How many shoppable procedure prices are published for Rapides Regional Medical Center?

Rapides Regional Medical Center in Alexandria, LA currently has 125 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Rapides Regional Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Rapides Regional Medical Center's median negotiated commercial rate is 1.3× the regionally adjusted fair BaseRate benchmark.

What is Rapides Regional Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Rapides Regional 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 Proprietary 375 Beds · urban Updated: 2026-09-01

Rapides Regional Medical Center

211 4Th Street, Alexandria, LA 71301 · 125 Priced Procedures · 60% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Above Fair Market · Negotiate

1.25×vs. Fair Market Price

Typical commercial prices here are +25% above the fair benchmark (1.25×) even after accounting for local nurse/doctor wages and patient complexity.

70/100 · Caution

70/100Self-Pay Cash Beats Insurance 6% of the Time

File Completeness85

Price Logic92

Peer Alignment60

Clean Billing90

Real Cash Discount6

Regional Benchmark Tier

2-Star CMS clinical quality rating paired with 1.25× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +62% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Rapides Regional Medical Center prices routine shoppable procedures at 2.3× Medicare (median 1.04× Fair BaseRate) while upper-quartile commercial rates jump +62% to 1.69× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#76 of 101 in LA · 74th State Percentile#2,134 of 3,385 in U.S. · 63rd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.93× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 6% of shoppable procedures (25/100 Cash Honesty)
2-Star CMS clinical rating with 60% patient recommendation (56/100 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)

Even at low-cost facilities (1.25× 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 1.04× Fair BaseRate (2.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.69×) jump +62% above the median procedure ratio (Q50 1.04×)
Consolidated metro market (HHI 3,320) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

2.3× Medicare

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

Back-Door Captive & ER0.43× Divergence

1.0× Medicare

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

Quantile Tail Spread+62% Upper Tail

Q25 0.93× · Q50 1.04× · Q75 1.69×

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

2.3× MedicareFair

Outpatient Surgery & ORBack-Door Captive

1.0× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.2× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.7× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.9× MedicareGood

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

1.2× MedicareGood

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

6% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 56/100Elevated

Procedure Prices at Rapides Regional Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 125 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`	—	$24,183	$30,775	0.8×
Total hip replacement CPT Code: `27130`	—	$16,525	$13,413	1.2×
Total knee replacement CPT Code: `27447`	—	$16,525	$13,523	1.2×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$14,715	$19,087	0.8×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$14,615	$19,432	0.8×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$13,395	$17,936	0.7×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$6,165	$8,223	0.7×
Vaginal delivery (full package) CPT Code: `59400`	—	$5,391	$2,680	2.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$5,203	$3,372	unverified
Inguinal hernia repair CPT Code: `49505`	—	$5,203	$3,629	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$5,150	$6,109	0.8×
Cataract surgery with lens implant CPT Code: `66984`	—	$4,363	$2,540	unverified
Bunion correction surgery CPT Code: `28296`	—	$3,813	$3,446	1.1×
Breast lump removal CPT Code: `19120`	—	$3,813	$3,875	1.0×
Colonoscopy with biopsy CPT Code: `45380`	—	$2,167	$1,256	unverified
Blood transfusion CPT Code: `36430`	$2,015	$2,015	$498	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$5,572	$1,961	$1,021	1.9×
Trauma team activation HCPCS Code: `G0390`	$38,896	$1,923	$1,453	1.3×
Upper endoscopy with biopsy CPT Code: `43239`	—	$1,696	$987	1.7×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,648	$981	1.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$18,130	$1,442	$511	2.8×
MRI, lower back (no contrast) CPT Code: `72148`	$9,493	$1,286	$338	3.8×
MRI, brain (no contrast) CPT Code: `70551`	$9,493	$1,286	$343	3.7×
MRI, knee or other leg joint CPT Code: `73721`	$9,493	$1,286	$369	3.5×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$24,454	$1,250	$448	2.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$21,164	$1,095	$303	unverified
CT scan, head (with contrast) CPT Code: `70460`	$11,017	$1,037	$242	4.3×
CT scan, head (with and without contrast) CPT Code: `70470`	$13,458	$1,037	$258	4.0×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$7,202	$1,039	$583	1.8×
CT scan, head (no contrast) CPT Code: `70450`	$9,002	$959	$160	6.0×
CT scan, pelvis CPT Code: `72192`	$10,820	$959	$163	5.9×
CT scan, chest (no contrast) CPT Code: `71250`	$5,124	$959	$167	5.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$9,952	$959	$169	5.7×
CT scan, sinuses CPT Code: `70486`	$4,322	$959	$166	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$10,406	$959	$168	unverified
Injection procedure for pain management HCPCS Code: `G0260`	—	$872	$855	1.0×
Neurobehavioral status check CPT Code: `96116`	—	$546	$231	2.4×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$2,418	$503	$272	1.8×
Rabies immune globulin HCPCS Code: `90375`	$1,443	$424	$322	1.3×
Breathing treatment (nebulizer) CPT Code: `94640`	$591	$397	$201	2.0×
Hospital observation (per hour) HCPCS Code: `G0378`	$345	$345	$86	unverified
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$283	$166	1.7×
Family therapy session CPT Code: `90847`	—	$283	$173	1.6×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$283	$181	1.6×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$283	$185	1.5×
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,628	$242	$126	1.9×
Ultrasound, pelvis CPT Code: `76856`	$3,492	$245	$130	1.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$2,782	$245	$132	1.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$4,258	$245	$134	1.8×
Hepatitis B immune globulin HCPCS Code: `90371`	$2,741	$200	$151	1.3×
Group therapy session CPT Code: `90853`	—	$169	$100	1.7×
X-ray, hip CPT Code: `73502`	$561	$151	$93	1.6×
X-ray, lower back CPT Code: `72110`	$914	$162	$112	1.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$532	$119	$64	1.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$1,048	$128	$93	1.4×
X-ray, hand CPT Code: `73130`	$1,319	$117	$93	1.3×
X-ray, ankle CPT Code: `73610`	$1,319	$117	$93	1.3×
X-ray, shoulder CPT Code: `73030`	$1,393	$111	$92	1.2×
X-ray, foot CPT Code: `73630`	$1,319	$110	$92	1.2×
X-ray, chest (two views) CPT Code: `71046`	$1,381	$111	$93	1.2×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$119	$25	unverified
X-ray, chest (single view) CPT Code: `71045`	$848	$87	$92	0.9×
X-ray, pelvis CPT Code: `72170`	$1,349	$96	$110	0.9×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$1,456	$103	$148	0.7×
Screening mammogram (both breasts) CPT Code: `77067`	$1,222	$85	$123	0.7×
Typhoid vaccine HCPCS Code: `90675`	$4,868	$520	$347	1.5×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$232	$203	1.1×
Pneumococcal vaccine HCPCS Code: `90732`	$439	$148	$140	1.1×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$2,144	$120	$111	1.1×
Drug screening test HCPCS Code: `G0480`	$566	$114	$116	1.0×
Flu vaccine injection HCPCS Code: `G0008`	$91	$82	$48	1.7×
Pneumonia vaccine injection HCPCS Code: `G0009`	$91	$82	$49	1.7×
Colorectal cancer screening HCPCS Code: `G0010`	—	$82	$49	1.7×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$925	$62	$56	1.1×
Speech therapy (language evaluation) CPT Code: `92507`	$2,036	$72	$86	0.8×
Blood test, basic metabolic panel CPT Code: `80048`	$247	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$407	$11	$11	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$212	$14	$14	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$331	$14	$14	1.0×
Blood test, vitamin D CPT Code: `82306`	$330	$30	$31	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$236	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$105	$7	$7	1.0×
Blood test, calcium CPT Code: `82310`	$68	$5	$5	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$73	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$253	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$269	$7	$7	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$354	$20	$20	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$198	$27	$27	1.0×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$414	$37	$39	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$584	$15	$16	0.9×
Prosthetic fitting and training CPT Code: `97761`	$571	$38	$45	0.8×
Blood test, liver function panel CPT Code: `80076`	$238	$8	$9	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$12	$14	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$32	$38	0.8×
Orthotic fitting and training CPT Code: `97760`	—	$42	$51	0.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$365	$32	$40	0.8×
Office visit, established patient (30-39 min) CPT Code: `99214`	$397	$57	$123	0.5×
Blood test, potassium CPT Code: `84132`	$107	$5	$5	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$177	$19	$19	1.0×
Hepatitis B vaccine HCPCS Code: `90744`	$195	$35	$37	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$316	$39	$87	0.4×
Psychological testing evaluation CPT Code: `96136`	—	$50	$128	0.4×
New patient office visit (30-44 min) CPT Code: `99203`	$491	$39	$110	0.4×
Psychological testing by technician CPT Code: `96138`	—	$50	$395	0.1×
Blood test, sodium CPT Code: `84295`	$147	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$123	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$105	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$178	$15	$15	1.0×
Culture, blood CPT Code: `87040`	$411	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$675	$9	$9	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$120	$25	$25	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$139	$17	$18	0.9×
Speech therapy (group session) CPT Code: `92508`	—	$23	$27	0.9×
Physical therapy (gait training) CPT Code: `97116`	$363	$27	$33	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$489	$31	$38	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$625	$30	$38	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$51	$4	$5	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$504	$27	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$493	$26	$34	0.8×
Blood test, hemoglobin CPT Code: `85018`	$89	$2	$3	0.7×
Diagnostic procedure preparation HCPCS Code: `G0279`	$428	$11	$35	0.3×
Blood antibody screen CPT Code: `86850`	$186	$10	$46	0.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$107	$5	$5	unverified
Blood test, magnesium CPT Code: `83735`	$63	$7	$7	unverified

Showing top 25 high-impact procedures of 125 total

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

Audit a Bill or Quote at Rapides Regional Medical Center (Zero PHI Required)

CMS CCN: 190026

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $24,183

1. Amount on Your Bill or Quote ($) Pre-filled with Rapides Regional 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 Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Rapides Regional Medical Center'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 +$27,264 Above Fair BaseRate

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

Your bill ($58,039) is $27,264 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: 611267229

Public IRS & CMS ownership records classify Rapides Regional 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 Overall2/5 Stars (2/5)

Safety Composite56/100

Would Recommend60%

Rated 9 or 10 (HCAHPS)62%

Median ER Wait134 min

Left ER Before Seen0%

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 Infectionworse

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 Rapides Regional Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2025-05-07·administrative_or_closure
Met Requirements
Recorded
2025-04-10·administrative_or_closure
Met Requirements
Recorded
2023-07-20·administrative_or_closure
Closure Notice
Recorded
2021-10-27·cap_corrective_action
CAP Request
Recorded
2021-05-18·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (629 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 Quality & Price Benchmark

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

Price Index: 1.01× regional baseline

Quality: 42/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Medical Development International

-71.7%

AmeriHealth

-55.4%

Health Net

+153.3%

Median Household Income$55,946U.S. Census ACS

Local Uninsured Share8.9%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 70/100 · Caution CMS CCN 190026 EIN 611267229

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 190026) ↗ Verify IRS Form 990 (EIN 611267229) ↗ CMS HCRIS Cost Reports ↗

Published MRF File61-1267229_RAPIDES-REGIONAL-MEDICAL-CENTER_standardcharges.json

Publication / Vintage2026-09-01 · 259.98 MB

Validated Rate Rows5,513 (CMS v3.0.0)

File Integrity Digest366b43e37ae4e1b01361…

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.

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