.30
  • BCBS of Louisiana — Blue Advantage HMO: $2,208
  • BCBS of Louisiana — HMO: $1,311.07
  • BCBS of Louisiana — HMO Louisiana Community Blue: $1,265.19
  • BCBS of Louisiana — PPO: $1,608.11
  • Cigna — HMO: $2,676.09
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: GASTRO W/BIOPSY SNGL/MULTI $3,680.48 $2,208.29 $468.30 – $3,717.28
Upper GI endoscopy with biopsy: 10 of 24 insurance plan rates
  • Aetna — Better Health: $468.30
  • Aetna — Dual (D-SNP): $468.30
  • Aetna — Medicare Advantage: $3,717.28
  • Aetna — POS: $2,760.36
  • Amerihealth — Caritas: $468.30
  • BCBS of Louisiana — Blue Advantage HMO: $2,760.36
  • BCBS of Louisiana — HMO: $1,311.07
  • BCBS of Louisiana — HMO Louisiana Community Blue: $1,265.19
  • BCBS of Louisiana — PPO: $1,608.11
  • Cigna — HMO: $3,345.55
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: PHY EGD FLEXIBLE W/BIOPSY $736 $441.60 $417.68 – $1,608.11
Upper GI endoscopy with biopsy: 10 of 23 insurance plan rates
  • Aetna — Better Health: $468.30
  • Aetna — Dual (D-SNP): $468.30
  • Aetna — Medicare Advantage: $743.36
  • Aetna — POS: $552
  • Amerihealth — Caritas: $468.30
  • BCBS of Louisiana — Blue Advantage HMO: $552
  • BCBS of Louisiana — HMO: $1,311.07
  • BCBS of Louisiana — HMO Louisiana Community Blue: $1,265.19
  • BCBS of Louisiana — PPO: $1,608.11
  • Cigna — HMO: $669.02
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: COLONOSCOPY FLEX,DX W/WO SPEC $3,134 $1,880.40 $468.30 – $3,165.34
Colonoscopy (diagnostic): 10 of 24 insurance plan rates
  • Aetna — Better Health: $468.30
  • Aetna — Dual (D-SNP): $468.30
  • Aetna — Medicare Advantage: $3,165.34
  • Aetna — POS: $2,350.50
  • Amerihealth — Caritas: $468.30
  • BCBS of Louisiana — Blue Advantage HMO: $2,350.50
  • BCBS of Louisiana — HMO: $1,391.12
  • BCBS of Louisiana — HMO Louisiana Community Blue: $1,342.44
  • BCBS of Louisiana — PPO: $1,706.30
  • Cigna — HMO: $2,848.80
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: PHY FLEXIBLE COLONOSCOPY $783 $469.80 $444.35 – $1,706.30
Colonoscopy (diagnostic): 10 of 23 insurance plan rates
  • Aetna — Better Health: $468.30
  • Aetna — Dual (D-SNP): $468.30
  • Aetna — Medicare Advantage: $790.83
  • Aetna — POS: $587.25
  • Amerihealth — Caritas: $468.30
  • BCBS of Louisiana — Blue Advantage HMO: $587.25
  • BCBS of Louisiana — HMO: $1,391.12
  • BCBS of Louisiana — HMO Louisiana Community Blue: $1,342.44
  • BCBS of Louisiana — PPO: $1,706.30
  • Cigna — HMO: $711.74
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $499.28
Colonoscopy (diagnostic): rates for 1 insurance plan
  • Verity — Healthnet: $499.28
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Hospital (facility) fee In the file: COLONOSCOPY WITH BIOPSY FLEX SNGL/MULTI $4,148.85 $2,489.31 $468.30 – $4,190.33
Colonoscopy with biopsy: 10 of 24 insurance plan rates
  • Aetna — Better Health: $468.30
  • Aetna — Dual (D-SNP): $468.30
  • Aetna — Medicare Advantage: $4,190.33
  • Aetna — POS: $3,111.63
  • Amerihealth — Caritas: $468.30
  • BCBS of Louisiana — Blue Advantage HMO: $3,111.63
  • BCBS of Louisiana — HMO: $1,391.12
  • BCBS of Louisiana — HMO Louisiana Community Blue: $1,342.44
  • BCBS of Louisiana — PPO: $1,706.30
  • Cigna — HMO: $3,771.30
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Hospital (facility) fee In the file: PHY FLEXIBLE COLONOSCOPY W/ BIOPSY S/M $401 $240.60 $227.56 – $1,706.30
Colonoscopy with biopsy: 10 of 23 insurance plan rates
  • Aetna — Better Health: $468.30
  • Aetna — Dual (D-SNP): $468.30
  • Aetna — Medicare Advantage: $405.01
  • Aetna — POS: $300.75
  • Amerihealth — Caritas: $468.30
  • BCBS of Louisiana — Blue Advantage HMO: $300.75
  • BCBS of Louisiana — HMO: $1,391.12
  • BCBS of Louisiana — HMO Louisiana Community Blue: $1,342.44
  • BCBS of Louisiana — PPO: $1,706.30
  • Cigna — HMO: $364.50
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file $658.50
Colonoscopy with biopsy: rates for 1 insurance plan
  • Verity — Healthnet: $658.50
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Hospital (facility) fee In the file: COLONO WITH POLYECTOMY FLEX BY SNARE TE $4,059.30 $2,435.58 $468.30 – $4,099.89
Colonoscopy with removal of polyps (snare): 10 of 24 insurance plan rates
  • Aetna — Better Health: $468.30
  • Aetna — Dual (D-SNP): $468.30
  • Aetna — Medicare Advantage: $4,099.89
  • Aetna — POS: $3,044.47
  • Amerihealth — Caritas: $468.30
  • BCBS of Louisiana — Blue Advantage HMO: $3,044.47
  • BCBS of Louisiana — HMO: $1,391.12
  • BCBS of Louisiana — HMO Louisiana Community Blue: $1,342.44
  • BCBS of Louisiana — PPO: $1,706.30
  • Cigna — HMO: $3,689.90
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Hospital (facility) fee In the file: PHY FLEXIBLE COLON W/POLYPECTOMY $507 $304.20 $287.72 – $1,706.30
Colonoscopy with removal of polyps (snare): 10 of 23 insurance plan rates
  • Aetna — Better Health: $468.30
  • Aetna — Dual (D-SNP): $468.30
  • Aetna — Medicare Advantage: $512.07
  • Aetna — POS: $380.25
  • Amerihealth — Caritas: $468.30
  • BCBS of Louisiana — Blue Advantage HMO: $380.25
  • BCBS of Louisiana — HMO: $1,391.12
  • BCBS of Louisiana — HMO Louisiana Community Blue: $1,342.44
  • BCBS of Louisiana — PPO: $1,706.30
  • Cigna — HMO: $460.86
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file Not listed in the file $658.50
Colonoscopy with removal of polyps (snare): rates for 1 insurance plan
  • Verity — Healthnet: $658.50
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US Not listed in the file Not listed in the file $468.30 – $1,706.30
Ultrasound of the lower bowel by endoscope: 10 of 24 insurance plan rates
  • Aetna — Better Health: $468.30
  • Aetna — Dual (D-SNP): $468.30
  • Amerihealth — Caritas: $468.30
  • BCBS of Louisiana — HMO: $1,391.12
  • BCBS of Louisiana — HMO Louisiana Community Blue: $1,342.44
  • BCBS of Louisiana — PPO: $1,706.30
  • Healthy Blue — Managed Medicaid: $468.30
  • Humana — Dual (D-SNP): $515.13
  • Humana — Healthy Horizons Medicaid: $515.13
  • Louisiana Health Care Connections — Managed Medicaid: $468.30
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Hospital (facility) fee In the file: COLORECTAL CA SCR COLO NO CRIT/HIGH RISK $3,312 $1,987.20 $499.28 – $3,643.20
Screening colonoscopy (not high risk): 10 of 24 insurance plan rates
  • Aetna — Better Health: $3,312
  • Aetna — Dual (D-SNP): $3,312
  • Aetna — Medicare Advantage: $3,345.12
  • Aetna — POS: $2,484
  • Amerihealth — Caritas: $3,312
  • BCBS of Louisiana — Blue Advantage HMO: $2,484
  • BCBS of Louisiana — HMO: $988.52
  • BCBS of Louisiana — HMO Louisiana Community Blue: $953.93
  • BCBS of Louisiana — PPO: $1,212.48
  • Cigna — HMO: $3,010.60
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Hospital (facility) fee In the file: PHY COLOR CA SCR COLO NO CRIT/HIGH RISK $828 $496.80 $469.89 – $1,212.48
Screening colonoscopy (not high risk): 10 of 23 insurance plan rates
  • Aetna — Better Health: $828
  • Aetna — Dual (D-SNP): $828
  • Aetna — Medicare Advantage: $836.28
  • Aetna — POS: $621
  • Amerihealth — Caritas: $828
  • BCBS of Louisiana — Blue Advantage HMO: $621
  • BCBS of Louisiana — HMO: $988.52
  • BCBS of Louisiana — HMO Louisiana Community Blue: $953.93
  • BCBS of Louisiana — PPO: $1,212.48
  • Cigna — HMO: $752.65
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLON CA SCRN NOT HI RSK IND Not listed in the file Not listed in the file $499.28
Screening colonoscopy (not high risk): rates for 1 insurance plan
  • Verity — Healthnet: $499.28
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY Not listed in the file Not listed in the file $535.50 – $8,582.54
Gallbladder removal by laparoscope: 10 of 24 insurance plan rates
  • Aetna — Better Health: $535.50
  • Aetna — Dual (D-SNP): $535.50
  • Amerihealth — Caritas: $535.50
  • BCBS of Louisiana — HMO: $6,997.23
  • BCBS of Louisiana — HMO Louisiana Community Blue: $6,752.36
  • BCBS of Louisiana — PPO: $8,582.54
  • Healthy Blue — Managed Medicaid: $535.50
  • Humana — Dual (D-SNP): $589.05
  • Humana — Healthy Horizons Medicaid: $589.05
  • Louisiana Health Care Connections — Managed Medicaid: $535.50
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR Not listed in the file Not listed in the file $661.50 – $5,710.41
Groin (inguinal) hernia repair, age 5 or older: 10 of 24 insurance plan rates
  • Aetna — Better Health: $661.50
  • Aetna — Dual (D-SNP): $661.50
  • Amerihealth — Caritas: $661.50
  • BCBS of Louisiana — HMO: $4,655.62
  • BCBS of Louisiana — HMO Louisiana Community Blue: $4,492.70
  • BCBS of Louisiana — PPO: $5,710.41
  • Healthy Blue — Managed Medicaid: $661.50
  • Humana — Dual (D-SNP): $727.65
  • Humana — Healthy Horizons Medicaid: $727.65
  • Louisiana Health Care Connections — Managed Medicaid: $661.50
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE Not listed in the file Not listed in the file $468.30 – $885.81
Prostate biopsy: 10 of 24 insurance plan rates
  • Aetna — Better Health: $468.30
  • Aetna — Dual (D-SNP): $468.30
  • Amerihealth — Caritas: $468.30
  • BCBS of Louisiana — HMO: $722.19
  • BCBS of Louisiana — HMO Louisiana Community Blue: $696.92
  • BCBS of Louisiana — PPO: $885.81
  • Healthy Blue — Managed Medicaid: $468.30
  • Humana — Dual (D-SNP): $515.13
  • Humana — Healthy Horizons Medicaid: $515.13
  • Louisiana Health Care Connections — Managed Medicaid: $468.30
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD Not listed in the file Not listed in the file $2,575.71 – $3,273.84
Prostate removal by laparoscope (radical prostatectomy): 10 of 23 insurance plan rates
  • BCBS of Louisiana — HMO: $2,669.12
  • BCBS of Louisiana — HMO Louisiana Community Blue: $2,575.71
  • BCBS of Louisiana — PPO: $3,273.84
  • Aetna — Better Health: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Dual (D-SNP): 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 101% (a percentage in the contract, not a dollar amount)
  • Aetna — POS: 75% (a percentage in the contract, not a dollar amount)
  • Amerihealth — Caritas: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of Louisiana — Blue Advantage HMO: 75% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO: 90.9% (a percentage in the contract, not a dollar amount)
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY Not listed in the file Not listed in the file $535.50 – $4,170.63
Hysteroscopy with biopsy of the uterus lining: 10 of 24 insurance plan rates
  • Aetna — Better Health: $535.50
  • Aetna — Dual (D-SNP): $535.50
  • Amerihealth — Caritas: $535.50
  • BCBS of Louisiana — HMO: $3,400.26
  • BCBS of Louisiana — HMO Louisiana Community Blue: $3,281.27
  • BCBS of Louisiana — PPO: $4,170.63
  • Healthy Blue — Managed Medicaid: $535.50
  • Humana — Dual (D-SNP): $589.05
  • Humana — Healthy Horizons Medicaid: $589.05
  • Louisiana Health Care Connections — Managed Medicaid: $535.50
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: CAUDAL HYPERTONIC SINGLE SHOT $3,733.91 $2,240.35 $349.65 – $3,771.24
Spinal injection, lower back (epidural), with imaging guidance: 10 of 24 insurance plan rates
  • Aetna — Better Health: $349.65
  • Aetna — Dual (D-SNP): $349.65
  • Aetna — Medicare Advantage: $3,771.24
  • Aetna — POS: $2,800.43
  • Amerihealth — Caritas: $349.65
  • BCBS of Louisiana — Blue Advantage HMO: $2,800.43
  • BCBS of Louisiana — HMO: $1,385.25
  • BCBS of Louisiana — HMO Louisiana Community Blue: $1,336.78
  • BCBS of Louisiana — PPO: $1,699.10
  • Cigna — HMO: $3,394.12
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: ESI CAUDAL BLOCK $3,733.91 $2,240.35 $349.65 – $3,771.24
Spinal injection, lower back (epidural), with imaging guidance: 10 of 24 insurance plan rates
  • Aetna — Better Health: $349.65
  • Aetna — Dual (D-SNP): $349.65
  • Aetna — Medicare Advantage: $3,771.24
  • Aetna — POS: $2,800.43
  • Amerihealth — Caritas: $349.65
  • BCBS of Louisiana — Blue Advantage HMO: $2,800.43
  • BCBS of Louisiana — HMO: $1,385.25
  • BCBS of Louisiana — HMO Louisiana Community Blue: $1,336.78
  • BCBS of Louisiana — PPO: $1,699.10
  • Cigna — HMO: $3,394.12
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: FAC ESI TRANSLAMINAR LUMBAR/SACRAL $2,987.13 $1,792.28 $349.65 – $3,017
Spinal injection, lower back (epidural), with imaging guidance: 10 of 24 insurance plan rates
  • Aetna — Better Health: $349.65
  • Aetna — Dual (D-SNP): $349.65
  • Aetna — Medicare Advantage: $3,017
  • Aetna — POS: $2,240.34
  • Amerihealth — Caritas: $349.65
  • BCBS of Louisiana — Blue Advantage HMO: $2,240.34
  • BCBS of Louisiana — HMO: $1,385.25
  • BCBS of Louisiana — HMO Louisiana Community Blue: $1,336.78
  • BCBS of Louisiana — PPO: $1,699.10
  • Cigna — HMO: $2,715.30
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: ESI TRANSFORAMINAL LUMB/SACR SGL LEV BIL $3,201.45 $1,920.87 $472.70 – $3,521.59
Nerve root injection, lower back, with imaging guidance: 10 of 24 insurance plan rates
  • Aetna — Better Health: $3,201.45
  • Aetna — Dual (D-SNP): $3,201.45
  • Aetna — Medicare Advantage: $3,233.46
  • Aetna — POS: $2,401.08
  • Amerihealth — Caritas: $3,201.45
  • BCBS of Louisiana — Blue Advantage HMO: $2,401.08
  • BCBS of Louisiana — HMO: $977.50
  • BCBS of Louisiana — HMO Louisiana Community Blue: $943.29
  • BCBS of Louisiana — PPO: $1,198.97
  • Cigna — HMO: $2,910.11
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX AA&/STRD TFRM EPI L/S 1 Not listed in the file Not listed in the file $472.70
Nerve root injection, lower back, with imaging guidance: rates for 1 insurance plan
  • Verity — Healthnet: $472.70
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee · modifier 50 In the file: BLOCK SELECT NERVE ROOT, LUM/SAC BIL $3,201.45 $1,920.87 Not listed in the file
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY Not listed in the file Not listed in the file $468.30 – $3,453.03
Carpal tunnel release: 10 of 24 insurance plan rates
  • Aetna — Better Health: $468.30
  • Aetna — Dual (D-SNP): $468.30
  • Amerihealth — Caritas: $468.30
  • BCBS of Louisiana — HMO: $2,815.21
  • BCBS of Louisiana — HMO Louisiana Community Blue: $2,716.69
  • BCBS of Louisiana — PPO: $3,453.03
  • Healthy Blue — Managed Medicaid: $468.30
  • Humana — Dual (D-SNP): $515.13
  • Humana — Healthy Horizons Medicaid: $515.13
  • Louisiana Health Care Connections — Managed Medicaid: $468.30
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY Not listed in the file Not listed in the file $468.30 – $1,001.88
Laser treatment of clouding after cataract surgery: 10 of 24 insurance plan rates
  • Aetna — Better Health: $468.30
  • Aetna — Dual (D-SNP): $468.30
  • Amerihealth — Caritas: $468.30
  • BCBS of Louisiana — HMO: $816.82
  • BCBS of Louisiana — HMO Louisiana Community Blue: $788.24
  • BCBS of Louisiana — PPO: $1,001.88
  • Healthy Blue — Managed Medicaid: $468.30
  • Humana — Dual (D-SNP): $515.13
  • Humana — Healthy Horizons Medicaid: $515.13
  • Louisiana Health Care Connections — Managed Medicaid: $468.30
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP Not listed in the file Not listed in the file $864.15 – $4,648.85
Cataract removal with lens implant: 10 of 24 insurance plan rates
  • Aetna — Better Health: $864.15
  • Aetna — Dual (D-SNP): $864.15
  • Amerihealth — Caritas: $864.15
  • BCBS of Louisiana — HMO: $3,790.15
  • BCBS of Louisiana — HMO Louisiana Community Blue: $3,657.51
  • BCBS of Louisiana — PPO: $4,648.85
  • Healthy Blue — Managed Medicaid: $864.15
  • Humana — Dual (D-SNP): $950.57
  • Humana — Healthy Horizons Medicaid: $950.57
  • Louisiana Health Care Connections — Managed Medicaid: $864.15

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE Not listed in the file Not listed in the file Not listed in the file
Vaginal delivery, with care before and after: 10 of 24 insurance plan rates
  • Aetna — Better Health: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Dual (D-SNP): 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 101% (a percentage in the contract, not a dollar amount)
  • Aetna — POS: 75% (a percentage in the contract, not a dollar amount)
  • Amerihealth — Caritas: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of Louisiana — Blue Advantage HMO: 75% (a percentage in the contract, not a dollar amount)
  • BCBS of Louisiana — HMO: 50% (a percentage in the contract, not a dollar amount)
  • BCBS of Louisiana — HMO Louisiana Community Blue: 50% (a percentage in the contract, not a dollar amount)
  • BCBS of Louisiana — PPO: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO: 90.9% (a percentage in the contract, not a dollar amount)
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY Not listed in the file Not listed in the file Not listed in the file
Cesarean delivery (C-section), with care before and after: 10 of 24 insurance plan rates
  • Aetna — Better Health: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Dual (D-SNP): 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 101% (a percentage in the contract, not a dollar amount)
  • Aetna — POS: 75% (a percentage in the contract, not a dollar amount)
  • Amerihealth — Caritas: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of Louisiana — Blue Advantage HMO: 75% (a percentage in the contract, not a dollar amount)
  • BCBS of Louisiana — HMO: 50% (a percentage in the contract, not a dollar amount)
  • BCBS of Louisiana — HMO Louisiana Community Blue: 50% (a percentage in the contract, not a dollar amount)
  • BCBS of Louisiana — PPO: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO: 90.9% (a percentage in the contract, not a dollar amount)
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY Not listed in the file Not listed in the file Not listed in the file
Vaginal delivery after a previous C-section, with care before and after: 10 of 24 insurance plan rates
  • Aetna — Better Health: 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Dual (D-SNP): 100% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 101% (a percentage in the contract, not a dollar amount)
  • Aetna — POS: 75% (a percentage in the contract, not a dollar amount)
  • Amerihealth — Caritas: 100% (a percentage in the contract, not a dollar amount)
  • BCBS of Louisiana — Blue Advantage HMO: 75% (a percentage in the contract, not a dollar amount)
  • BCBS of Louisiana — HMO: 50% (a percentage in the contract, not a dollar amount)
  • BCBS of Louisiana — HMO Louisiana Community Blue: 50% (a percentage in the contract, not a dollar amount)
  • BCBS of Louisiana — PPO: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — HMO: 90.9% (a percentage in the contract, not a dollar amount)

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file Not listed in the file $825 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $70,734
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 24 insurance plan rates
  • Aetna — Better Health: $3,137.38
  • Aetna — Dual (D-SNP): $3,137.38
  • Aetna — Medicare Advantage: $5,742
  • Aetna — POS: $825 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Amerihealth — Caritas: $3,137.38
  • BCBS of Louisiana — Blue Advantage HMO: $7,857
  • Healthy Blue — Managed Medicaid: $3,137.38
  • Humana — Dual (D-SNP): $3,137.38
  • Humana — Gold Medicare: $9,145
  • Humana — Healthy Horizons Medicaid: $3,137.38
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 $29,895
Spinal fusion (not neck), without major complications: rates for 1 insurance plan
  • Verity — Healthnet: $29,895
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 $825 – $20,813.11
Hip or knee replacement (major joint of the leg), without major complications: 10 of 24 insurance plan rates
  • Aetna — Better Health: $3,137.38
  • Aetna — Dual (D-SNP): $3,137.38
  • Aetna — Medicare Advantage: $5,742
  • Aetna — POS: $825
  • Amerihealth — Caritas: $3,137.38
  • BCBS of Louisiana — Blue Advantage HMO: $7,857
  • Healthy Blue — Managed Medicaid: $3,137.38
  • Humana — Dual (D-SNP): $3,137.38
  • Humana — Gold Medicare: $9,145
  • Humana — Healthy Horizons Medicaid: $3,137.38
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 $825 – $20,813.11
Neck (cervical) spinal fusion, without complications: 10 of 24 insurance plan rates
  • Aetna — Better Health: $3,137.38
  • Aetna — Dual (D-SNP): $3,137.38
  • Aetna — Medicare Advantage: $5,742
  • Aetna — POS: $825
  • Amerihealth — Caritas: $3,137.38
  • BCBS of Louisiana — Blue Advantage HMO: $7,857
  • Healthy Blue — Managed Medicaid: $3,137.38
  • Humana — Dual (D-SNP): $3,137.38
  • Humana — Gold Medicare: $9,145
  • Humana — Healthy Horizons Medicaid: $3,137.38
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 $825 – $20,813.11
Uterus and ovary surgery (not for cancer), without complications: 10 of 24 insurance plan rates
  • Aetna — Better Health: $3,137.38
  • Aetna — Dual (D-SNP): $3,137.38
  • Aetna — Medicare Advantage: $5,742
  • Aetna — POS: $825
  • Amerihealth — Caritas: $3,137.38
  • BCBS of Louisiana — Blue Advantage HMO: $7,857
  • Healthy Blue — Managed Medicaid: $3,137.38
  • Humana — Dual (D-SNP): $3,137.38
  • Humana — Gold Medicare: $9,145
  • Humana — Healthy Horizons Medicaid: $3,137.38

Source: West Feliciana Parish Hospital’s standard charges file (mrfs.hyvehealthcare.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on May 11, 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 typeCritical Access Hospital
Address5266 Commerce Street, Building B, Saint Francisville, LA 70775
ParishWest Feliciana Parish
StateLouisiana
Phone(225) 635‑3811
Emergency servicesYes
OwnershipGovernment - Hospital District or Authority
Medicare overall ratingNot rated by CMS
CMS Certification Number191306
Name in Medicare recordsWEST FELICIANA PARISH HOSPITAL
Profile levelMedicare data + hospital website
Official websitewfph.org
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-31.

  1. Imaging Services | MRI | West Feliciana Parish Hospital — wfph.org
  2. Intensive Outpatient Program | Mental Health Services | WFPH — wfph.org
  3. Emergency Care | St Francisville ER | West Feliciana Hospital — wfph.org
  4. Respiratory Services | Lung Doctor | West Feliciana Hospital — wfph.org
  5. Rehabilitation Services | St Francisville Outpatient Rehab | WFPH — wfph.org
  6. CPR & Safe Babysitter Classes in St Francisville | WFPH — wfph.org
  7. Inpatient Care | St Francisville Inpatient | West Feliciana Hospital — wfph.org
  8. Infusion Therapy | IV Services | West Feliciana Hospital — wfph.org
  9. Wound Care Center | West Feliciana Hospital — wfph.org