Omega Hospital, LLC
2525 Severn Avenue, Metairie, LA 70002 · 49 Priced Procedures
Typical commercial prices here are +148% above the fair benchmark (2.48×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Loss-Leader / Captive Ancillary Cross-Subsidizer
Omega Hospital, LLC prices routine shoppable procedures near 3.4× Medicare (p50 2.57×) while skewing captive emergency, lab, and upper-quartile codes to 7.3× Medicare (p75 3.24×, +26% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.57× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 4% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (54/100 safety score) with 72% patient recommendation
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 4.7× markup over Medicare rates
- Captive ER (4.9×) & laboratory (8.6×) services average 2.15× higher multiples than routine shoppable care (3.4×)
- Upper-quartile procedures (Q75 3.24×) jump +26% above the median procedure ratio (Q50 2.57×)
- Unnegotiated chargemaster list prices average 12.4× Medicare (15¢ true HCRIS cost per $1 gross)
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 Omega Hospital, LLC
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 49 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Injection procedure for pain management HCPCS Code: G0260 | $22,351 | unverified |
| Total knee replacement CPT Code: 27447 | $20,546 | 1.5× |
| Total hip replacement CPT Code: 27130 | $20,078 | 1.5× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $10,188 | 1.7× |
| Inguinal hernia repair CPT Code: 49505 | $9,687 | 2.7× |
| Ultrasound, thyroid and neck CPT Code: 76536 | $9,149 | unverified |
| Breast lump removal CPT Code: 19120 | $8,908 | 2.3× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $8,668 | 2.6× |
| Bunion correction surgery CPT Code: 28296 | $8,507 | 2.5× |
| Cataract surgery with lens implant CPT Code: 66984 | $8,226 | unverified |
| Colonoscopy with biopsy CPT Code: 45380 | $7,144 | unverified |
| Upper endoscopy with biopsy CPT Code: 43239 | $6,964 | unverified |
| Colonoscopy (diagnostic) CPT Code: 45378 | $6,968 | unverified |
| X-ray, lower back CPT Code: 72110 | $5,965 | unverified |
| X-ray, foot CPT Code: 73630 | $3,302 | unverified |
| X-ray, ankle CPT Code: 73610 | $3,200 | unverified |
| X-ray, hand CPT Code: 73130 | $2,554 | unverified |
| X-ray, neck (cervical spine) CPT Code: 72040 | $1,382 | unverified |
| X-ray, shoulder CPT Code: 73030 | $1,382 | unverified |
| MRI, brain (with and without contrast) CPT Code: 70553 | $688 | 1.3× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $651 | 0.6× |
| Neurobehavioral status check CPT Code: 96116 | $581 | 2.5× |
| MRI, knee or other leg joint CPT Code: 73721 | $581 | 1.6× |
| Ultrasound, pelvis CPT Code: 76856 | $554 | 4.3× |
| CT scan, head (with contrast) CPT Code: 70460 | $554 | 2.3× |
Audit a Bill or Quote at Omega Hospital, LLC (Zero PHI Required)
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.
Self-Pay Cash Rate ($22,351) Beats Your Bill
Omega Hospital, LLC's published 45 CFR § 180 self-pay cash rate is $22,351 (vs. $22,351 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $855 Fair BaseRate ($721 Medicare)
Your bill ($38,317) is $37,462 above the denoised Fair BaseRate ($855) and 53.1× the $721 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Omega Hospital, LLC 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.
Clinical Quality, Patient Experience & Infection Benchmarks
CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Omega Hospital, LLC. Prior administrative notices do not necessarily reflect current compliance status.
- 2026-03-26·cap_corrective_action
CAP Request
Recorded
Source: CMS Hospital Care Compare. 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 Omega Hospital, LLC.
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.