How many shoppable procedure prices are published for Ochsner LSU Health Monroe?

Ochsner LSU Health Monroe in Monroe, LA currently has 110 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Ochsner LSU Health Monroe's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Ochsner LSU Health Monroe's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

What is Ochsner LSU Health Monroe's CMS Care Compare overall star rating?

CMS Care Compare assigns Ochsner LSU Health Monroe an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 85 Beds · urban Updated: 4/1/2026

Ochsner LSU Health Monroe

4864 Jackson Street, Monroe, LA 71202 · 110 Priced Procedures · 77% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Near Fair BaseRate Benchmark

1.00×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.

91/100 · Verified

91/100Self-Pay Cash Beats Insurance 49% of the Time

File Completeness95

Price Logic93

Peer Alignment83

Clean Billing85

Real Cash Discount100

Regional Value Leader

4-Star CMS clinical quality rating paired with 1.00× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Ochsner LSU Health Monroe prices shoppable and inpatient services (1.2× to 1.2× Medicare, divergence 1.00×) in alignment with regional hospital peers (1.00× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#53 of 101 in LA · 51st State Percentile#1,283 of 3,385 in U.S. · 37th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.86× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 49% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (75/100 safety score) with 77% 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 1.2× markup over Medicare rates
Commercial insurance median sits at 1.02× Fair BaseRate (1.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.28×) jump +25% above the median procedure ratio (Q50 1.02×)
Consolidated metro market (HHI 3,218) 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 & ER1.00× Divergence

1.2× Medicare

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

Quantile Tail Spread+25% Upper Tail

Q25 0.86× · Q50 1.02× · Q75 1.28×

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

1.2× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.2× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.5× MedicareGood

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

0.8× MedicareGood

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

49% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 75/100Fair

Procedure Prices at Ochsner LSU Health Monroe

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 110 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`	—	$24,528	$30,775	0.8×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$26,465	$17,549	$17,936	1.0×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$7,146	$16,470	$19,087	0.9×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$24,924	$15,921	$19,432	0.8×
Total hip replacement CPT Code: `27130`	$18,144	$11,695	$13,413	0.9×
Total knee replacement CPT Code: `27447`	$15,901	$11,695	$13,523	0.9×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$5,921	$7,997	$8,223	1.0×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$3,335	$5,303	$6,109	0.9×
Inguinal hernia repair CPT Code: `49505`	$9,369	$2,691	$3,629	0.7×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$21,696	$2,627	$3,372	0.8×
Bunion correction surgery CPT Code: `28296`	$8,216	$2,627	$3,446	0.8×
Breast lump removal CPT Code: `19120`	$4,066	$2,646	$3,875	0.7×
Cataract surgery with lens implant CPT Code: `66984`	$3,549	$2,073	$2,540	0.8×
Rabies immune globulin HCPCS Code: `90375`	$1,690	$1,690	$322	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$794	$925	$1,021	0.9×
Upper endoscopy with biopsy CPT Code: `43239`	$220	$852	$987	0.9×
Colonoscopy (diagnostic) CPT Code: `45378`	$244	$829	$981	0.8×
Injection procedure for pain management HCPCS Code: `G0260`	$754	$629	$855	0.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$794	$552	$511	1.1×
MRI, knee or other leg joint CPT Code: `73721`	$474	$471	$369	1.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$628	$437	$448	1.0×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$487	$453	$583	0.8×
Blood transfusion CPT Code: `36430`	$262	$397	$498	0.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$451	$314	$258	1.2×
MRI, lower back (no contrast) CPT Code: `72148`	$474	$330	$338	1.0×
MRI, brain (no contrast) CPT Code: `70551`	$474	$330	$343	1.0×
Neurobehavioral status check CPT Code: `96116`	$106	$283	$231	1.2×
CT scan, head (with contrast) CPT Code: `70460`	$401	$279	$242	1.2×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$389	$271	$303	0.9×
Colonoscopy with biopsy CPT Code: `45380`	$244	$244	$1,256	0.2×
Hepatitis B immune globulin HCPCS Code: `90371`	$224	$207	$151	1.4×
CT scan, sinuses CPT Code: `70486`	$204	$197	$166	1.2×
Psychiatric evaluation (first visit) CPT Code: `90791`	$106	$211	$185	1.1×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$307	$220	$272	0.8×
Office visit, established patient (20-29 min) CPT Code: `99213`	$55	$158	$87	1.8×
New patient office visit (30-44 min) CPT Code: `99203`	$58	$158	$110	1.4×
Family therapy session CPT Code: `90847`	$106	$179	$173	1.0×
Breathing treatment (nebulizer) CPT Code: `94640`	$108	$185	$201	0.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	$66	$151	$123	1.2×
Ultrasound, pelvis CPT Code: `76856`	$217	$151	$130	1.2×
Ultrasound, thyroid and neck CPT Code: `76536`	$217	$151	$132	1.1×
Ultrasound, abdomen (complete) CPT Code: `76700`	$217	$151	$134	1.1×
X-ray, shoulder CPT Code: `73030`	$92	$120	$92	1.3×
X-ray, foot CPT Code: `73630`	$92	$120	$92	1.3×
X-ray, hand CPT Code: `73130`	$92	$120	$93	1.3×
X-ray, ankle CPT Code: `73610`	$92	$120	$93	1.3×
Ultrasound, abdomen (limited) CPT Code: `76705`	$217	$143	$126	1.1×
CT scan, head (no contrast) CPT Code: `70450`	$204	$142	$160	0.9×
CT scan, pelvis CPT Code: `72192`	$204	$142	$163	0.9×
CT scan, chest (no contrast) CPT Code: `71250`	$204	$142	$167	0.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$204	$142	$168	0.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$204	$142	$169	0.8×
X-ray, pelvis CPT Code: `72170`	$92	$97	$110	0.9×
X-ray, lower back CPT Code: `72110`	$146	$97	$112	0.9×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$171	$119	$148	0.8×
Screening mammogram (both breasts) CPT Code: `77067`	$123	$85	$123	0.7×
Typhoid vaccine HCPCS Code: `90675`	$351	$364	$347	1.0×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$151	$245	$203	1.2×
Pneumococcal vaccine HCPCS Code: `90732`	$97	$137	$140	1.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$38	$106	$56	1.9×
Occupational therapy (self-care training) CPT Code: `97535`	$19	$59	$38	1.6×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$29	$72	$38	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$26	$31	$18	1.7×
Physical therapy (functional capacity test) CPT Code: `97750`	$24	$50	$38	1.3×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$28	$43	$35	1.2×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$22	$42	$39	1.1×
Blood antibody screen CPT Code: `86850`	$27	$48	$46	1.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$25	$53	$64	0.8×
Speech therapy (language evaluation) CPT Code: `92507`	$71	$71	$86	0.8×
Physical therapy (gait training) CPT Code: `97116`	$12	$43	$33	1.3×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$30	$52	$40	1.3×
X-ray, hip CPT Code: `73502`	$42	$77	$93	0.8×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$34	$13	$10	1.3×
Speech therapy (group session) CPT Code: `92508`	$20	$35	$27	1.3×
Orthotic fitting and training CPT Code: `97760`	$17	$51	$51	1.0×
Colorectal cancer screening HCPCS Code: `G0010`	$18	$43	$49	0.9×
X-ray, chest (two views) CPT Code: `71046`	$92	$68	$93	0.7×
X-ray, neck (cervical spine) CPT Code: `72040`	$92	$68	$93	0.7×
X-ray, chest (single view) CPT Code: `71045`	$92	$65	$92	0.7×
Physical therapy (manual therapy) CPT Code: `97140`	$26	$58	$34	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$15	$29	$14	2.1×
Blood test, calcium CPT Code: `82310`	$18	$7	$5	1.4×
Blood test, creatinine (kidney) CPT Code: `82565`	$18	$7	$5	1.4×
Blood test, vitamin D CPT Code: `82306`	$102	$31	$31	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$11	$4	$3	1.3×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$41	$18	$14	1.3×
Blood test, amylase CPT Code: `82150`	$22	$9	$7	1.3×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$7	$14	$11	1.3×
Blood test, basic metabolic panel CPT Code: `80048`	$29	$11	$9	1.2×
Blood test, liver function panel CPT Code: `80076`	$28	$11	$9	1.2×
Hepatitis B vaccine HCPCS Code: `90744`	$23	$32	$37	0.9×
Hospital observation (per hour) HCPCS Code: `G0378`	$48	$54	$86	0.6×
Blood test, glucose (blood sugar) CPT Code: `82947`	$14	$5	$4	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$14	$5	$4	1.3×
Blood test, potassium CPT Code: `84132`	$16	$6	$5	1.2×
Blood test, sodium CPT Code: `84295`	$17	$6	$5	1.2×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$14	$6	$5	1.2×
Blood test, vitamin B12 CPT Code: `82607`	$52	$16	$16	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$47	$14	$14	1.0×
Blood test, lipase CPT Code: `83690`	$24	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$23	$7	$7	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$63	$19	$19	1.0×
Blood test, hemoglobin CPT Code: `85018`	$8	$3	$3	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$27	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$21	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$49	$15	$15	1.0×
Culture, blood CPT Code: `87040`	$36	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$30	$9	$9	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$7	$20	$20	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$16	$22	$25	0.9×

Showing top 25 high-impact procedures of 110 total

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

Audit a Bill or Quote at Ochsner LSU Health Monroe (Zero PHI Required)

CMS CCN: 190011

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $24,528

1. Amount on Your Bill or Quote ($) Pre-filled with Ochsner LSU Health Monroe’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 Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Ochsner LSU Health Monroe's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$28,092 Above Fair BaseRate

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

Your bill ($58,867) is $28,092 above the denoised Fair BaseRate ($30,775) and 2.5× 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)

EIN: 800945173

Public IRS & CMS ownership records classify Ochsner LSU Health Monroe 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 Overall4/5 Stars (4/5)

Safety Composite75/100

Would Recommend77%

Rated 9 or 10 (HCAHPS)75%

Median ER Wait155 min

Left ER Before Seen6%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

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 Ochsner LSU Health Monroe. Prior administrative notices do not necessarily reflect current compliance status.

2025-08-11·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (334 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 Ochsner LSU Health Monroe.

Price Index: 0.75× regional baseline

Quality: 68/100 CMS composite

Median Household Income$51,241U.S. Census ACS

Local Uninsured Share8.1%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 91/100 · Verified CMS CCN 190011 EIN 800945173

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 190011) ↗ Verify IRS Form 990 (EIN 800945173) ↗ CMS HCRIS Cost Reports ↗

Published MRF File800945173_brfhh-monroe-llc_standardcharges.csv.csv

Publication / Vintage4/1/2026 · 721.94 MB

Validated Rate Rows2,943 (CMS v3.0.0)

File Integrity Digesteef14df4db925e80a17f…

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

Ochsner LSU Health Monroe

Aligned Regional Benchmark Peer

Where They're Good (Patient & Payer Edge)

Where You Can Get Burned (Markup Traps)

REA Pricing Decompiler · 5-Layer Cost-to-Charge Reverse Engineering

Insurer Bargaining Power & Cash-Vulnerability Matrix

Procedure Prices at Ochsner LSU Health Monroe

Audit a Bill or Quote at Ochsner LSU Health Monroe (Zero PHI Required)

Above Standard 400% FPL Financial-Assistance Ceiling

Compare Prompt-Pay Cash Rate Against Remaining Deductible

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

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

Clinical Quality, Patient Experience & Infection Benchmarks

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

CMS Price Transparency Administrative Enforcement Log

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

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