How many shoppable procedure prices are published for Terrebonne General Medical Center - Parish?

Terrebonne General Medical Center - Parish in Houma, LA currently has 97 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Terrebonne General Medical Center - Parish's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Terrebonne General Medical Center - Parish's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

What is Terrebonne General Medical Center - Parish's CMS Care Compare overall star rating?

CMS Care Compare assigns Terrebonne General Medical Center - Parish 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 151 Beds · urban Updated: 2026-02-27

Terrebonne General Medical Center - Parish

8166 Main Street, Houma, LA 70360 · 97 Priced Procedures · 72% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Above Fair Market · Negotiate

1.13×vs. Fair Market Price

Typical commercial prices here are +13% above the fair benchmark (1.13×) even after accounting for local nurse/doctor wages and patient complexity.

87/100 · Verified

87/100Self-Pay Cash Beats Insurance 25% of the Time

File Completeness66

Price Logic96

Peer Alignment83

Clean Billing91

Real Cash Discount100

High Quality · Fair Price

4-Star CMS clinical quality rating paired with 1.13× fair market pricing.

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 3,324), Terrebonne General Medical Center - Parish commands a 1.13× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#66 of 101 in LA · 64th State Percentile#1,788 of 3,385 in U.S. · 52nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.96× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 25% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 72% patient recommendation (75/100 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 (1.13× 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 1.02× Fair BaseRate (1.4× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.36×) jump +33% above the median procedure ratio (Q50 1.02×)
Consolidated metro market (HHI 3,324) 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 & ER0.71× Divergence

1.0× Medicare

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

Quantile Tail Spread+33% Upper Tail

Q25 0.96× · Q50 1.02× · Q75 1.36×

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

0.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.6× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

2.0× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.7× MedicareFair

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

1.0× MedicareGood

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

25% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 75/100Fair

Procedure Prices at Terrebonne General Medical Center - Parish

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 97 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$17,370	$19,432	0.9×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$16,917	$17,936	0.9×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$14,031	$19,087	0.7×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$5,808	$8,223	0.7×
Upper endoscopy with biopsy CPT Code: `43239`	$1,816	$1,416	$987	unverified
Colonoscopy with biopsy CPT Code: `45380`	$1,816	$1,075	$1,256	0.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,896	$906	$1,021	0.9×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,750	$835	$981	0.9×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,074	$739	$511	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,699	$718	$448	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,150	$520	$583	0.9×
MRI, lower back (no contrast) CPT Code: `72148`	$1,860	$466	$338	1.4×
MRI, brain (no contrast) CPT Code: `70551`	$1,861	$466	$343	1.4×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,396	$438	$303	1.4×
Blood transfusion CPT Code: `36430`	$500	$396	$498	0.8×
CT scan, head (with contrast) CPT Code: `70460`	$1,217	$353	$242	1.5×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,471	$364	$258	1.4×
Rabies immune globulin HCPCS Code: `90375`	$3,334	$319	$322	1.0×
CT scan, sinuses CPT Code: `70486`	$1,407	$237	$166	1.4×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,520	$237	$168	1.4×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,790	$237	$169	1.4×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$925	$260	$272	1.0×
CT scan, head (no contrast) CPT Code: `70450`	$1,407	$237	$160	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$1,407	$237	$167	unverified
CT scan, pelvis CPT Code: `72192`	$1,039	$237	$163	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	$451	$199	$148	1.3×
Breathing treatment (nebulizer) CPT Code: `94640`	$444	$198	$201	1.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$501	$204	$132	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$540	$204	$134	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$471	$204	$126	unverified
Ultrasound, pelvis CPT Code: `76856`	$506	$204	$130	unverified
X-ray, lower back CPT Code: `72110`	$305	$151	$112	1.3×
Screening mammogram (both breasts) CPT Code: `77067`	$333	$165	$123	1.3×
Hepatitis B immune globulin HCPCS Code: `90371`	$445	$145	$151	1.0×
X-ray, hip CPT Code: `73502`	$244	$145	$93	unverified
X-ray, chest (two views) CPT Code: `71046`	$177	$115	$93	1.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$193	$115	$93	1.2×
X-ray, hand CPT Code: `73130`	$170	$112	$93	1.2×
X-ray, ankle CPT Code: `73610`	$300	$112	$93	1.2×
Speech therapy (language evaluation) CPT Code: `92507`	$159	$99	$86	1.2×
X-ray, chest (single view) CPT Code: `71045`	$167	$105	$92	1.1×
X-ray, foot CPT Code: `73630`	$280	$104	$92	1.1×
X-ray, shoulder CPT Code: `73030`	$212	$101	$92	1.1×
X-ray, pelvis CPT Code: `72170`	$234	$99	$110	0.9×
Typhoid vaccine HCPCS Code: `90675`	$1,852	$396	$347	1.1×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$935	$226	$203	1.1×
Pneumococcal vaccine HCPCS Code: `90732`	$324	$133	$140	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$96	$64	$38	1.7×
Speech therapy (group session) CPT Code: `92508`	$78	$45	$27	1.7×
Physical therapy (gait training) CPT Code: `97116`	$96	$55	$33	1.7×
Occupational therapy (self-care training) CPT Code: `97535`	$74	$58	$38	1.5×
Physical therapy (manual therapy) CPT Code: `97140`	$63	$49	$34	1.4×
Pneumonia vaccine injection HCPCS Code: `G0009`	$79	$65	$49	1.3×
Hepatitis B vaccine HCPCS Code: `90744`	$139	$45	$37	1.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$278	$70	$64	1.1×
Diagnostic procedure preparation HCPCS Code: `G0279`	$51	$42	$35	1.2×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$58	$37	$35	1.1×
Flu vaccine injection HCPCS Code: `G0008`	$36	$49	$48	1.0×
Orthotic fitting and training CPT Code: `97760`	$74	$52	$51	1.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$96	$40	$40	1.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$222	$52	$56	0.9×
Prosthetic fitting and training CPT Code: `97761`	$98	$40	$45	0.9×
Hospital observation (per hour) HCPCS Code: `G0378`	$56	$43	$86	0.5×
New patient office visit (30-44 min) CPT Code: `99203`	$107	$53	$110	0.5×
Office visit, established patient (30-39 min) CPT Code: `99214`	$115	$59	$123	0.5×
Blood test, basic metabolic panel CPT Code: `80048`	$185	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$188	$11	$11	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$74	$14	$14	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$54	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$64	$7	$7	1.0×
Blood test, calcium CPT Code: `82310`	$62	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$40	$5	$5	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$63	$16	$16	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$87	$14	$14	1.0×
Blood test, vitamin D CPT Code: `82306`	$146	$30	$31	1.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	$107	$40	$87	0.5×
Flu vaccine (high dose) HCPCS Code: `90656`	$101	$40	$25	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$36	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$54	$10	$10	1.0×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$143	$35	$39	0.9×
Blood test, lipase CPT Code: `83690`	$68	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$57	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$38	$5	$5	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$64	$19	$19	1.0×
Blood test, sodium CPT Code: `84295`	$37	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$46	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$73	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$47	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$58	$15	$15	1.0×
Culture, blood CPT Code: `87040`	$105	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$118	$9	$9	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$95	$17	$18	0.9×
Blood test, liver function panel CPT Code: `80076`	$211	$8	$9	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$39	$30	$111	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$51	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	$20	$2	$3	0.7×
Blood antibody screen CPT Code: `86850`	$57	$22	$46	0.5×

Showing top 25 high-impact procedures of 97 total

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

Audit a Bill or Quote at Terrebonne General Medical Center - Parish (Zero PHI Required)

CMS CCN: 190008

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash Request Quote

Insurer Median $17,370

1. Amount on Your Bill or Quote ($) Pre-filled with Terrebonne General Medical Center - Parish’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 Terrebonne General Medical Center - Parish'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 +$22,256 Above Fair BaseRate

Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)

Your bill ($41,688) is $22,256 above the denoised Fair BaseRate ($19,432) and 3.0× the $14,044 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)

Public IRS & CMS ownership records classify Terrebonne General Medical Center - Parish 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 Recommend72%

Rated 9 or 10 (HCAHPS)74%

Median ER Wait148 min

Left ER Before Seen3%

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

Source: CMS Hospital Care Compare (863 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 Terrebonne General Medical Center - Parish.

Price Index: 1.13× regional baseline

Quality: 71/100 CMS composite

Median Household Income$64,819U.S. Census ACS

Local Uninsured Share7.7%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 87/100 · Verified CMS CCN 190008

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 190008) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-02-27

Validated Rate Rows3,822 (CMS v3.0.0)

File Integrity DigestVerified · CCN 190008

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