CMS Price Transparency Data

Hospital observation (per hour)

Facility: Northern Louisiana Medical Center

Billing Code: G0378 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0378
  • Insurance Median: $69
  • Cash Discount Price: $262
  • vs. Medicare Baseline: N/A Medicare
The contracted insurance negotiated median rate for a Hospital observation (per hour) at Northern Louisiana Medical Center is $69. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $262. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 401 East Vaughn Avenue, Ruston, LA.
Cash / Self-Pay
$262

Average discount available for prompt cash payment at this facility.

Insurance Median
$69

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
N/A

Standard federal government reimbursement rate for this code.

Out-of-Pocket Cost Estimator

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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 $5 - $532 N/A
Aetna $10 - $531 N/A
Blue Cross Blue Shield $10 - $127 N/A
Medicaid / KanCare $10 - $885 N/A
Humana $11 - $139 N/A
Golden Rule Ins $26 - $532 N/A
Kaiser Permanente $34 - $442 N/A
Verity Healthnet $34 - $434 N/A
Cigna $34 - $442 N/A
Self Pay $38 - $487 N/A
Gilsbar $38 - $487 N/A
Geha $55 - $841 N/A
PHCS $59 - $752 N/A
Multiplan $59 - $752 N/A
First Health $59 - $752 N/A
Work Comp City of Ruston $62 - $796 N/A
Work Comp First Health $62 - $796 N/A
Workers Compensation $62 - $796 N/A
Work Comp Nlmc Emp $62 - $796 N/A
Lin Parish Detention $69 - $885 N/A
Union Fidelity Life Ins $69 - $885 N/A
Physicians Mutual Ins $69 - $885 N/A
Us Dept of Labor $69 - $885 N/A
United American $69 - $885 N/A
The Hartford $69 - $885 N/A
Principal Mutual Life Ins $69 - $885 N/A
Nalc Health Benefit Plan $69 - $885 N/A
Benefit Trust Life $69 - $885 N/A
Aarp $69 - $885 N/A
State Mutual Ins $69 - $885 N/A
Equitable $69 - $885 N/A
Nalc Natl Assoc Ltr Carri $69 - $885 N/A
Bankers Life and Casualty $69 - $885 N/A
Union Bankers Insurance C $69 - $885 N/A
McR American Hlth Adv $69 - $885 N/A
State Farm Insurance $69 - $885 N/A
Mva Insurance Payors $69 - $885 N/A
Premier Hospice $69 - $885 N/A
Apwu Health Plan $69 - $885 N/A
Newera $69 - $885 N/A
Misc Commercial $69 - $885 N/A
Lifecare Specialty Hosp $69 - $885 N/A
Fox Everett Inc $69 - $885 N/A
Nlmc Community Services $69 - $885 N/A
Sterling Investors Life $69 - $885 N/A
Crime Victims Compensatio $69 - $885 N/A
Lincoln Kidney Center $69 - $885 N/A
Liberty Healthshare $69 - $885 N/A
Ruston Regional Specialty $69 - $885 N/A
Hospice of Caring Hearts $69 - $885 N/A
Guarantee Trust Life Ins $69 - $885 N/A
Liberty Mutual Group $69 - $885 N/A
Washington National Ins $69 - $885 N/A
Gsu Athletics $69 - $885 N/A
Ltu Athletics $69 - $885 N/A
Ltu Student Ins Bollinger $69 - $885 N/A
Healthfirst Tpa $69 - $885 N/A
United Teachers Ins $69 - $885 N/A
Aflc American Family Life $69 - $885 N/A
Specialty Hosp of Winnfie $69 - $885 N/A
Ima Insurance $69 - $885 N/A
American Life Accident $69 - $885 N/A
Protective Life Ins $69 - $885 N/A
Industrial Accounts $69 - $885 N/A
Gmp Employers Retiree Tru $69 - $885 N/A

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 East Vaughn Avenue, Ruston, LA 71270
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals