How many shoppable procedure prices are published for Abrom Kaplan Memorial Hospital?

Abrom Kaplan Memorial Hospital in Kaplan, LA currently has 107 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Abrom Kaplan Memorial Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Abrom Kaplan Memorial Hospital's median negotiated commercial rate is 1.4× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Voluntary non-profit - Private 25 Beds · rural Updated: 4/1/2026

Abrom Kaplan Memorial Hospital

1310 West Seventh Street, Kaplan, LA 70548 · 107 Priced Procedures · 85% Patient Recommendation

CMS Overall Rating No CMS Rating

Above Fair Market · Negotiate

1.42×vs. Fair Market Price

Typical commercial prices here are +42% above the fair benchmark (1.42×) even after accounting for local nurse/doctor wages and patient complexity.

85/100 · Corroborated

85/100Self-Pay Cash Beats Insurance 48% of the Time

File Completeness95

Price Logic80

Peer Alignment66

Clean Billing82

Real Cash Discount100

High-Markup · Check Safety

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintUpper-Quartile Spread · +58% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Abrom Kaplan Memorial Hospital prices routine shoppable procedures at 2.3× Medicare (median 1.32× Fair BaseRate) while upper-quartile commercial rates jump +58% to 2.09× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#86 of 101 in LA · 84th State Percentile#2,508 of 3,385 in U.S. · 74th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.79× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 48% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (73/100 safety score) with 85% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (45.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.5× markup over Medicare rates
Commercial insurance median sits at 1.32× Fair BaseRate (2.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.09×) jump +58% above the median procedure ratio (Q50 1.32×)
Consolidated metro market (HHI 2,917) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

2.3× Medicare

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

Back-Door Captive & ER0.65× Divergence

1.5× Medicare

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

Quantile Tail Spread+58% Upper Tail

Q25 0.79× · Q50 1.32× · Q75 2.09×

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

2.3× MedicareFair

Outpatient Surgery & ORBack-Door Captive

1.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.4× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.0× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.3× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.0× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

48% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 73/100Fair

Procedure Prices at Abrom Kaplan Memorial Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 107 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$24,418	$30,775	0.8×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$15,958	$19,432	0.8×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$14,315	$17,936	0.8×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$9,617	$13,191	$19,087	0.7×
Total knee replacement CPT Code: `27447`	—	$12,929	$13,523	1.0×
Total hip replacement CPT Code: `27130`	—	$8,126	$13,413	0.6×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	—	$6,109	—
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$9,874	$5,986	$8,223	0.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,260	$2,328	$511	unverified
Rabies immune globulin HCPCS Code: `90375`	$1,654	$1,654	$322	5.1×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,288	$1,327	$448	3.0×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,290	$1,290	$981	unverified
Colonoscopy with biopsy CPT Code: `45380`	$1,290	$1,290	$1,256	unverified
MRI, knee or other leg joint CPT Code: `73721`	$1,244	$1,282	$369	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$1,202	$1,238	$338	3.7×
MRI, brain (no contrast) CPT Code: `70551`	$1,202	$1,238	$343	3.6×
Upper endoscopy with biopsy CPT Code: `43239`	$1,164	$1,164	$987	1.2×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,105	$1,138	$303	3.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$801	$1,118	$583	1.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$878	$904	$258	3.5×
Cataract surgery with lens implant CPT Code: `66984`	—	$864	$2,540	0.3×
CT scan, sinuses CPT Code: `70486`	$846	$872	$166	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$822	$846	$168	5.0×
CT scan, neck (cervical spine) CPT Code: `72125`	$809	$833	$169	4.9×
CT scan, chest (no contrast) CPT Code: `71250`	$762	$785	$167	4.7×
CT scan, pelvis CPT Code: `72192`	$737	$759	$163	4.7×
CT scan, head (with contrast) CPT Code: `70460`	$750	$772	$242	3.2×
CT scan, head (no contrast) CPT Code: `70450`	$714	$736	$160	4.6×
Blood transfusion CPT Code: `36430`	$483	$674	$498	1.4×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$662	$3,372	0.2×
Inguinal hernia repair CPT Code: `49505`	—	$662	$3,629	0.2×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$612	$612	$272	unverified
Bunion correction surgery CPT Code: `28296`	—	$536	$3,446	0.2×
Breast lump removal CPT Code: `19120`	—	$536	$3,875	0.1×
Ultrasound, abdomen (complete) CPT Code: `76700`	$373	$384	$134	2.9×
Injection procedure for pain management HCPCS Code: `G0260`	—	$350	$855	0.4×
Ultrasound, thyroid and neck CPT Code: `76536`	$341	$351	$132	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$300	$309	$126	2.5×
Ultrasound, pelvis CPT Code: `76856`	$319	$329	$130	unverified
Psychiatric evaluation (first visit) CPT Code: `90791`	$237	$237	$185	1.3×
X-ray, foot CPT Code: `73630`	$96	$166	$92	1.8×
X-ray, lower back CPT Code: `72110`	$167	$172	$112	1.5×
X-ray, shoulder CPT Code: `73030`	$109	$188	$92	unverified
X-ray, hand CPT Code: `73130`	$96	$166	$93	unverified
X-ray, ankle CPT Code: `73610`	$96	$166	$93	unverified
X-ray, neck (cervical spine) CPT Code: `72040`	$125	$128	$93	1.4×
X-ray, chest (two views) CPT Code: `71046`	$120	$123	$93	1.3×
X-ray, hip CPT Code: `73502`	$109	$113	$93	1.2×
Group therapy session CPT Code: `90853`	$118	$118	$100	1.2×
Speech therapy (language evaluation) CPT Code: `92507`	$96	$96	$86	1.1×
X-ray, chest (single view) CPT Code: `71045`	$98	$101	$92	1.1×
Screening mammogram (both breasts) CPT Code: `77067`	$184	$122	$123	1.0×
X-ray, pelvis CPT Code: `72170`	$98	$101	$110	0.9×
Family therapy session CPT Code: `90847`	$118	$118	$173	0.7×
Psychotherapy session (60 minutes) CPT Code: `90837`	$118	$118	$181	0.7×
Office visit, established patient (30-39 min) CPT Code: `99214`	$68	$92	$123	0.7×
Typhoid vaccine HCPCS Code: `90675`	$1,006	$1,006	$347	unverified
Pneumococcal vaccine HCPCS Code: `90732`	$285	$293	$140	unverified
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$251	$251	$56	unverified
Flu vaccine (high dose) HCPCS Code: `90656`	$105	$105	$25	unverified
Speech therapy (group session) CPT Code: `92508`	$75	$75	$27	2.8×
Blood test, vitamin D CPT Code: `82306`	$77	$77	$31	2.5×
Physical therapy (manual therapy) CPT Code: `97140`	$39	$39	$34	1.1×
Physical therapy (gait training) CPT Code: `97116`	$36	$36	$33	1.1×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$36	$36	$35	1.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$35	$54	$64	0.8×
Office visit, established patient (20-29 min) CPT Code: `99213`	$64	$62	$87	0.7×
New patient office visit (30-44 min) CPT Code: `99203`	$72	$72	$110	0.7×
Psychotherapy session (45 minutes) CPT Code: `90834`	$72	$72	$166	0.4×
Culture, blood CPT Code: `87040`	$34	$34	$11	3.1×
Blood test, PSA (prostate screen) CPT Code: `84153`	$37	$37	$19	1.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$39	$39	$38	1.0×
Orthotic fitting and training CPT Code: `97760`	$33	$35	$51	0.7×
Breathing treatment (nebulizer) CPT Code: `94640`	$34	$38	$201	0.2×
Blood test, basic metabolic panel CPT Code: `80048`	$37	$37	$9	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$45	$45	$11	unverified
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$45	$45	$14	unverified
Blood test, liver function panel CPT Code: `80076`	$45	$45	$9	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$54	$54	$14	unverified
Hepatitis C antibody test CPT Code: `86803`	$52	$52	$15	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$23	$23	$8	2.9×
Hospital observation (per hour) HCPCS Code: `G0378`	$31	$48	$86	0.6×
Blood test, glucose (blood sugar) CPT Code: `82947`	$11	$11	$4	2.8×
Blood test, creatinine (kidney) CPT Code: `82565`	$16	$11	$5	2.2×
Blood test, lipase CPT Code: `83690`	$14	$14	$7	2.0×
Culture, bacterial CPT Code: `87070`	$23	$18	$9	2.0×
Blood test, magnesium CPT Code: `83735`	$18	$13	$7	1.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$33	$33	$18	1.8×
Blood test, clotting time (PTT) CPT Code: `85730`	$14	$11	$6	1.8×
Blood test, vitamin B12 CPT Code: `82607`	$26	$26	$16	1.6×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$26	$16	$10	1.6×
Blood test, amylase CPT Code: `82150`	$16	$11	$7	1.6×
Occupational therapy (self-care training) CPT Code: `97535`	$33	$36	$38	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$35	$35	$38	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$36	$36	$40	0.9×
Blood test, potassium CPT Code: `84132`	$12	$8	$5	1.6×
Blood test, sodium CPT Code: `84295`	$12	$8	$5	1.6×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$12	$8	$5	1.6×
Prosthetic fitting and training CPT Code: `97761`	$30	$30	$45	0.7×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$9	$4	$3	1.3×
Blood test, hemoglobin CPT Code: `85018`	$12	$2	$3	0.7×
Blood antibody screen CPT Code: `86850`	$27	$27	$46	0.6×
Pneumonia vaccine injection HCPCS Code: `G0009`	$20	$20	$49	0.4×
Flu vaccine injection HCPCS Code: `G0008`	—	$17	$48	0.4×
Drug screening test HCPCS Code: `G0480`	$24	$24	$116	0.2×
Blood test, calcium CPT Code: `82310`	$21	$21	$5	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$18	$18	$4	unverified

Showing top 25 high-impact procedures of 107 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 45.0%

Audit a Bill or Quote at Abrom Kaplan Memorial Hospital (Zero PHI Required)

CMS CCN: 191322

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $24,418

1. Amount on Your Bill or Quote ($) Pre-filled with Abrom Kaplan Memorial Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $26,371 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $26,371

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (45.0% of gross = $26,371).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Abrom Kaplan Memorial 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 +$27,828 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($58,603) is $27,828 above the denoised Fair BaseRate ($30,775) and 2.5× the $23,504 Medicare rate.

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) 501(c)(3) Nonprofit Hospital

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

EIN: 472540179

Filing Period: 201704

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (45.0% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

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

Safety Composite73/100

Would Recommend85%

Rated 9 or 10 (HCAHPS)80%

Median ER Wait87 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Abrom Kaplan Memorial Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-08-11·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (63 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

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Abrom Kaplan Memorial Hospital.

Price Index: 1.24× regional baseline

Quality: 60/100 CMS composite

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 191322 EIN 472540179

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 191322) ↗ Verify IRS Form 990 (EIN 472540179) ↗ CMS HCRIS Cost Reports ↗

Published MRF File472540179_kaplan-general-hospital-inc_standardcharges.csv.csv

Publication / Vintage4/1/2026 · 409.90 MB

Validated Rate Rows2,381 (CMS v3.0.0)

File Integrity Digestaf5649d84f76f509d3fe…

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.

Submit MRF Update Correction Policy