How many shoppable procedure prices are published for North Oaks Medical Center?

North Oaks Medical Center in Hammond, LA currently has 107 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do North Oaks Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, North Oaks Medical Center's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

What is North Oaks Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns North Oaks Medical Center 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 Government - Hospital District or Authority 247 Beds · urban Updated: 4/1/2026

North Oaks Medical Center

15790 Paul Vega Md Drive, Hammond, LA 70403 · 107 Priced Procedures · 63% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Good Deal · Below Fair Market

0.91×vs. Fair Market Price

Typical commercial prices here are 9% below the fair benchmark (0.91×) after accounting for local nurse/doctor wages and patient complexity.

79/100 · Corroborated

79/100Self-Pay Cash Beats Insurance 45% of the Time

File Completeness56

Price Logic89

Peer Alignment78

Clean Billing76

Real Cash Discount100

High-Markup Tier

3-Star CMS clinical quality rating paired with 0.91× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

North Oaks Medical Center maintains low, disciplined commercial pricing across both routine shoppable procedures (1.2× Medicare, p50 0.88× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 1.00× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#27 of 101 in LA · 25th State Percentile#714 of 3,385 in U.S. · 21st National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 9% below peer Fair BaseRate (0.91×)
Self-pay cash beats commercial insurance on 45% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 63% patient recommendation (60/100 safety score)
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 1.5× markup over Medicare rates
Commercial insurance median sits at 0.88× Fair BaseRate (1.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
Specialty infusion drugs (J-codes) average 2.7× Medicare — verify per-unit billing on itemized statements
Consolidated metro market (HHI 5,548) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.2× Medicare

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

Back-Door Captive & ER0.83× Divergence

1.0× Medicare

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

Quantile Tail Spread+14% Upper Tail

Q25 0.81× · Q50 0.88× · Q75 1.00×

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

1.2× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.2× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

2.3× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

4.5× MedicareWatchout

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

2.7× MedicareFair

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

45% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 60/100Elevated

Procedure Prices at North Oaks Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 107 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	$36,277	$22,477	$30,775	0.7×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$21,814	$13,679	$19,087	0.7×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$21,662	$13,586	$19,432	0.7×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$19,798	$12,453	$17,936	0.7×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$8,755	$5,735	$8,223	0.7×
Trauma team activation HCPCS Code: `G0390`	$1,983	$1,769	$1,453	1.2×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,023	$929	$1,021	0.9×
Injection procedure for pain management HCPCS Code: `G0260`	$1,391	$632	$855	0.7×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,072	$501	$583	0.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	$292	$445	$185	unverified
Psychotherapy session (45 minutes) CPT Code: `90834`	$292	$448	$166	unverified
Psychotherapy session (60 minutes) CPT Code: `90837`	$292	$448	$181	unverified
Family therapy session CPT Code: `90847`	$292	$448	$173	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$850	$394	$448	0.9×
Blood transfusion CPT Code: `36430`	$864	$399	$498	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$850	$354	$511	0.7×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$519	$327	$303	1.1×
MRI, lower back (no contrast) CPT Code: `72148`	$519	$298	$338	0.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$249	$272	$168	1.6×
Rabies immune globulin HCPCS Code: `90375`	$319	$280	$322	0.9×
CT scan, neck (cervical spine) CPT Code: `72125`	$249	$282	$169	unverified
MRI, brain (no contrast) CPT Code: `70551`	$519	$249	$343	0.7×
CT scan, sinuses CPT Code: `70486`	$249	$266	$166	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$519	$221	$272	0.8×
MRI, knee or other leg joint CPT Code: `73721`	$519	$239	$369	0.6×
CT scan, chest (no contrast) CPT Code: `71250`	$249	$199	$167	1.2×
CT scan, head (with and without contrast) CPT Code: `70470`	$406	$213	$258	0.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$409	$186	$201	0.9×
CT scan, head (no contrast) CPT Code: `70450`	$249	$155	$160	1.0×
CT scan, head (with contrast) CPT Code: `70460`	$406	$171	$242	0.7×
Office visit, established patient (20-29 min) CPT Code: `99213`	$47	$118	$87	1.4×
New patient office visit (30-44 min) CPT Code: `99203`	$63	$118	$110	1.1×
Office visit, established patient (30-39 min) CPT Code: `99214`	$59	$118	$123	1.0×
Hepatitis B immune globulin HCPCS Code: `90371`	$158	$134	$151	0.9×
CT scan, pelvis CPT Code: `72192`	$249	$139	$163	0.9×
X-ray, pelvis CPT Code: `72170`	$249	$97	$110	0.9×
X-ray, chest (single view) CPT Code: `71045`	$178	$80	$92	0.9×
X-ray, shoulder CPT Code: `73030`	$178	$80	$92	0.9×
X-ray, foot CPT Code: `73630`	$178	$80	$92	0.9×
X-ray, lower back CPT Code: `72110`	$249	$97	$112	0.9×
X-ray, chest (two views) CPT Code: `71046`	$178	$80	$93	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$178	$80	$93	0.9×
X-ray, hand CPT Code: `73130`	$178	$80	$93	0.9×
X-ray, hip CPT Code: `73502`	$178	$80	$93	0.9×
X-ray, ankle CPT Code: `73610`	$178	$80	$93	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$249	$97	$126	0.8×
Ultrasound, pelvis CPT Code: `76856`	$249	$97	$130	0.7×
Ultrasound, thyroid and neck CPT Code: `76536`	$249	$97	$132	0.7×
Ultrasound, abdomen (complete) CPT Code: `76700`	$249	$97	$134	0.7×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$236	$97	$148	0.7×
Screening mammogram (both breasts) CPT Code: `77067`	$196	$80	$123	0.7×
Typhoid vaccine HCPCS Code: `90675`	$349	$487	$347	1.4×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$208	$409	$203	2.0×
Pneumococcal vaccine HCPCS Code: `90732`	$147	$307	$140	2.2×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$108	$262	$111	2.4×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$43	$236	$56	unverified
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$33	$150	$39	unverified
Drug screening test HCPCS Code: `G0480`	$255	$114	$116	1.0×
Blood antibody screen CPT Code: `86850`	$22	$49	$46	1.1×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$122	$54	$64	0.8×
Speech therapy (language evaluation) CPT Code: `92507`	$173	$71	$86	0.8×
Hospital observation (per hour) HCPCS Code: `G0378`	$47	$61	$86	0.7×
Electrical stimulation therapy HCPCS Code: `G0283`	$30	$20	$14	1.4×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$43	$19	$20	0.9×
Colorectal cancer screening HCPCS Code: `G0010`	$85	$42	$49	0.9×
Blood test, clotting time (PTT) CPT Code: `85730`	$13	$13	$6	2.2×
Blood test, complete blood count (CBC) CPT Code: `85025`	$14	$14	$8	1.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$66	$35	$35	1.0×
Flu vaccine injection HCPCS Code: `G0008`	$85	$42	$48	0.9×
Pneumonia vaccine injection HCPCS Code: `G0009`	$85	$42	$49	0.9×
Prosthetic fitting and training CPT Code: `97761`	$89	$38	$45	0.8×
Orthotic fitting and training CPT Code: `97760`	$104	$42	$51	0.8×
Physical therapy (functional capacity test) CPT Code: `97750`	$75	$31	$38	0.8×
Flu vaccine (high dose) HCPCS Code: `90656`	$22	$20	$25	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$76	$30	$38	0.8×
Blood test, thyroid (TSH) CPT Code: `84443`	$37	$37	$18	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$9	$4	$4	1.0×
Hepatitis C antibody test CPT Code: `86803`	$32	$15	$15	1.0×
Culture, blood CPT Code: `87040`	$23	$11	$11	1.0×
Hepatitis B vaccine HCPCS Code: `90744`	$35	$35	$37	unverified
Culture, bacterial CPT Code: `87070`	$19	$9	$9	1.0×
Physical therapy (gait training) CPT Code: `97116`	$66	$27	$33	0.8×
Speech therapy (group session) CPT Code: `92508`	$52	$22	$27	0.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$84	$32	$40	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$73	$30	$38	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$61	$26	$34	0.8×
Blood test, PSA (prostate screen) CPT Code: `84153`	$41	$41	$19	unverified
Blood test, lipase CPT Code: `83690`	$15	$15	$7	2.1×
Blood test, magnesium CPT Code: `83735`	$15	$15	$7	2.1×
Blood test, basic metabolic panel CPT Code: `80048`	$19	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$24	$11	$11	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$7	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$14	$7	$7	1.0×
Blood test, calcium CPT Code: `82310`	$11	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$11	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$30	$14	$14	1.0×
Blood test, potassium CPT Code: `84132`	$11	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$11	$5	$5	1.0×
Blood test, vitamin D CPT Code: `82306`	$66	$30	$31	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$9	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$22	$10	$10	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$34	$15	$16	0.9×
Blood test, liver function panel CPT Code: `80076`	$18	$8	$9	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$30	$30	$14	unverified
Blood test, hemoglobin CPT Code: `85018`	$5	$2	$3	0.7×
Diagnostic procedure preparation HCPCS Code: `G0279`	$49	$17	$35	0.5×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$10	$10	$5	unverified

Showing top 25 high-impact procedures of 107 total

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

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

CMS CCN: 190015

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash $36,277

Insurer Median $22,477

1. Amount on Your Bill or Quote ($) Pre-filled with North Oaks Medical Center’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 $202,673 Paying Cash

Self-Pay Cash Rate ($36,277) Beats Your Bill

North Oaks Medical Center's published 45 CFR § 180 self-pay cash rate is $36,277 (vs. $22,477 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$208,175 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($238,950) is $208,175 above the denoised Fair BaseRate ($30,775) and 10.2× the $23,504 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 North Oaks 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

CMS Overall3/5 Stars (3/5)

Safety Composite60/100

Would Recommend63%

Rated 9 or 10 (HCAHPS)68%

Median ER Wait180 min

Left ER Before Seen6%

30-Day Mortality vs U.S.worse

Unplanned Readmissionworse

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 North Oaks Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2025-05-15·administrative_or_closure
Closure Notice
Recorded
2025-02-13·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (983 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

Above-Benchmark Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for North Oaks Medical Center.

Price Index: 1.64× regional baseline

Quality: 37/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Health Net

+87.0%

Cigna

+123.6%

Median Household Income$57,256U.S. Census ACS

Local Uninsured Share7.2%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 190015

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 190015) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage4/1/2026

Validated Rate Rows3,745 (CMS v3.0.0)

File Integrity DigestVerified · CCN 190015

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