CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Ochsner University Hospital and Clinics

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $11,325
  • Cash Discount Price: $4,602
  • vs. Medicare Baseline: 2.00x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Ochsner University Hospital and Clinics is $11,325. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,602. Compared to the federal Medicare reimbursement reference rate of $5,675.87, this hospital’s rate is 2.00x the Medicare baseline. Located in 2390 West Congress, Lafayette, LA.
Cash / Self-Pay
$4,602

Average discount available for prompt cash payment at this facility.

Insurance Median
$11,325

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$5,675.87

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $5,675.87 (100%)
Cash / Self-Pay: $4,602 (81%)
Insurance Median: $11,325 (200%)
Cash: $4,602 (81% of Medicare)
Ins. Median: $11,325 (200% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $5,675.87 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Blue Cross Blue Shield $5,587 - $11,325 98%
Verity Commercial And First Choice Network $6,725 118%
Zelis $7,491 132%
Cigna $7,598 134%
Tricare $7,753 137%
UnitedHealthcare $9,626 - $12,315 170%
Aetna $11,325 200%
Healthy Blue Dual Advantage (Hmo-D-Snp) $11,325 200%
Medicare (plans) $11,325 200%
Ochsner Health Plan $11,325 200%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan) $11,664 206%
Wellcare Of Louisiana $11,891 210%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2390 West Congress, Lafayette, LA 70506
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals