CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Ochsner St Martin Hospital

Billing Code: 45380 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$566
about 0.5× the $1,223 Medicare rate · typically $245–$1,255
modeled estimate · not a bill or quote
What this hospital charges insurers
$468
Below the fair price — a good deal
about $98 under the fair price · 0.4× Medicare
Medicare pays $1,223 Fair price $566 This hospital $468 Cash price $544 Hospital's list price $1,812

How we calculate the fair BaseRate →

How this hospital compares to other LA hospitals

A typical price — 2 charge more and 4 charge less, among the 9 LA hospitals compared.

Cheapest $210 Priciest $515

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

A fair price for a Colonoscopy with biopsy is about $566 (about 0.5× the $1,223 Medicare rate). Ochsner St Martin Hospital charges insurers about $468, or about $544 in cash — below the fair price — a good deal. Located in Breaux Bridge, LA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $399 - $916 33%
Blue Cross Blue Shieldmajor $399 - $1,394 33%
Aetnamajor $399 - $1,649 33%
Cignamajor $1,540 126%
Humanamajor $399 - $468 33%
AmeriHealth $468 38%
WellCare $399 33%
+ 6 smaller / regional plans $399 - $634
Government programs also on file: Medicare, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 210 Champagne Boulevard, Breaux Bridge, LA 70517
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals