CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Ochsner Medical Center Acute

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$6,794

about 1.2× the $5,676 Medicare rate · typically $5,841–$12,177

modeled estimate · not a bill or quote

What this hospital charges insurers

$12,756

Well above the fair price

about $5,962 over the fair price · 2.2× Medicare

Medicare pays $5,676 Fair price $6,794 This hospital $12,756 Cash price $6,714 Hospital's list price $30,519

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 $12,756

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 $6,794 (about 1.2× the $5,676 Medicare rate). Ochsner Medical Center Acute charges insurers about $12,756, or about $6,714 in cash — well above the fair price. Located in New Orleans, LA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $6,794. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$6,614 - $14,482	117%
Blue Cross Blue Shieldmajor	$6,962 - $13,913	123%
Aetnamajor	$11,160 - $12,131	197%
Cignamajor	$10,788	190%
Humanamajor	$6,962	123%
Health Net	$15,972 - $48,091	281%
+ 8 smaller / regional plans	$5,939 - $50,920

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

Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 6,714), 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 Ochsner Medical Center Acute 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 Ochsner Medical Center Acute

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.