CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Christus Ochsner St Patrick Hospital

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $4,750
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.84x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Christus Ochsner St Patrick Hospital is $4,750. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $5,675.87, this hospital’s rate is 0.84x the Medicare baseline. Located in 524 Dr Michael Debakey Drive, Lake Charles, LA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,750

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%)
Insurance Median: $4,750 (84%)
Ins. Median: $4,750 (84% 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
Amerihealth Caritas Louisiana $1,174 21%
Louisiana Healthcare Connections $1,174 21%
UnitedHealthcare $1,174 - $7,787 21%
Humana $1,197 - $11,473 21%
Healthy Blue Louisiana $1,209 21%
Aetna $1,232 - $4,750 22%
Healthcare Highways $1,500 26%
Verity Healthnet $1,500 26%
Ppo Usa $2,035 36%
Ppoplus Llc $2,381 42%
Multiplan $3,966 70%
Phcs $3,966 70%
Vantage Health Plan Inc. $4,161 73%
Five Point Credit Union $4,190 74%
Triwest $4,655 82%
Arcadian $4,750 84%
Blue Cross Blue Shield $4,750 - $11,850 84%
Christus Health $4,750 - $6,650 84%
Coventry $4,750 84%
Vantage Health Plan Inc $4,750 84%
Dignity Health $4,892 86%
Peoples Health $4,892 86%
Wellcare $4,987 88%
Allyalign Health $5,225 92%
Medicare (plans) $5,225 92%
Lsu First Choice Verity $5,712 101%
Cigna $9,094 160%
Gilsbar Inc. $9,812 173%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 524 Dr Michael Debakey Drive, Lake Charles, LA 70601
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals