How many shoppable procedure prices are published for Ochsner St Martin Hospital?

Ochsner St Martin Hospital in Breaux Bridge, LA currently has 103 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Ochsner St Martin Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Ochsner St Martin Hospital's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Voluntary non-profit - Private 25 Beds · urban Updated: 4/1/2026

Ochsner St Martin Hospital

210 Champagne Boulevard, Breaux Bridge, LA 70517 · 103 Priced Procedures · 82% Patient Recommendation

CMS Overall Rating No CMS Rating

Above Fair Market · Negotiate

1.12×vs. Fair Market Price

Typical commercial prices here are +12% above the fair benchmark (1.12×) even after accounting for local nurse/doctor wages and patient complexity.

82/100 · Corroborated

82/100Self-Pay Cash Beats Insurance 48% of the Time

File Completeness66

Price Logic88

Peer Alignment71

Clean Billing87

Real Cash Discount100

High Quality · Fair Price

5-Star CMS clinical quality rating paired with 1.12× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +76% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Ochsner St Martin Hospital prices routine shoppable procedures at 1.4× Medicare (median 0.95× Fair BaseRate) while upper-quartile commercial rates jump +76% to 1.67× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#65 of 101 in LA · 63rd State Percentile#1,752 of 3,385 in U.S. · 51st National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.71× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 48% of shoppable procedures (99/100 Cash Honesty)
5-Star CMS clinical rating with 82% patient recommendation (82/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (25.5% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.12× 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 0.95× Fair BaseRate (1.4× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.67×) jump +76% above the median procedure ratio (Q50 0.95×)
Consolidated metro market (HHI 2,917) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.4× Medicare

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

Back-Door Captive & ER0.93× Divergence

1.3× Medicare

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

Quantile Tail Spread+76% Upper Tail

Q25 0.71× · Q50 0.95× · Q75 1.67×

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

1.8× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

2.0× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.7× MedicareGood

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

2.2× MedicareFair

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

48% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

5 CMS · 82/100Good

Procedure Prices at Ochsner St Martin Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 103 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`	—	$25,009	$30,775	0.8×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$16,319	$19,432	0.8×
Total knee replacement CPT Code: `27447`	—	$15,727	$13,523	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$14,311	$15,196	$19,087	0.8×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$14,662	$17,936	0.8×
Total hip replacement CPT Code: `27130`	—	$9,885	$13,413	0.7×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$7,072	$6,135	$8,223	0.7×
Rabies immune globulin HCPCS Code: `90375`	$3,307	$3,307	$322	10.3×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,507	$1,154	$511	2.3×
MRI, knee or other leg joint CPT Code: `73721`	$1,277	$936	$369	2.5×
Cataract surgery with lens implant CPT Code: `66984`	$3,265	$864	$2,540	0.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$859	$784	$448	1.8×
MRI, lower back (no contrast) CPT Code: `72148`	$801	$684	$338	2.0×
MRI, brain (no contrast) CPT Code: `70551`	$801	$684	$343	2.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$3,507	$662	$3,372	0.2×
Inguinal hernia repair CPT Code: `49505`	—	$662	$3,629	0.2×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$737	$578	$303	1.9×
Bunion correction surgery CPT Code: `28296`	—	$536	$3,446	0.2×
Breast lump removal CPT Code: `19120`	—	$536	$3,875	0.1×
CT scan, head (with and without contrast) CPT Code: `70470`	$585	$481	$258	1.9×
Colonoscopy (diagnostic) CPT Code: `45378`	$544	$468	$981	0.5×
Upper endoscopy with biopsy CPT Code: `43239`	$491	$468	$987	0.5×
Colonoscopy with biopsy CPT Code: `45380`	$544	$468	$1,256	0.4×
CT scan, sinuses CPT Code: `70486`	$564	$426	$166	2.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$548	$418	$168	2.5×
CT scan, neck (cervical spine) CPT Code: `72125`	$539	$416	$169	2.5×
CT scan, chest (no contrast) CPT Code: `71250`	$508	$403	$167	2.4×
CT scan, pelvis CPT Code: `72192`	$491	$386	$163	2.4×
CT scan, head (with contrast) CPT Code: `70460`	$333	$384	$242	1.6×
CT scan, head (no contrast) CPT Code: `70450`	$476	$352	$160	2.2×
Injection procedure for pain management HCPCS Code: `G0260`	—	$350	$855	0.4×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$308	$303	$583	0.5×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$226	$273	$272	1.0×
Blood transfusion CPT Code: `36430`	$260	$287	$498	0.6×
Ultrasound, abdomen (complete) CPT Code: `76700`	$248	$209	$134	1.6×
Ultrasound, pelvis CPT Code: `76856`	$213	$188	$130	1.4×
Ultrasound, thyroid and neck CPT Code: `76536`	$227	$184	$132	1.4×
Ultrasound, abdomen (limited) CPT Code: `76705`	$200	$161	$126	1.3×
X-ray, shoulder CPT Code: `73030`	$73	$97	$92	1.1×
Screening mammogram (both breasts) CPT Code: `77067`	$123	$117	$123	1.0×
X-ray, foot CPT Code: `73630`	$64	$86	$92	0.9×
X-ray, hand CPT Code: `73130`	$64	$86	$93	0.9×
X-ray, lower back CPT Code: `72110`	$111	$85	$112	0.8×
Office visit, established patient (30-39 min) CPT Code: `99214`	$84	$91	$123	0.7×
Typhoid vaccine HCPCS Code: `90675`	$687	$515	$347	1.5×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$167	$200	$56	unverified
Flu vaccine (high dose) HCPCS Code: `90656`	$70	$51	$25	2.0×
Hepatitis B vaccine HCPCS Code: `90744`	$102	$75	$37	2.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	$83	$76	$87	0.9×
New patient office visit (30-44 min) CPT Code: `99203`	$81	$79	$110	0.7×
Speech therapy (group session) CPT Code: `92508`	$69	$51	$27	1.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$97	$73	$39	1.9×
Blood test, vitamin D CPT Code: `82306`	$71	$52	$31	1.7×
Physical therapy (functional capacity test) CPT Code: `97750`	$42	$45	$38	1.2×
Speech therapy (language evaluation) CPT Code: `92507`	$90	$66	$86	0.8×
X-ray, hip CPT Code: `73502`	$73	$69	$93	0.7×
X-ray, neck (cervical spine) CPT Code: `72040`	$83	$62	$93	0.7×
X-ray, chest (two views) CPT Code: `71046`	$80	$59	$93	0.6×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$39	$29	$14	2.1×
X-ray, ankle CPT Code: `73610`	$64	$50	$93	0.5×
X-ray, chest (single view) CPT Code: `71045`	$65	$48	$92	0.5×
X-ray, pelvis CPT Code: `72170`	$65	$48	$110	0.4×
Blood test, calcium CPT Code: `82310`	$18	$18	$5	3.6×
Blood test, hemoglobin CPT Code: `85018`	$8	$6	$3	2.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$14	$10	$5	2.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$20	$15	$8	1.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$27	$20	$11	1.8×
Culture, blood CPT Code: `87040`	$26	$19	$11	1.7×
Blood test, basic metabolic panel CPT Code: `80048`	$20	$15	$9	1.7×
Blood test, glucose (blood sugar) CPT Code: `82947`	$8	$6	$4	1.5×
Blood test, ferritin (iron stores) CPT Code: `82728`	$26	$19	$14	1.4×
Culture, bacterial CPT Code: `87070`	$17	$12	$9	1.3×
Blood test, thyroid (TSH) CPT Code: `84443`	$46	$21	$18	1.2×
Blood test, PSA (prostate screen) CPT Code: `84153`	$26	$21	$19	1.1×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$33	$40	$64	0.6×
Blood test, liver function panel CPT Code: `80076`	$39	$39	$9	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$14	$3	$3	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$15	$5	$5	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$14	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$14	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$8	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$10	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$11	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$10	$4	$4	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$18	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$31	$14	$15	0.9×
Blood test, amylase CPT Code: `82150`	$8	$6	$7	0.9×
Physical therapy (gait training) CPT Code: `97116`	$39	$28	$33	0.8×
Blood test, clotting time (PTT) CPT Code: `85730`	$7	$5	$6	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$39	$28	$34	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$39	$28	$38	0.7×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$34	$25	$35	0.7×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$39	$28	$40	0.7×
Occupational therapy (self-care training) CPT Code: `97535`	$24	$26	$38	0.7×
Prosthetic fitting and training CPT Code: `97761`	$39	$28	$45	0.6×
Orthotic fitting and training CPT Code: `97760`	$41	$30	$51	0.6×
Flu vaccine injection HCPCS Code: `G0008`	$20	$17	$48	0.4×
Colorectal cancer screening HCPCS Code: `G0010`	$17	$17	$49	0.3×
Hospital observation (per hour) HCPCS Code: `G0378`	$21	$25	$86	0.3×
Blood antibody screen CPT Code: `86850`	$18	$13	$46	0.3×
Pneumonia vaccine injection HCPCS Code: `G0009`	$11	$11	$49	0.2×
Drug screening test HCPCS Code: `G0480`	$16	$16	$116	0.1×
Breathing treatment (nebulizer) CPT Code: `94640`	$22	$22	$201	0.1×

Showing top 25 high-impact procedures of 103 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 25.5%

Audit a Bill or Quote at Ochsner St Martin Hospital (Zero PHI Required)

CMS CCN: 191302

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $25,009

1. Amount on Your Bill or Quote ($) Pre-filled with Ochsner St Martin 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: $15,312 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $15,312

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (25.5% of gross = $15,312).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Ochsner St Martin Hospital'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 +$29,247 Above Fair BaseRate

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

Your bill ($60,022) is $29,247 above the denoised Fair BaseRate ($30,775) and 2.6× 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) 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 (25.5% 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 Overall5/5 Stars (5/5)

Safety Composite82/100

Would Recommend82%

Rated 9 or 10 (HCAHPS)83%

Median ER Wait102 min

Left ER Before Seen2%

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)

C. diff Hospital-Onset Infectionsame

Source: CMS Hospital Care Compare (118 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

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Ochsner St Martin Hospital.

Price Index: 1.00× regional baseline

Quality: 81/100 CMS composite

Median Household Income$53,394U.S. Census ACS

Local Uninsured Share6.7%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 82/100 · Corroborated CMS CCN 191302

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 191302) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage4/1/2026

Validated Rate Rows2,786 (CMS v3.0.0)

File Integrity DigestVerified · CCN 191302

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