CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: North Oaks Medical Center

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$6,491

about 1.1× the $5,676 Medicare rate · typically $5,681–$8,117

modeled estimate · not a bill or quote

What this hospital charges insurers

$5,735

Below the fair price — a good deal

about $756 under the fair price · 1.0× Medicare

Medicare pays $5,676 Fair price $6,491 This hospital $5,735 Cash price $8,755 Hospital's list price $51,965

How we calculate the fair BaseRate →

How this hospital compares to other LA hospitals

Highest price of the 9 LA hospitals we have prices for — worth calling around.

Cheapest $4,408 Priciest $5,735

Black dot = this hospital, among the 9 LA hospitals with a price for this procedure. Full list below.

A fair price for a Digestive disorders treatment (inpatient stay) is about $6,491 (about 1.1× the $5,676 Medicare rate). North Oaks Medical Center charges insurers about $5,735, or about $8,755 in cash — below the fair price — a good deal. Located in Hammond, LA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$1,197 - $5,735	21%
Blue Cross Blue Shieldmajor	$9,944 - $10,310	175%
Aetnamajor	$1,197 - $5,735	21%
Humanamajor	$1,197 - $5,735	21%
WellCare	$5,735	101%
+ 8 smaller / regional plans	$1,174 - $5,735

Government programs also on file: Medicaid, Military & VA.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 8,755), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 392.

Insurance Before you use insurance

Call your insurance company to confirm North Oaks Medical Center is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 392.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at North Oaks Medical Center

Compare: Digestive disorders treatment (inpatient stay) at other LA hospitals

Caldwell Memorial Hospital, Inc · Columbia $4,408
Lallie Kemp Medical Center · Independence $4,424
St Tammany Parish Hospital · Covington $4,660
Christus Ochsner Lake Area Hospital · Lake Charles $4,809
Sabine Medical Center · Many $4,861
Christus Ochsner St Patrick Hospital · Lake Charles $4,892
Winn Parish Medical Center · Winnfield $4,922
Lafayette Surgical Specialty Hospital · Lafayette $5,000

Insurance negotiated median for the same procedure, sorted lowest first.