CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Acadia General Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$55
about 0.6× the $95 Medicare rate · typically $34–$117
modeled estimate · not a bill or quote
What this hospital charges insurers
$38
Below the fair price — a good deal
about $17 under the fair price · 0.4× Medicare
Medicare pays $95 Fair price $55 This hospital $38 Cash price $63 Hospital's list price $273

How we calculate the fair BaseRate →

How this hospital compares to other LA hospitals

A typical price — 0 charge more and 4 charge less, among the 9 LA hospitals compared.

Cheapest $20 Priciest $38

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

A fair price for a Office visit, established patient (20-29 min) is about $55 (about 0.6× the $95 Medicare rate). Acadia General Hospital charges insurers about $38, or about $63 in cash — below the fair price — a good deal. Located in Crowley, 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 $38 - $150 40%
Blue Cross Blue Shieldmajor $203 - $218 213%
Aetnamajor $38 - $164 40%
Humanamajor $38 40%
AmeriHealth $38 40%
+ 3 smaller / regional plans $38 - $96

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 1305 Crowley Rayne Highway, Crowley, LA 70526
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals