CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Ochsner St Martin Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$93
about 0.7× the $136 Medicare rate · typically $65–$215
modeled estimate · not a bill or quote
What this hospital charges insurers
$91
About the fair price
about $2 under the fair price · 0.7× Medicare
Medicare pays $136 Fair price $93 This hospital $91 Cash price $84 Hospital's list price $279

How we calculate the fair BaseRate →

How this hospital compares to other LA hospitals

Highest price of the 9 LA hospitals we have prices for — worth calling around.

Cheapest $25 Priciest $91

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

A fair price for a Office visit, established patient (30-39 min) is about $93 (about 0.7× the $136 Medicare rate). Ochsner St Martin Hospital charges insurers about $91, or about $84 in cash — about the fair price. 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 $43 - $273 32%
Blue Cross Blue Shieldmajor $41 - $384 30%
Aetnamajor $43 - $331 32%
Cignamajor $99 - $126 73%
Humanamajor $43 - $218 32%
AmeriHealth $57 - $143 42%
WellCare $43 - $218 32%
+ 6 smaller / regional plans $43 - $224
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