Christus Ochsner St Patrick Hospital
524 Dr Michael Debakey Drive, Lake Charles, LA 70601 · 39 Priced Procedures · 67% Patient Recommendation
Typical commercial prices here are +5% above the fair benchmark (1.05×) even after accounting for local nurse/doctor wages and patient complexity.
3-Star CMS clinical quality rating paired with 1.05× fair market pricing.
Aligned Regional Benchmark Peer
Christus Ochsner St Patrick Hospital prices shoppable and inpatient services (1.8× to 0.9× Medicare, divergence 0.50×) in alignment with regional hospital peers (1.05× 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)
- Bottom-quartile procedures (Q25) price at 0.85× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 0% of shoppable procedures (50/100 Cash Honesty)
- CMS clinical safety score (70/100 safety score) with 67% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (32.9% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 2.2× markup over Medicare rates
- Commercial insurance median sits at 0.92× Fair BaseRate (1.8× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 1.33×) jump +45% above the median procedure ratio (Q50 0.92×)
- Consolidated metro market (HHI 3,647) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
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 Christus Ochsner St Patrick Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 39 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $20,194 | 0.7× |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $12,338 | 0.6× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $12,302 | 0.6× |
| Total hip replacement CPT Code: 27130 | $11,889 | 0.9× |
| Total knee replacement CPT Code: 27447 | $11,889 | 0.9× |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $11,563 | 0.6× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $4,892 | 0.6× |
| Vaginal delivery (full package) CPT Code: 59400 | $4,020 | 1.5× |
| C-section delivery (full package) CPT Code: 59510 | $4,020 | 1.4× |
| Breast lump removal CPT Code: 19120 | $3,538 | 0.9× |
| Inguinal hernia repair CPT Code: 49505 | $3,261 | 0.9× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $3,028 | 0.9× |
| Bunion correction surgery CPT Code: 28296 | $2,998 | 0.9× |
| Cataract surgery with lens implant CPT Code: 66984 | $2,129 | 0.8× |
| Trauma team activation HCPCS Code: G0390 | $1,235 | 0.8× |
| Psychological testing by technician CPT Code: 96138 | $369 | 0.9× |
| Neurobehavioral status check CPT Code: 96116 | $288 | 1.2× |
| Care planning with family CPT Code: 90887 | $241 | 2.3× |
| Review of medical records for care CPT Code: 90889 | $180 | 1.6× |
| Psychological testing evaluation CPT Code: 96136 | $119 | 0.9× |
| Hepatitis B immune globulin HCPCS Code: 90371 | $139 | 0.9× |
| Family therapy session CPT Code: 90847 | $151 | 0.9× |
| Psychiatric evaluation (first visit) CPT Code: 90791 | $151 | 0.8× |
| Physical therapy (neuromuscular re-education) CPT Code: 97112 | $153 | unverified |
| Electrocardiogram (ECG/EKG) CPT Code: 93000 | $127 | unverified |
Audit a Bill or Quote at Christus Ochsner St Patrick Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $15,950
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (32.9% of gross = $15,950).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Christus Ochsner St Patrick Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)
Your bill ($48,466) is $17,691 above the denoised Fair BaseRate ($30,775) and 2.1× the $23,504 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Illustrative National Nonprofit Peer Median (32.9% of gross — request this hospital's exact FAP Look-Back AGB percentage)
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. Hospital-specific AGB look-back percentages are published in each facility’s written Financial Assistance Policy (FAP). This figure reflects the national nonprofit peer median benchmark.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Christus Ochsner St Patrick Hospital. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-07-28·administrative_or_closure
Met Requirements
Recorded
Source: CMS Hospital Care Compare (390 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
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 Christus Ochsner St Patrick 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.