How many shoppable procedure prices are published for Bayou Bend Health System?

Bayou Bend Health System in Franklin, LA currently has 106 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Bayou Bend Health System's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Bayou Bend Health System's median negotiated commercial rate is 1.2× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Government - Hospital District or Authority 25 Beds · rural Updated: 2026-09-15

Bayou Bend Health System

1097 Northwest Blvd, Franklin, LA 70538 · 106 Priced Procedures · 69% Patient Recommendation

CMS Overall Rating No CMS Rating

Above Fair Market · Negotiate

1.23×vs. Fair Market Price

Typical commercial prices here are +23% above the fair benchmark (1.23×) even after accounting for local nurse/doctor wages and patient complexity.

82/100 · Corroborated

82/100Self-Pay Cash Beats Insurance 45% of the Time

File Completeness85

Price Logic71

Peer Alignment73

Clean Billing88

Real Cash Discount100

Regional Benchmark Tier

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

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 5,926), Bayou Bend Health System commands a 1.23× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#74 of 101 in LA · 72nd State Percentile#2,080 of 3,385 in U.S. · 61st National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.05× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 45% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (69/100 safety score) with 69% 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 (1.23× 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.
Commercial insurance median sits at 1.23× Fair BaseRate (2.2× 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
Consolidated metro market (HHI 5,926) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

2.2× Medicare

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

Back-Door Captive & ER0.59× Divergence

1.3× Medicare

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

Quantile Tail Spread+8% Upper Tail

Q25 1.05× · Q50 1.23× · Q75 1.33×

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

2.2× MedicareFair

Outpatient Surgery & ORBack-Door Captive

0.9× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.9× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

2.8× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

2.3× MedicareFair

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

1.2× MedicareGood

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

45% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 69/100Fair

Procedure Prices at Bayou Bend Health System

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 106 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$15,291	$15,291	$19,087	0.8×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$8,075	$8,075	$8,223	1.0×
C-section delivery (full package) CPT Code: `59510`	$3,665	$3,665	$2,975	1.2×
Vaginal delivery (full package) CPT Code: `59400`	$3,295	$3,295	$2,680	1.2×
Total hip replacement CPT Code: `27130`	$2,120	$2,120	$13,413	unverified
Total knee replacement CPT Code: `27447`	$2,119	$2,119	$13,523	unverified
Bunion correction surgery CPT Code: `28296`	$1,352	$1,352	$3,446	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,043	$1,043	$6,109	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$1,142	$839	$258	3.3×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,493	$828	$303	2.7×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,879	$839	$448	1.9×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$832	$832	$3,372	unverified
Colonoscopy with biopsy CPT Code: `45380`	$846	$846	$1,256	unverified
Inguinal hernia repair CPT Code: `49505`	$820	$820	$3,629	unverified
CT scan, head (with contrast) CPT Code: `70460`	$764	$839	$242	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$676	$790	$583	1.4×
CT scan, head (no contrast) CPT Code: `70450`	$662	$763	$160	4.8×
CT scan, pelvis CPT Code: `72192`	$722	$763	$163	4.7×
CT scan, sinuses CPT Code: `70486`	$709	$763	$166	4.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$790	$763	$168	4.5×
Breast lump removal CPT Code: `19120`	$754	$754	$3,875	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$763	$763	$167	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$790	$763	$169	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	$711	$711	$981	0.7×
Blood transfusion CPT Code: `36430`	$456	$609	$498	1.2×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,805	$611	$511	1.2×
Upper endoscopy with biopsy CPT Code: `43239`	$498	$498	$987	0.5×
MRI, lower back (no contrast) CPT Code: `72148`	$1,132	$373	$338	1.1×
MRI, brain (no contrast) CPT Code: `70551`	$1,132	$373	$343	1.1×
MRI, knee or other leg joint CPT Code: `73721`	$764	$373	$369	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	$166	$201	$181	1.1×
Psychiatric evaluation (first visit) CPT Code: `90791`	$184	$201	$185	1.1×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$193	$193	$272	0.7×
Psychotherapy session (45 minutes) CPT Code: `90834`	$147	$201	$166	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$288	$153	$126	1.2×
Ultrasound, pelvis CPT Code: `76856`	$321	$153	$130	1.2×
Ultrasound, thyroid and neck CPT Code: `76536`	$249	$153	$132	1.2×
Ultrasound, abdomen (complete) CPT Code: `76700`	$541	$153	$134	1.1×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$162	$157	$148	1.1×
Group therapy session CPT Code: `90853`	$129	$117	$100	1.2×
X-ray, lower back CPT Code: `72110`	$150	$126	$112	1.1×
Screening mammogram (both breasts) CPT Code: `77067`	$191	$130	$123	1.1×
Breathing treatment (nebulizer) CPT Code: `94640`	$126	$126	$201	unverified
X-ray, pelvis CPT Code: `72170`	$85	$85	$110	0.8×
Typhoid vaccine HCPCS Code: `90675`	$913	$361	$347	1.0×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$353	$199	$203	1.0×
Drug screening test HCPCS Code: `G0480`	$172	$172	$116	1.5×
Pneumococcal vaccine HCPCS Code: `90732`	$246	$147	$140	1.1×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$52	$37	$20	1.9×
Extended office visit (prolonged) HCPCS Code: `G2212`	$50	$50	$33	1.5×
Flu vaccine injection HCPCS Code: `G0008`	$45	$60	$48	1.3×
Pneumonia vaccine injection HCPCS Code: `G0009`	$45	$60	$49	1.2×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$41	$43	$56	0.8×
X-ray, chest (single view) CPT Code: `71045`	$77	$68	$92	0.7×
X-ray, shoulder CPT Code: `73030`	$204	$68	$92	0.7×
X-ray, foot CPT Code: `73630`	$86	$68	$92	0.7×
X-ray, chest (two views) CPT Code: `71046`	$140	$68	$93	0.7×
X-ray, neck (cervical spine) CPT Code: `72040`	$150	$68	$93	0.7×
X-ray, hand CPT Code: `73130`	$87	$68	$93	0.7×
X-ray, hip CPT Code: `73502`	$90	$68	$93	0.7×
X-ray, ankle CPT Code: `73610`	$88	$68	$93	0.7×
Speech therapy (language evaluation) CPT Code: `92507`	$55	$55	$86	0.6×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$77	$77	$64	unverified
Blood test, vitamin D CPT Code: `82306`	$59	$40	$31	1.3×
New patient office visit (30-44 min) CPT Code: `99203`	$161	$46	$110	0.4×
Office visit, established patient (30-39 min) CPT Code: `99214`	$212	$43	$123	0.3×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$48	$48	$35	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$49	$49	$38	unverified
Physical therapy (gait training) CPT Code: `97116`	$45	$45	$33	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$50	$50	$40	unverified
Orthotic fitting and training CPT Code: `97760`	$56	$56	$51	unverified
Blood test, calcium CPT Code: `82310`	$30	$7	$5	1.4×
Blood test, creatinine (kidney) CPT Code: `82565`	$29	$7	$5	1.4×
Blood test, complete blood count (CBC) CPT Code: `85025`	$25	$11	$8	1.4×
Blood test, ferritin (iron stores) CPT Code: `82728`	$59	$19	$14	1.4×
Blood test, basic metabolic panel CPT Code: `80048`	$74	$12	$9	1.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$26	$4	$3	1.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$33	$8	$6	1.3×
Culture, bacterial CPT Code: `87070`	$37	$12	$9	1.3×
Blood test, PSA (prostate screen) CPT Code: `84153`	$74	$25	$19	1.3×
Blood test, vitamin B12 CPT Code: `82607`	$78	$21	$16	1.3×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$41	$13	$10	1.3×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$58	$18	$14	1.3×
Blood test, lipase CPT Code: `83690`	$34	$9	$7	1.3×
Blood test, magnesium CPT Code: `83735`	$28	$9	$7	1.3×
Blood test, thyroid (TSH) CPT Code: `84443`	$71	$23	$18	1.3×
Culture, blood CPT Code: `87040`	$22	$14	$11	1.3×
Hepatitis C antibody test CPT Code: `86803`	$60	$19	$15	1.3×
Hepatitis B vaccine HCPCS Code: `90744`	$79	$33	$37	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$109	$32	$87	0.4×
Physical therapy (manual therapy) CPT Code: `97140`	$40	$40	$34	unverified
Blood test, amylase CPT Code: `82150`	$64	$9	$7	1.3×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$43	$14	$11	1.3×
Occupational therapy (self-care training) CPT Code: `97535`	$39	$39	$38	unverified
Prosthetic fitting and training CPT Code: `97761`	$33	$33	$45	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$36	$36	$14	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$29	$5	$4	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$28	$5	$4	1.3×
Blood test, liver function panel CPT Code: `80076`	$78	$11	$9	1.2×
Blood test, potassium CPT Code: `84132`	$31	$6	$5	1.2×
Blood test, hemoglobin CPT Code: `85018`	$31	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$26	$5	$5	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$51	$20	$25	0.8×
Colorectal cancer screening HCPCS Code: `G0010`	$25	$25	$49	0.5×
Blood antibody screen CPT Code: `86850`	$86	$11	$46	0.2×
Hospital observation (per hour) HCPCS Code: `G0378`	$15	$15	$86	unverified

Showing top 25 high-impact procedures of 106 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Bayou Bend Health System (Zero PHI Required)

CMS CCN: 191310

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash $15,291

Insurer Median $15,291

1. Amount on Your Bill or Quote ($) Pre-filled with Bayou Bend Health System’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 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 Save $6,553 Paying Cash

Self-Pay Cash Rate ($15,291) Beats Your Bill

Bayou Bend Health System's published 45 CFR § 180 self-pay cash rate is $15,291 (vs. $15,291 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$2,757 Above Fair BaseRate

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

Your bill ($21,844) is $2,757 above the denoised Fair BaseRate ($19,087) and 1.5× the $14,117 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) For-Profit / Non-501(c)(3)

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

Public IRS & CMS ownership records classify Bayou Bend Health System 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

Safety Composite69/100

Would Recommend69%

Rated 9 or 10 (HCAHPS)74%

Median ER Wait79 min

Left ER Before Seen1%

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 Bayou Bend Health System. Prior administrative notices do not necessarily reflect current compliance status.

2024-07-18·administrative_or_closure
Closure Notice
Recorded
2024-06-13·cap_corrective_action
CAP Request
Recorded
2024-02-21·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (97 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 Bayou Bend Health System.

Price Index: 1.21× regional baseline

Quality: 55/100 CMS composite

Median Household Income$51,768U.S. Census ACS

Local Uninsured Share6.8%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 82/100 · Corroborated CMS CCN 191310

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 191310) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-09-15 · 69.03 MB

Validated Rate Rows4,134 (CMS v3.0.0)

File Integrity Digest19d36a3d9ffe019cf774…

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