How many shoppable procedure prices are published for St Tammany Parish Hospital?

St Tammany Parish Hospital in Covington, LA currently has 109 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do St Tammany Parish Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, St Tammany Parish Hospital's median negotiated commercial rate is 0.6× the regionally adjusted fair BaseRate benchmark.

What is St Tammany Parish Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns St Tammany Parish Hospital an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Government - Hospital District or Authority 229 Beds · urban Updated: 4/2/2026

St Tammany Parish Hospital

1202 S Tyler Street, Covington, LA 70433 · 109 Priced Procedures · 80% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Good Deal · Below Fair Market

0.61×vs. Fair Market Price

Typical commercial prices here are 39% below the fair benchmark (0.61×) after accounting for local nurse/doctor wages and patient complexity.

72/100 · Corroborated

72/100Self-Pay Cash Beats Insurance 3% of the Time

File Completeness85

Price Logic98

Peer Alignment63

Clean Billing0

Real Cash Discount100

Regional Value Leader

4-Star CMS clinical quality rating paired with 0.61× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

St Tammany Parish Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (0.8× Medicare, p50 0.61× Fair BaseRate) and emergency/ancillary services (0.8× Medicare, p75 0.63× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#3 of 101 in LA · 1st State Percentile#84 of 3,385 in U.S. · 2nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 39% below peer Fair BaseRate (0.61×)
Self-pay cash beats commercial insurance on 3% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 80% patient recommendation (72/100 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 (0.61× 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 0.61× Fair BaseRate (0.8× Medicare), so insured patients should always compare the self-pay cash price before paying.
Even at low-cost facilities (0.61× 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.
Consolidated metro market (HHI 3,279) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

0.8× Medicare

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

Back-Door Captive & ER1.00× Divergence

0.8× Medicare

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

Quantile Tail Spread+3% Upper Tail

Q25 0.59× · Q50 0.61× · Q75 0.63×

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

0.8× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.8× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.0× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.3× MedicareGood

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

0.5× MedicareGood

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

3% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 72/100Fair

Procedure Prices at St Tammany Parish Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 109 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Total knee replacement CPT Code: `27447`	$50,155	$50,155	$13,523	3.7×
Total hip replacement CPT Code: `27130`	$28,109	$28,109	$13,413	2.1×
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	$80,509	$19,309	$30,775	0.6×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$15,079	$15,079	$3,372	4.5×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$13,103	$13,103	$6,109	2.1×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$21,249	$11,611	$19,087	0.6×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$49,294	$11,530	$19,432	0.6×
Inguinal hernia repair CPT Code: `49505`	$10,691	$10,691	$3,629	2.9×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$38,398	$10,538	$17,936	0.6×
Cataract surgery with lens implant CPT Code: `66984`	$9,714	$9,714	$2,540	3.8×
Breast lump removal CPT Code: `19120`	$9,739	$9,739	$3,875	2.5×
Bunion correction surgery CPT Code: `28296`	$6,908	$6,908	$3,446	2.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$9,196	$4,660	$8,223	0.6×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,982	$2,982	$448	6.7×
Colonoscopy with biopsy CPT Code: `45380`	$2,755	$2,755	$1,256	2.2×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,663	$2,663	$303	8.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,647	$2,647	$511	5.2×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,558	$2,558	$1,021	2.5×
Colonoscopy (diagnostic) CPT Code: `45378`	$2,515	$2,515	$981	2.6×
Upper endoscopy with biopsy CPT Code: `43239`	$2,479	$2,479	$987	2.5×
MRI, brain (no contrast) CPT Code: `70551`	$2,038	$2,038	$343	5.9×
Trauma team activation HCPCS Code: `G0390`	$1,800	$1,800	$1,453	1.2×
MRI, lower back (no contrast) CPT Code: `72148`	$1,569	$1,569	$338	4.6×
MRI, knee or other leg joint CPT Code: `73721`	$1,543	$1,543	$369	4.2×
Injection procedure for pain management HCPCS Code: `G0260`	$1,338	$1,338	$855	1.6×
CT scan, pelvis CPT Code: `72192`	$1,246	$1,246	$163	7.6×
CT scan, head (no contrast) CPT Code: `70450`	$1,203	$1,203	$160	7.5×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,191	$1,191	$169	7.0×
CT scan, head (with contrast) CPT Code: `70460`	$1,203	$1,203	$242	5.0×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,203	$1,203	$258	4.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,171	$1,171	$168	7.0×
CT scan, chest (no contrast) CPT Code: `71250`	$1,139	$1,139	$167	6.8×
CT scan, sinuses CPT Code: `70486`	$1,078	$1,078	$166	6.5×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,016	$1,016	$583	1.7×
Blood transfusion CPT Code: `36430`	$924	$924	$498	1.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$648	$648	$272	2.4×
Ultrasound, abdomen (limited) CPT Code: `76705`	$502	$502	$126	4.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$524	$524	$134	3.9×
Ultrasound, pelvis CPT Code: `76856`	$479	$479	$130	3.7×
Ultrasound, thyroid and neck CPT Code: `76536`	$466	$466	$132	3.5×
Breathing treatment (nebulizer) CPT Code: `94640`	$430	$430	$201	2.1×
X-ray, neck (cervical spine) CPT Code: `72040`	$298	$298	$93	3.2×
X-ray, lower back CPT Code: `72110`	$298	$298	$112	2.7×
Hepatitis B immune globulin HCPCS Code: `90371`	$309	$309	$151	2.0×
Screening mammogram (both breasts) CPT Code: `77067`	$270	$270	$123	2.2×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$285	$285	$148	1.9×
Speech therapy (language evaluation) CPT Code: `92507`	$210	$210	$86	2.4×
X-ray, pelvis CPT Code: `72170`	$219	$219	$110	2.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	$224	$224	$123	1.8×
Office visit, established patient (20-29 min) CPT Code: `99213`	$186	$186	$87	2.1×
X-ray, shoulder CPT Code: `73030`	$188	$188	$92	2.0×
X-ray, chest (single view) CPT Code: `71045`	$186	$186	$92	2.0×
Group therapy session CPT Code: `90853`	$196	$196	$100	2.0×
X-ray, chest (two views) CPT Code: `71046`	$180	$180	$93	1.9×
X-ray, hip CPT Code: `73502`	$180	$180	$93	1.9×
X-ray, foot CPT Code: `73630`	$177	$177	$92	1.9×
X-ray, hand CPT Code: `73130`	$177	$177	$93	1.9×
X-ray, ankle CPT Code: `73610`	$177	$177	$93	1.9×
New patient office visit (30-44 min) CPT Code: `99203`	$186	$186	$110	1.7×
Physical therapy (functional capacity test) CPT Code: `97750`	$150	$150	$38	3.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$164	$164	$64	2.6×
Speech therapy (group session) CPT Code: `92508`	$124	$124	$27	4.6×
Orthotic fitting and training CPT Code: `97760`	$95	$95	$51	1.9×
Prosthetic fitting and training CPT Code: `97761`	$82	$82	$45	1.8×
Typhoid vaccine HCPCS Code: `90675`	$1,445	$1,445	$347	4.2×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$243	$243	$56	4.3×
Culture, blood CPT Code: `87040`	$178	$178	$11	16.2×
Blood test, ferritin (iron stores) CPT Code: `82728`	$139	$139	$14	9.9×
Blood test, amylase CPT Code: `82150`	$106	$106	$7	15.1×
Blood test, lipase CPT Code: `83690`	$106	$106	$7	15.1×
Blood test, clotting time (PTT) CPT Code: `85730`	$88	$88	$6	14.7×
Culture, bacterial CPT Code: `87070`	$113	$113	$9	12.6×
Hepatitis C antibody test CPT Code: `86803`	$113	$113	$15	7.5×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$83	$83	$14	5.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$99	$99	$18	5.5×
Blood test, vitamin D CPT Code: `82306`	$101	$101	$31	3.3×
Colorectal cancer screening HCPCS Code: `G0010`	$112	$112	$49	2.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	$65	$65	$8	8.1×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$67	$67	$10	6.7×
Blood test, vitamin B12 CPT Code: `82607`	$87	$87	$16	5.4×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$77	$77	$40	1.9×
Blood antibody screen CPT Code: `86850`	$86	$86	$46	1.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$98	$98	$203	0.5×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$70	$70	$38	1.8×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$35	$35	$3	11.7×
Blood test, liver function panel CPT Code: `80076`	$57	$57	$9	6.3×
Physical therapy (manual therapy) CPT Code: `97140`	$60	$60	$34	1.8×
Occupational therapy (self-care training) CPT Code: `97535`	$67	$67	$38	1.8×
Pneumococcal vaccine HCPCS Code: `90732`	$69	$69	$140	0.5×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$38	$38	$4	9.5×
Blood test, creatinine (kidney) CPT Code: `82565`	$40	$40	$5	8.0×
Blood test, magnesium CPT Code: `83735`	$56	$56	$7	8.0×
Physical therapy (gait training) CPT Code: `97116`	$56	$56	$33	1.7×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$58	$58	$35	1.7×
Flu vaccine injection HCPCS Code: `G0008`	$71	$71	$48	1.5×
Pneumonia vaccine injection HCPCS Code: `G0009`	$71	$71	$49	1.4×
Blood test, glucose (blood sugar) CPT Code: `82947`	$28	$28	$4	7.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$33	$33	$5	6.6×
Blood test, calcium CPT Code: `82310`	$29	$29	$5	5.8×
Blood test, potassium CPT Code: `84132`	$28	$28	$5	5.6×
Blood test, sodium CPT Code: `84295`	$28	$28	$5	5.6×
Blood test, basic metabolic panel CPT Code: `80048`	$36	$36	$9	4.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$44	$44	$11	4.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$45	$45	$19	2.4×
Blood test, hemoglobin CPT Code: `85018`	$11	$11	$3	3.7×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$36	$36	$39	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$20	$22	$25	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$78	$31	$37	0.8×
Hospital observation (per hour) HCPCS Code: `G0378`	$39	$39	$86	0.5×

Showing top 25 high-impact procedures of 109 total

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

Audit a Bill or Quote at St Tammany Parish Hospital (Zero PHI Required)

CMS CCN: 190045

CPT 27447

Select Procedure to Audit:

Fair BaseRate™ $13,523

Medicare Rate $13,117

Self-Pay Cash $50,155

Insurer Median $50,155

1. Amount on Your Bill or Quote ($) Pre-filled with St Tammany Parish 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 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 $33,436 Paying Cash

Self-Pay Cash Rate ($50,155) Beats Your Bill

St Tammany Parish Hospital's published 45 CFR § 180 self-pay cash rate is $50,155 (vs. $50,155 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$70,068 Above Fair BaseRate

Negotiate Toward $13,523 Fair BaseRate ($13,117 Medicare)

Your bill ($83,591) is $70,068 above the denoised Fair BaseRate ($13,523) and 6.4× the $13,117 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: 720478620

Public IRS & CMS ownership records classify St Tammany Parish Hospital 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 Composite72/100

Would Recommend80%

Rated 9 or 10 (HCAHPS)80%

Median ER Wait171 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.8%

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 St Tammany Parish Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-09-10·administrative_or_closure
Closure Notice
Recorded
2025-08-13·warning_notice
Warning Notice
Recorded
2022-03-23·administrative_or_closure
Closure Notice
Recorded
2022-03-09·cap_corrective_action
CAP Request
Recorded
2021-08-25·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (1,245 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 St Tammany Parish Hospital.

Price Index: 0.27× regional baseline

Quality: 73/100 CMS composite

Median Household Income$79,277U.S. Census ACS

Local Uninsured Share7.3%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 72/100 · Corroborated CMS CCN 190045 EIN 720478620

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 190045) ↗ Verify IRS Form 990 (EIN 720478620) ↗ CMS HCRIS Cost Reports ↗

Published MRF File720478620_st-tammany-parish-hospital_standardcharges.csv

Publication / Vintage4/2/2026 · 18.32 MB

Validated Rate Rows62 (CMS v3.0.0)

File Integrity Digest1add3e7ede4d8c0392e0…

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