CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Leonard J Chabert Medical Center

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 392
Insurance Median: $6,138
Cash Discount Price: $3,569
vs. Medicare Baseline: 1.08x Medicare

The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Leonard J Chabert Medical Center is $6,138. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,569. Compared to the federal Medicare reimbursement reference rate of $5,675.87, this hospital’s rate is 1.08x the Medicare baseline. Located in 1978 Industrial Blvd, Houma, LA.

Cash / Self-Pay

$3,569

Average discount available for prompt cash payment at this facility.

Insurance Median

$6,138

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: $3,569 (63%)

Insurance Median: $6,138 (108%)

Cash: $3,569 (63% of Medicare)

Ins. Median: $6,138 (108% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Louisiana Workers' Compensation Corporation (Lwcc)	$3,076 - $6,075	54%
Medicaid / KanCare	$3,519 - $5,399	62%
Claritev D/B/A Multiplan/Phcs/American Life Care	$4,195 - $8,284	74%
First Health Network	$4,474 - $8,836	79%
Healthcomp & Personify Health (Formerly Gilsbar)	$4,586 - $9,057	81%
Usa Managed Care Network	$4,754 - $9,389	84%
Verity Commercial And First Choice Network	$5,153	91%
Tricare	$5,337	94%
Aetna	$6,783 - $11,115	120%
Zelis	$6,945	122%
UnitedHealthcare	$7,879 - $11,115	139%
Ochsner Health Plan	$11,032	194%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$11,115	196%
Blue Cross Blue Shield	$11,115	196%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$11,115	196%
Medicare (plans)	$11,115	196%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $3,569.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify MS-DRG Code matches exactly: 392.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Leonard J Chabert Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for MS-DRG code 392.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.