Baton Rouge Rehab Hospital
8595 United Plaza Blvd, Baton Rouge, LA 70809 · 54 Priced Procedures
Typical commercial prices here are 6% below the fair benchmark (0.94×) after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Aligned Regional Benchmark Peer
Baton Rouge Rehab Hospital prices shoppable and inpatient services (1.0× to 1.0× Medicare, divergence 1.00×) in alignment with regional hospital peers (0.94× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 6% below peer Fair BaseRate (0.94×)
- Self-pay cash beats commercial insurance on 19% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (54/100 safety score) with 72% patient recommendation
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 2.2× markup over Medicare rates
- Commercial insurance median sits at 0.93× Fair BaseRate (1.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Specialty infusion drugs (J-codes) average 1.2× Medicare — verify per-unit billing on itemized statements
- Unnegotiated chargemaster list prices average 6.4× Medicare (20¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Baton Rouge Rehab Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 54 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $216 | 0.8× |
| Psychotherapy session (45 minutes) CPT Code: 90834 | $161 | 1.0× |
| Family therapy session CPT Code: 90847 | $161 | 0.9× |
| Psychotherapy session (60 minutes) CPT Code: 90837 | $161 | 0.9× |
| Psychiatric evaluation (first visit) CPT Code: 90791 | $161 | 0.9× |
| Group therapy session CPT Code: 90853 | $92 | 0.9× |
| X-ray, shoulder CPT Code: 73030 | $81 | 0.9× |
| X-ray, foot CPT Code: 73630 | $81 | 0.9× |
| X-ray, lower back CPT Code: 72110 | $98 | 0.9× |
| X-ray, chest (two views) CPT Code: 71046 | $81 | 0.9× |
| X-ray, neck (cervical spine) CPT Code: 72040 | $81 | 0.9× |
| X-ray, hip CPT Code: 73502 | $81 | 0.9× |
| X-ray, ankle CPT Code: 73610 | $81 | 0.9× |
| X-ray, pelvis CPT Code: 72170 | $95 | 0.9× |
| Drug screening test HCPCS Code: G0480 | $114 | 1.0× |
| Speech therapy (language evaluation) CPT Code: 92507 | $75 | 0.9× |
| X-ray, chest (single view) CPT Code: 71045 | $79 | 0.9× |
| Blood test, vitamin D CPT Code: 82306 | $33 | 1.1× |
| Blood antibody screen CPT Code: 86850 | $47 | 1.0× |
| Physical therapy (functional capacity test) CPT Code: 97750 | $34 | 0.9× |
| Orthotic fitting and training CPT Code: 97760 | $45 | 0.9× |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $53 | 0.8× |
| Blood test, clotting time (PTT) CPT Code: 85730 | $7 | 1.2× |
| Blood test, vitamin B12 CPT Code: 82607 | $17 | 1.1× |
| Blood test, thyroid (TSH) CPT Code: 84443 | $19 | 1.1× |
Audit a Bill or Quote at Baton Rouge Rehab Hospital (Zero PHI Required)
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.
Self-Pay Cash Rate ($409) Beats Your Bill
Baton Rouge Rehab Hospital's published 45 CFR § 180 self-pay cash rate is $409 (vs. $216 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $272 Fair BaseRate ($244 Medicare)
Your bill ($585) is $313 above the denoised Fair BaseRate ($272) and 2.4× the $244 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Baton Rouge Rehab 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.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Baton Rouge Rehab Hospital.
Notable Payer Contract Outliers (SVD Matrix Anomalies)
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.