CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: St Charles Parish Hospital

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $9,437
  • Cash Discount Price: $4,812
  • vs. Medicare Baseline: 1.66x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at St Charles Parish Hospital is $9,437. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,812. Compared to the federal Medicare reimbursement reference rate of $5,675.87, this hospital’s rate is 1.66x the Medicare baseline. Located in 1057 Paul Maillard Road, Luling, LA.
Cash / Self-Pay
$4,812

Average discount available for prompt cash payment at this facility.

Insurance Median
$9,437

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: $4,812 (85%)
Insurance Median: $9,437 (166%)
Cash: $4,812 (85% of Medicare)
Ins. Median: $9,437 (166% 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
Medicaid / KanCare $2,986 - $6,952 53%
UnitedHealthcare $3,531 - $7,383 62%
Tricare $4,318 76%
Louisiana Workers' Compensation Corporation (Lwcc) $5,407 - $13,346 95%
Aetna $7,383 130%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan) $7,383 130%
Blue Cross Blue Shield $7,383 - $23,052 130%
Healthy Blue Dual Advantage (Hmo-D-Snp) $7,383 130%
Humana $7,383 130%
Medicare (plans) $7,383 130%
Ochsner Health Plan $7,383 130%
Galaxy Health Network Ppo $7,865 - $19,412 139%
Galaxy Health Network Wc $7,865 - $19,412 139%
Healthcomp & Personify Health (Formerly Gilsbar) $7,865 - $19,412 139%
First Health Network $8,357 - $20,625 147%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1057 Paul Maillard Road, Luling, LA 70070
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals