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Hospital Profile Acute Care Hospital Government - Hospital District or Authority 44 Beds · rural Updated: 2026-02-09

Abbeville General Hospital

118 N Hospital Dr, Abbeville, LA 70510 · 90 Priced Procedures · 74% Patient Recommendation

CMS Overall Rating 3 / 5 Stars
Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.Near Fair BaseRate Benchmark
0.99×vs. Fair Market Price
Position vs. 1.00× Fair PriceRight at U.S. Average (0%) 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

Typical commercial prices here match the fair market benchmark (0.99×) after accounting for local nurse/doctor wages and patient complexity.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).85/100 · Corroborated
85/100Self-Pay Cash Beats Insurance 61% of the Time
File Completeness100Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic74Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment71Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing80Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount100Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Clinical Quality & ER SpeedChecks whether higher hospital prices actually buy better clinical quality — combining CMS Star Ratings, hospital safety scores, and emergency room wait times.Regional Value Leader
CMS Star Rating5/5 StarsOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety Score80/100Composite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER Wait119 minMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.

5-Star CMS clinical quality rating paired with 0.99× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Abbeville General Hospital prices shoppable and inpatient services (1.0× to 1.1× Medicare, divergence 1.10×) in alignment with regional hospital peers (0.99× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#50 of 101 in LA · 48th State Percentile#1,235 of 3,385 in U.S. · 36th National Percentile
Advantage

Where They're Good (Patient & Payer Edge)

  • Bottom-quartile procedures (Q25) price at 0.78× the peer BaseRate benchmark
  • Self-pay cash beats commercial insurance on 61% of shoppable procedures (99/100 Cash Honesty)
  • CMS clinical safety score (80/100 safety score) with 74% patient recommendation
  • Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Watchout

Where You Can Get Burned (Markup Traps)

  • Even at low-cost facilities (0.99× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
  • Captive ER (0.6×) & laboratory (0.9×) services average 1.10× higher multiples than routine shoppable care (1.0×)
  • Upper-quartile procedures (Q75 1.01×) jump +19% above the median procedure ratio (Q50 0.85×)
  • Consolidated metro market (HHI 2,917) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Front-Door ShoppableElective / Imaging
1.0× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.10× Divergence
1.1× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+19% Upper Tail
Q25 0.78× · Q50 0.85× · Q75 1.01×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.
Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×
Front-Door Shoppable CareFront-Door Shoppable
1.0× MedicareGood
Outpatient Surgery & ORBack-Door Captive
0.5× MedicareGood
Diagnostic Imaging (CT/MRI)Front-Door Shoppable
1.0× MedicareGood
Back-Door Captive ER VisitsBack-Door Captive
0.6× MedicareGood
Inpatient Lab & PathologyBack-Door Captive
0.9× MedicareGood
Specialty & Infusion Drugs (J-Codes)Back-Door Captive
0.5× MedicareGood
Self-Pay Cash Honesty & 501(r)Integrity & Outcomes
61% Cash Edge · 99/100Good
CMS Clinical Safety & Star ValueIntegrity & Outcomes
3 CMS · 80/100Good

Procedure Prices at Abbeville General Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 90 published procedures.

Sort:
Procedure & Billing Code This Hospital vs. Fair
Trauma team activation
HCPCS Code: G0390
— unverified
Sleep study (overnight, in lab)
CPT Code: 95810
$778 0.8×
Injection procedure for pain management
HCPCS Code: G0260
$639 0.7×
Breast lump removal
CPT Code: 19120
$613 unverified
Echocardiogram (heart ultrasound)
CPT Code: 93306
$495 0.8×
MRI, knee or other leg joint
CPT Code: 73721
$469 1.3×
Blood transfusion
CPT Code: 36430
$399 0.8×
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
$316 0.7×
MRI, brain (with and without contrast)
CPT Code: 70553
$316 0.6×
Rabies immune globulin
HCPCS Code: 90375
$280 0.9×
Ultrasound, leg veins (duplex)
CPT Code: 93970
$216 0.8×
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
$216 0.7×
MRI, lower back (no contrast)
CPT Code: 72148
$216 0.6×
MRI, brain (no contrast)
CPT Code: 70551
$216 0.6×
Family therapy session
CPT Code: 90847
$161 0.9×
Psychotherapy session (60 minutes)
CPT Code: 90837
$161 0.9×
CT scan, head (with contrast)
CPT Code: 70460
$159 0.7×
CT scan, head (with and without contrast)
CPT Code: 70470
$159 0.6×
Psychotherapy session (45 minutes)
CPT Code: 90834
$161 unverified
Diagnostic mammogram (both breasts)
CPT Code: 77066
$125 0.8×
X-ray, lower back
CPT Code: 72110
$95 0.8×
X-ray, pelvis
CPT Code: 72170
$93 0.8×
Screening mammogram (both breasts)
CPT Code: 77067
$97 0.8×
Ultrasound, abdomen (limited)
CPT Code: 76705
$95 0.8×
Ultrasound, abdomen (complete)
CPT Code: 76700
$99 0.7×
Showing top 25 high-impact procedures of 90 total
Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Abbeville General Hospital (Zero PHI Required)

CMS CCN: 190034
CPT G0390
Fair BaseRate™ $1,453
Medicare Rate $1,362
Self-Pay Cash Request Quote
Insurer Median $1,671
Pre-filled with Abbeville General Hospital’s charged/list benchmark
Screened against 2026 HHS Federal Poverty Guidelines
2026 FPL: $15,650 + $5,500 per additional person
Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Abbeville General Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target Target: $1,453 Fair BaseRate

Negotiate Toward $1,453 Fair BaseRate ($1,362 Medicare)

Your entered amount is at or below the modeled Fair BaseRate benchmark ($1,453).

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.
IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 720574846

Public IRS & CMS ownership records classify Abbeville General Hospital as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑
CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall5/5 Stars (5/5)
Safety Composite80/100
Would Recommend74%
Rated 9 or 10 (HCAHPS)81%
Median ER Wait119 min
Left ER Before Seen1%
30-Day Mortality vs U.S.same
Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)
C. diff Hospital-Onset Infectionsame

Source: CMS Hospital Care Compare (160 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Higher-Quality, Above-Median Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Abbeville General Hospital.

Price Index: 1.27× regional baseline
Quality: 81/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Magellan Behavioral Health
-62.1%
WellCare
+166.7%
Median Household Income$57,537U.S. Census ACS
Local Uninsured Share7.4%Regional ACS estimate
200% FPL (1 Person)$31,920Common free-care ceiling
400% FPL (Family of 4)$128,600Common AGB cap ceiling
45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 85/100 · Corroborated CMS CCN 190034 EIN 720574846

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Published MRF File720574846_abbeville-general-hospital_standardcharges.csv
Publication / Vintage2026-02-09 · 95.32 MB
Validated Rate Rows8,191 (CMS v3.0.0)
File Integrity Digestbdb189cdd7bfe0c459e5…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.