CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Ochsner St Anne General Hospital

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 392
Insurance Median: $6,547
Cash Discount Price: $3,808
vs. Medicare Baseline: 1.15x Medicare

The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Ochsner St Anne General Hospital is $6,547. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,808. Compared to the federal Medicare reimbursement reference rate of $5,675.87, this hospital’s rate is 1.15x the Medicare baseline. Located in 4608 Highway 1, Raceland, LA.

Cash / Self-Pay

$3,808

Average discount available for prompt cash payment at this facility.

Insurance Median

$6,547

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: $3,808 (67%)

Insurance Median: $6,547 (115%)

Cash: $3,808 (67% of Medicare)

Ins. Median: $6,547 (115% 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)	$2,441 - $6,218	43%
Tricare	$3,151 - $8,027	56%
Medicaid / KanCare	$3,292 - $4,598	58%
Mississippi Physicians Care Network	$3,329 - $8,479	59%
Healthcomp & Personify Health (Formerly Gilsbar)	$3,386 - $8,626	60%
Zelis	$3,684 - $9,384	65%
Employers Health Network (Ehn)	$3,773 - $9,610	66%
First Health Network	$3,773 - $9,610	66%
Prime Health Services Ppo	$3,773 - $9,610	66%
Claritev D/B/A Multiplan/Phcs/American Life Care	$3,994 - $10,175	70%
Usa Managed Care Network	$3,994 - $10,175	70%
Cigna	$7,194	127%
Aetna	$7,443	131%

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 $3,808.
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 Ochsner St Anne General Hospital 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.