CMS Price Transparency Data
Diagnostic procedure preparation
Facility: Northern Louisiana Medical Center
Billing Code: G0279 (HCPCS)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: G0279
- Insurance Median: $74
- Cash Discount Price: $45
- vs. Medicare Baseline: 1.83x Medicare
The contracted insurance negotiated median rate for a Diagnostic procedure preparation at Northern Louisiana Medical Center is $74. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $45. Compared to the federal Medicare reimbursement reference rate of $40.41, this hospital’s rate is 1.83x the Medicare baseline. Located in 401 East Vaughn Avenue, Ruston, LA.
Cash / Self-Pay
$45
Average discount available for prompt cash payment at this facility.
Insurance Median
$74
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$40.41
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $40.41 (100%)
Cash / Self-Pay: $45 (111%)
Insurance Median: $74 (183%)
Cash: $45 (111% of Medicare)
Ins. Median: $74 (183% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $40.41 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 |
|---|---|---|
| UnitedHealthcare | $6 - $50 | 15% |
| Aetna | $12 - $50 | 30% |
| Medicaid / KanCare | $12 - $82 | 30% |
| Blue Cross Blue Shield | $12 - $45 | 30% |
| Humana | $13 - $39 | 32% |
| Champus | $31 | 77% |
| Golden Rule Ins | $31 - $50 | 77% |
| Tricare | $31 - $39 | 77% |
| Champva | $31 | 77% |
| Veterans Evaluation Svcs | $39 | 97% |
| Medicare (plans) | $39 | 97% |
| Vantage Advantage | $39 | 97% |
| VA | $39 | 97% |
| Mutual of Omaha | $39 | 97% |
| Verity Healthnet | $40 | 99% |
| Cigna | $41 | 101% |
| Kaiser Permanente | $41 | 101% |
| Gilsbar | $45 | 111% |
| Self Pay | $45 | 111% |
| Gulf South Services | $51 | 126% |
| Geha | $66 - $78 | 163% |
| PHCS | $70 | 173% |
| Multiplan | $70 | 173% |
| First Health | $70 | 173% |
| Workers Compensation | $74 | 183% |
| Work Comp First Health | $74 | 183% |
| Work Comp City of Ruston | $74 | 183% |
| Work Comp Nlmc Emp | $74 | 183% |
| Vantage Health Plan Ppaca | $75 | 186% |
| Vantage Health Plan | $79 | 195% |
| Guarantee Trust Life Ins | $82 | 203% |
| Union Fidelity Life Ins | $82 | 203% |
| Equitable | $82 | 203% |
| Sterling Investors Life | $82 | 203% |
| The Hartford | $82 | 203% |
| Union Bankers Insurance C | $82 | 203% |
| Lifecare Specialty Hosp | $82 | 203% |
| Ltu Student Ins Bollinger | $82 | 203% |
| Newera | $82 | 203% |
| State Farm Insurance | $82 | 203% |
| Nlmc Community Services | $82 | 203% |
| United American | $82 | 203% |
| Hospice of Caring Hearts | $82 | 203% |
| Ltu Athletics | $82 | 203% |
| Lincoln Kidney Center | $82 | 203% |
| Us Dept of Labor | $82 | 203% |
| Specialty Hosp of Winnfie | $82 | 203% |
| Mva Insurance Payors | $82 | 203% |
| Gmp Employers Retiree Tru | $82 | 203% |
| Fox Everett Inc | $82 | 203% |
| Gsu Athletics | $82 | 203% |
| Nalc Natl Assoc Ltr Carri | $82 | 203% |
| Protective Life Ins | $82 | 203% |
| Misc Commercial | $82 | 203% |
| American Life Accident | $82 | 203% |
| Healthfirst Tpa | $82 | 203% |
| State Mutual Ins | $82 | 203% |
| Benefit Trust Life | $82 | 203% |
| Industrial Accounts | $82 | 203% |
| Lin Parish Detention | $82 | 203% |
| Liberty Mutual Group | $82 | 203% |
| Nalc Health Benefit Plan | $82 | 203% |
| Bankers Life and Casualty | $82 | 203% |
| Aarp | $82 | 203% |
| Washington National Ins | $82 | 203% |
| Physicians Mutual Ins | $82 | 203% |
| Ruston Regional Specialty | $82 | 203% |
| Liberty Healthshare | $82 | 203% |
| United Teachers Ins | $82 | 203% |
| Crime Victims Compensatio | $82 | 203% |
| McR American Hlth Adv | $82 | 203% |
| Aflc American Family Life | $82 | 203% |
| Premier Hospice | $82 | 203% |
| Principal Mutual Life Ins | $82 | 203% |
| Ima Insurance | $82 | 203% |
| Apwu Health Plan | $82 | 203% |