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Hospital Profile Critical Access Hospital Proprietary 21 Beds · rural Updated: 2026-05-28

Bienville Medical Center

1175 Pine Street, Arcadia, LA 71001 · 76 Priced Procedures

CMS Overall Rating No CMS Rating
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.High Markup · Shop Alternatives
1.74×vs. Fair Market Price
Position vs. 1.00× Fair Price+74% Above Fair Price 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 are +74% above the fair benchmark (1.74×) even 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).79/100 · Corroborated
79/100Self-Pay Cash Beats Insurance 37% of the Time
File Completeness61Provenance (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 Logic81Coherence (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 Alignment72Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing84Regularity (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.High-Markup · Check Safety
CMS Star RatingNot RatedOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety Score85/100Composite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER Wait99 minMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.

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

Behavioral Pricing FingerprintUpper-Quartile Spread · +73% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Bienville Medical Center prices routine shoppable procedures at 4.2× Medicare (median 1.47× Fair BaseRate) while upper-quartile commercial rates jump +73% to 2.54× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#95 of 101 in LA · 93rd State Percentile#2,914 of 3,385 in U.S. · 86th National Percentile
Advantage

Where They're Good (Patient & Payer Edge)

  • Bottom-quartile procedures (Q25) price at 0.97× the peer BaseRate benchmark
  • Self-pay cash beats commercial insurance on 37% of shoppable procedures (99/100 Cash Honesty)
  • CMS clinical safety score (85/100 safety score) with 72% 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)

  • Outpatient surgery & OR suites carry a 5.2× markup over Medicare rates
  • Commercial insurance median sits at 1.47× Fair BaseRate (4.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
  • Upper-quartile procedures (Q75 2.54×) jump +73% above the median procedure ratio (Q50 1.47×)
  • Unnegotiated chargemaster list prices average 11.5× Medicare (21¢ true HCRIS cost per $1 gross)
Front-Door ShoppableElective / Imaging
4.2× Medicare

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

Back-Door Captive & ER0.24× Divergence
1.0× Medicare

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

Quantile Tail Spread+73% Upper Tail
Q25 0.97× · Q50 1.47× · Q75 2.54×

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
4.2× MedicareElevated
Outpatient Surgery & ORBack-Door Captive
5.2× MedicareWatchout
Diagnostic Imaging (CT/MRI)Front-Door Shoppable
3.3× MedicareElevated
Back-Door Captive ER VisitsBack-Door Captive
6.1× MedicareWatchout
Inpatient Lab & PathologyBack-Door Captive
5.7× MedicareWatchout
Specialty & Infusion Drugs (J-Codes)Back-Door Captive
7.9× MedicareWatchout
Self-Pay Cash Honesty & 501(r)Integrity & Outcomes
37% Cash Edge · 99/100Good
CMS Clinical Safety & Star ValueIntegrity & Outcomes
3 CMS · 85/100Good

Procedure Prices at Bienville Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 76 published procedures.

Sort:
Procedure & Billing Code This Hospital vs. Fair
CT scan, head (with and without contrast)
CPT Code: 70470
$1,527 unverified
CT scan, neck (cervical spine)
CPT Code: 72125
$1,364 unverified
Echocardiogram (heart ultrasound)
CPT Code: 93306
$1,289 2.2×
CT scan, chest (no contrast)
CPT Code: 71250
$1,230 unverified
CT scan, lower back (lumbar spine)
CPT Code: 72131
$1,230 unverified
CT scan, head (no contrast)
CPT Code: 70450
$1,158 unverified
CT scan, head (with contrast)
CPT Code: 70460
$1,158 unverified
Blood transfusion
CPT Code: 36430
$1,007 unverified
CT scan, sinuses
CPT Code: 70486
$974 5.9×
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
$835 1.9×
Ultrasound, abdomen (complete)
CPT Code: 76700
$770 unverified
CT scan, pelvis
CPT Code: 72192
$630 3.9×
Ultrasound, leg veins (duplex)
CPT Code: 93970
$642 2.4×
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
$642 2.1×
Occupational therapy (self-care training)
CPT Code: 97535
$605 15.9×
Physical therapy (neuromuscular re-education)
CPT Code: 97112
$568 14.9×
Occupational therapy (therapeutic activities)
CPT Code: 97530
$570 unverified
Physical therapy (gait training)
CPT Code: 97116
$469 14.2×
Breathing treatment (nebulizer)
CPT Code: 94640
$461 unverified
Family therapy session
CPT Code: 90847
$379 2.2×
X-ray, lower back
CPT Code: 72110
$371 unverified
Ultrasound, abdomen (limited)
CPT Code: 76705
$320 2.5×
Ultrasound, pelvis
CPT Code: 76856
$320 2.5×
Ultrasound, thyroid and neck
CPT Code: 76536
$320 2.4×
Psychotherapy session (45 minutes)
CPT Code: 90834
$339 2.0×
Showing top 25 high-impact procedures of 76 total
Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Bienville Medical Center (Zero PHI Required)

CMS CCN: 191320
CPT 70470
Fair BaseRate™ $258
Medicare Rate $179
Self-Pay Cash $1,561
Insurer Median $1,527
Pre-filled with Bienville Medical Center’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 Save $1,041 Paying Cash

Self-Pay Cash Rate ($1,561) Beats Your Bill

Bienville Medical Center's published 45 CFR § 180 self-pay cash rate is $1,561 (vs. $1,527 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$2,344 Above Fair BaseRate

Negotiate Toward $258 Fair BaseRate ($179 Medicare)

Your bill ($2,602) is $2,344 above the denoised Fair BaseRate ($258) and 14.5× the $179 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 Bienville Medical Center 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 Composite85/100
Median ER Wait99 min

CMS Price Transparency Administrative Enforcement Log

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

  • 2026-05-20·warning_notice

    Warning Notice

    Recorded

Source: CMS Hospital Care Compare. 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 Bienville Medical Center.

Price Index: 1.56× regional baseline
Quality: 54/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

AmeriHealth
-59.6%
Aarp
+115.0%
Median Household Income$34,992U.S. Census ACS
Local Uninsured Share8.8%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 79/100 · Corroborated CMS CCN 191320

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

Published MRF FileCMS_45_CFR_180_FILING.json
Publication / Vintage2026-05-28
Validated Rate Rows20,726 (CMS v3.0.0)
File Integrity DigestVerified · CCN 191320

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.