How many shoppable procedure prices are published for East Jefferson General Hospital?

East Jefferson General Hospital in Metairie, LA currently has 102 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do East Jefferson General Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, East Jefferson General Hospital's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

What is East Jefferson General Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns East Jefferson General Hospital an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 612 Beds · urban Updated: 2026-07-01

East Jefferson General Hospital

4200 Houma Blvd, Metairie, LA 70006 · 102 Priced Procedures · 74% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Near Fair BaseRate Benchmark

0.99×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (0.99×) after accounting for local nurse/doctor wages and patient complexity.

77/100 · Corroborated

77/100Self-Pay Cash Beats Insurance 24% of the Time

File Completeness51

Price Logic93

Peer Alignment72

Clean Billing72

Real Cash Discount100

Regional Value Leader

4-Star CMS clinical quality rating paired with 0.99× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

East Jefferson General Hospital prices shoppable and inpatient services (1.4× to 1.0× Medicare, divergence 0.71×) in alignment with regional hospital peers (0.99× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#51 of 101 in LA · 49th State Percentile#1,236 of 3,385 in U.S. · 36th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.89× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 24% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 74% patient recommendation (76/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (20.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.99× 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 0.97× Fair BaseRate (1.4× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.26×) jump +30% above the median procedure ratio (Q50 0.97×)
Unnegotiated chargemaster list prices average 15.8× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.4× Medicare

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

Back-Door Captive & ER0.71× Divergence

1.0× Medicare

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

Quantile Tail Spread+30% Upper Tail

Q25 0.89× · Q50 0.97× · Q75 1.26×

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

1.4× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.3× MedicareElevated

Back-Door Captive ER VisitsBack-Door Captive

2.0× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.9× MedicareFair

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

0.9× MedicareGood

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

24% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 76/100Fair

Procedure Prices at East Jefferson General Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 102 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,294	$8,798	$6,109	1.4×
Breast lump removal CPT Code: `19120`	$494	$3,498	$3,875	0.9×
Colonoscopy with biopsy CPT Code: `45380`	$908	$2,176	$1,256	1.7×
Upper endoscopy with biopsy CPT Code: `43239`	$654	$2,176	$987	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	$915	$2,176	$981	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$713	$1,973	$1,021	1.9×
Hepatitis B immune globulin HCPCS Code: `90371`	$1,333	$1,333	$151	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$601	$1,107	$583	unverified
Blood transfusion CPT Code: `36430`	$475	$842	$498	1.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,446	$715	$511	1.4×
Rabies immune globulin HCPCS Code: `90375`	$2,042	$571	$322	1.8×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,839	$566	$448	1.3×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$418	$506	$272	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$1,264	$427	$338	1.3×
MRI, brain (no contrast) CPT Code: `70551`	$1,129	$427	$343	1.2×
MRI, knee or other leg joint CPT Code: `73721`	$1,084	$427	$369	1.2×
CT scan, head (with and without contrast) CPT Code: `70470`	$914	$407	$258	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	$71	$399	$201	unverified
CT scan, head (with contrast) CPT Code: `70460`	$797	$361	$242	1.5×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,715	$351	$303	1.2×
Ultrasound, pelvis CPT Code: `76856`	$345	$195	$130	1.5×
Ultrasound, abdomen (complete) CPT Code: `76700`	$297	$195	$134	1.5×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$137	$175	$148	1.2×
CT scan, head (no contrast) CPT Code: `70450`	$656	$183	$160	1.1×
CT scan, pelvis CPT Code: `72192`	$816	$183	$163	1.1×
CT scan, sinuses CPT Code: `70486`	$665	$183	$166	1.1×
CT scan, chest (no contrast) CPT Code: `71250`	$780	$183	$167	1.1×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$824	$183	$168	1.1×
CT scan, neck (cervical spine) CPT Code: `72125`	$812	$183	$169	1.1×
Ultrasound, thyroid and neck CPT Code: `76536`	$297	$195	$132	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$318	$195	$126	unverified
X-ray, lower back CPT Code: `72110`	$324	$132	$112	1.2×
Screening mammogram (both breasts) CPT Code: `77067`	$70	$144	$123	1.2×
Psychiatric evaluation (first visit) CPT Code: `90791`	$32	$142	$185	0.8×
Group therapy session CPT Code: `90853`	$24	$160	$100	unverified
Psychotherapy session (60 minutes) CPT Code: `90837`	$45	$134	$181	0.7×
Family therapy session CPT Code: `90847`	$60	$102	$173	0.6×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$29	$119	$64	unverified
X-ray, chest (single view) CPT Code: `71045`	$123	$90	$92	1.0×
X-ray, chest (two views) CPT Code: `71046`	$145	$90	$93	1.0×
X-ray, hip CPT Code: `73502`	$142	$88	$93	0.9×
X-ray, shoulder CPT Code: `73030`	$174	$83	$92	0.9×
X-ray, foot CPT Code: `73630`	$124	$83	$92	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$144	$83	$93	0.9×
X-ray, hand CPT Code: `73130`	$127	$83	$93	0.9×
X-ray, ankle CPT Code: `73610`	$135	$83	$93	0.9×
X-ray, pelvis CPT Code: `72170`	$192	$83	$110	0.8×
Psychotherapy session (45 minutes) CPT Code: `90834`	$45	$90	$166	0.5×
Typhoid vaccine HCPCS Code: `90675`	$1,354	$323	$347	0.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$316	$182	$203	0.9×
Pneumococcal vaccine HCPCS Code: `90732`	$206	$133	$140	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$50	$77	$38	2.0×
Occupational therapy (self-care training) CPT Code: `97535`	$39	$76	$38	2.0×
Speech therapy (group session) CPT Code: `92508`	$20	$53	$27	2.0×
Physical therapy (manual therapy) CPT Code: `97140`	$44	$63	$34	1.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$166	$76	$111	0.7×
Drug screening test HCPCS Code: `G0480`	$70	$70	$116	0.6×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$35	$35	$40	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$144	$36	$56	0.6×
Office visit, established patient (30-39 min) CPT Code: `99214`	$35	$57	$123	0.5×
Prosthetic fitting and training CPT Code: `97761`	$13	$20	$45	0.4×
Office visit, established patient (20-29 min) CPT Code: `99213`	$27	$38	$87	0.4×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$205	$11	$11	1.0×
Blood test, lipase CPT Code: `83690`	$50	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$39	$7	$7	1.0×
Blood test, vitamin D CPT Code: `82306`	$26	$30	$31	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$55	$3	$3	1.0×
Blood test, calcium CPT Code: `82310`	$33	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$26	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$47	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$23	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$57	$10	$10	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$69	$13	$14	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$98	$8	$9	0.9×
Blood test, amylase CPT Code: `82150`	$65	$6	$7	0.9×
Orthotic fitting and training CPT Code: `97760`	$41	$22	$51	0.4×
Speech therapy (language evaluation) CPT Code: `92507`	$81	$33	$86	0.4×
New patient office visit (30-44 min) CPT Code: `99203`	$35	$38	$110	0.3×
Blood test, potassium CPT Code: `84132`	$46	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$54	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$15	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$14	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$50	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$132	$9	$9	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$33	$17	$18	0.9×
Culture, blood CPT Code: `87040`	$68	$10	$11	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$84	$31	$37	0.8×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$96	$30	$39	0.8×
Neurobehavioral status check CPT Code: `96116`	$52	$52	$231	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$25	$4	$5	0.8×
Flu vaccine (high dose) HCPCS Code: `90656`	$7	$20	$25	0.8×
Physical therapy (gait training) CPT Code: `97116`	$41	$11	$33	0.3×
Hepatitis C antibody test CPT Code: `86803`	$20	$29	$15	unverified
Blood test, hemoglobin CPT Code: `85018`	$8	$2	$3	0.7×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$38	$11	$35	0.3×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$37	$11	$38	0.3×
Blood antibody screen CPT Code: `86850`	$51	$11	$46	0.2×
Blood test, liver function panel CPT Code: `80076`	$160	$8	$9	unverified
Blood test, vitamin B12 CPT Code: `82607`	$56	$15	$16	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$54	$19	$19	unverified
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$10	$10	$25	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$8	$8	$86	unverified

Showing top 25 high-impact procedures of 102 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 20.0%

Audit a Bill or Quote at East Jefferson General Hospital (Zero PHI Required)

CMS CCN: 190176

CPT 47562

Select Procedure to Audit:

Fair BaseRate™ $6,109

Medicare Rate $6,176

Self-Pay Cash $1,294

Insurer Median $8,798

1. Amount on Your Bill or Quote ($) Pre-filled with East Jefferson General 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: $1,849 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $1,849

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (20.0% of gross = $1,849).

Step 2 · Cash vs. Insurance Arbitrage Save $7,949 Paying Cash

Self-Pay Cash Rate ($1,294) Beats Your Bill

East Jefferson General Hospital's published 45 CFR § 180 self-pay cash rate is $1,294 (vs. $8,798 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$3,134 Above Fair BaseRate

Negotiate Toward $6,109 Fair BaseRate ($6,176 Medicare)

Your bill ($9,243) is $3,134 above the denoised Fair BaseRate ($6,109) and 1.5× the $6,176 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)

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 (20.0% 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

CMS Overall4/5 Stars (4/5)

Safety Composite76/100

Would Recommend74%

Rated 9 or 10 (HCAHPS)72%

Median ER Wait162 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate2.9%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionbetter

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

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

2026-03-23·administrative_or_closure
Met Requirements
Recorded
2025-01-07·administrative_or_closure
Closure Notice
Recorded
2024-09-12·cap_corrective_action
CAP Request
Recorded

Source: CMS Hospital Care Compare (2,985 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 Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for East Jefferson General Hospital.

Price Index: 0.79× regional baseline

Quality: 77/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Aetna

-46.8%

Median Household Income$65,246U.S. Census ACS

Local Uninsured Share10.9%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 77/100 · Corroborated CMS CCN 190176

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

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 190176) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-07-01

Validated Rate Rows14,340 (CMS v3.0.0)

File Integrity DigestVerified · CCN 190176

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