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

Thibodaux Regional Medical Center in Thibodaux, LA currently has 124 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Thibodaux Regional Medical Center's median negotiated commercial rate is 1.7× the regionally adjusted fair BaseRate benchmark.

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

CMS Care Compare assigns Thibodaux Regional Medical Center an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 170 Beds · urban Updated: 2026-04-01

Thibodaux Regional Medical Center

602 N Acadia Road, Thibodaux, LA 70301 · 124 Priced Procedures · 80% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

High Markup · Shop Alternatives

1.66×vs. Fair Market Price

Typical commercial prices here are +66% above the fair benchmark (1.66×) even after accounting for local nurse/doctor wages and patient complexity.

62/100 · Caution

62/100Self-Pay Cash Beats Insurance 0% of the Time

File Completeness51

Price Logic89

Peer Alignment67

Clean Billing75

Real Cash Discount18

High-Markup · Check Safety

4-Star CMS clinical quality rating paired with 1.66× fair market pricing.

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 3,324), Thibodaux Regional Medical Center commands a 1.66× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#91 of 101 in LA · 89th State Percentile#2,840 of 3,385 in U.S. · 83rd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.36× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 0% of shoppable procedures (25/100 Cash Honesty)
CMS clinical safety score (69/100 safety score) with 80% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (15.7% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.1× markup over Medicare rates
Captive ER (2.5×) & laboratory (2.7×) services average 1.06× higher multiples than routine shoppable care (1.7×)
Even at low-cost facilities (1.66× 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 3,324) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.7× Medicare

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

Back-Door Captive & ER1.06× Divergence

1.8× Medicare

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

Quantile Tail Spread+8% Upper Tail

Q25 1.36× · Q50 1.67× · Q75 1.81×

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

1.7× MedicareGood

Outpatient Surgery & ORBack-Door Captive

2.1× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.6× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

2.5× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

2.7× MedicareFair

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

0.7× MedicareGood

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

0% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 69/100Fair

Procedure Prices at Thibodaux 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 124 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`	—	$36,059	$30,775	1.2×
Total hip replacement CPT Code: `27130`	—	$23,725	$13,413	unverified
Total knee replacement CPT Code: `27447`	—	$23,725	$13,523	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$21,683	$19,087	1.1×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$21,531	$19,432	1.1×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$19,679	$17,936	1.1×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$9,636	$6,109	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$8,702	$8,223	1.1×
Inguinal hernia repair CPT Code: `49505`	—	$6,199	$3,629	1.7×
Breast lump removal CPT Code: `19120`	$6,054	$6,040	$3,875	1.6×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$5,457	$3,372	1.6×
Bunion correction surgery CPT Code: `28296`	—	$5,457	$3,446	1.6×
Vaginal delivery (full package) CPT Code: `59400`	—	$4,980	$2,680	1.9×
Cataract surgery with lens implant CPT Code: `66984`	—	$4,031	$2,540	1.6×
Colonoscopy with biopsy CPT Code: `45380`	—	$2,002	$1,256	1.6×
Sleep study (overnight, in lab) CPT Code: `95810`	$5,340	$1,812	$1,021	1.8×
Trauma team activation HCPCS Code: `G0390`	—	$1,777	$1,453	1.2×
Upper endoscopy with biopsy CPT Code: `43239`	—	$1,567	$987	1.6×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,523	$981	1.6×
Injection procedure for pain management HCPCS Code: `G0260`	—	$1,246	$855	1.5×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$3,100	$960	$583	1.6×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$5,740	$780	$448	1.7×
Blood transfusion CPT Code: `36430`	$934	$774	$498	1.6×
MRI, brain (with and without contrast) CPT Code: `70553`	$4,920	$780	$511	1.5×
Neurobehavioral status check CPT Code: `96116`	—	$505	$231	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,791	$465	$272	1.7×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,589	$476	$303	1.6×
MRI, lower back (no contrast) CPT Code: `72148`	$3,076	$476	$338	1.4×
MRI, brain (no contrast) CPT Code: `70551`	$3,076	$476	$343	1.4×
MRI, knee or other leg joint CPT Code: `73721`	$3,076	$476	$369	1.3×
CT scan, head (with contrast) CPT Code: `70460`	$2,784	$372	$242	1.5×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,970	$372	$258	1.4×
Rabies immune globulin HCPCS Code: `90375`	—	$319	$322	1.0×
Family therapy session CPT Code: `90847`	—	$262	$173	1.5×
Psychiatric evaluation (first visit) CPT Code: `90791`	$287	$262	$185	1.4×
Breathing treatment (nebulizer) CPT Code: `94640`	$261	$261	$201	unverified
X-ray, lower back CPT Code: `72110`	$530	$229	$112	2.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$830	$229	$126	1.8×
Ultrasound, pelvis CPT Code: `76856`	$830	$229	$130	1.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$830	$229	$132	1.7×
Ultrasound, abdomen (complete) CPT Code: `76700`	$464	$229	$134	1.7×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$786	$217	$148	1.5×
CT scan, head (no contrast) CPT Code: `70450`	$1,699	$229	$160	1.4×
CT scan, pelvis CPT Code: `72192`	$1,699	$229	$163	1.4×
Psychotherapy session (45 minutes) CPT Code: `90834`	$233	$233	$166	1.4×
CT scan, sinuses CPT Code: `70486`	$1,699	$229	$166	1.4×
CT scan, chest (no contrast) CPT Code: `71250`	$1,699	$229	$167	1.4×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,699	$229	$168	1.4×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,699	$229	$169	1.4×
X-ray, pelvis CPT Code: `72170`	$971	$229	$110	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$362	$155	$86	1.8×
X-ray, chest (single view) CPT Code: `71045`	$721	$163	$92	1.8×
X-ray, shoulder CPT Code: `73030`	$1,163	$163	$92	1.8×
X-ray, foot CPT Code: `73630`	$1,015	$163	$92	1.8×
X-ray, chest (two views) CPT Code: `71046`	$721	$163	$93	1.8×
X-ray, neck (cervical spine) CPT Code: `72040`	$721	$163	$93	1.8×
X-ray, hand CPT Code: `73130`	$1,548	$163	$93	1.8×
X-ray, hip CPT Code: `73502`	$721	$163	$93	1.8×
X-ray, ankle CPT Code: `73610`	$1,053	$163	$93	1.8×
Group therapy session CPT Code: `90853`	$295	$157	$100	1.6×
Screening mammogram (both breasts) CPT Code: `77067`	$651	$180	$123	1.5×
Hepatitis B immune globulin HCPCS Code: `90371`	—	$158	$151	1.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$341	$110	$64	1.7×
Prosthetic fitting and training CPT Code: `97761`	—	$80	$45	1.8×
Psychotherapy session (60 minutes) CPT Code: `90837`	$93	$93	$181	0.5×
Orthotic fitting and training CPT Code: `97760`	$194	$93	$51	unverified
Drug screening test HCPCS Code: `G0480`	$847	$847	$116	unverified
Typhoid vaccine HCPCS Code: `90675`	$1,587	$349	$347	1.0×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$367	$208	$203	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$450	$147	$140	1.1×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$201	$108	$111	1.0×
Blood test, vitamin D CPT Code: `82306`	$274	$58	$31	1.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$172	$68	$38	1.8×
Physical therapy (gait training) CPT Code: `97116`	$182	$59	$33	1.8×
Physical therapy (functional capacity test) CPT Code: `97750`	$189	$67	$38	1.8×
Occupational therapy (self-care training) CPT Code: `97535`	$171	$66	$38	1.7×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$76	$19	$10	1.9×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$63	$38	$20	1.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	$151	$26	$14	1.9×
Blood test, vitamin B12 CPT Code: `82607`	$167	$29	$16	1.8×
Speech therapy (group session) CPT Code: `92508`	$230	$46	$27	1.7×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$178	$59	$35	1.7×
Physical therapy (manual therapy) CPT Code: `97140`	$181	$55	$34	1.6×
New patient office visit (30-44 min) CPT Code: `99203`	$325	$56	$110	0.5×
Office visit, established patient (30-39 min) CPT Code: `99214`	$335	$52	$123	0.4×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$182	$75	$40	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$116	$26	$14	1.9×
Flu vaccine injection HCPCS Code: `G0008`	$137	$46	$48	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	$137	$46	$49	0.9×
Colorectal cancer screening HCPCS Code: `G0010`	$188	$46	$49	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$91	$43	$56	0.8×
Office visit, established patient (20-29 min) CPT Code: `99213`	$278	$42	$87	0.5×
Psychological testing evaluation CPT Code: `96136`	—	$46	$128	0.4×
Blood test, PSA (prostate screen) CPT Code: `84153`	$204	$36	$19	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$51	$8	$4	2.0×
Hepatitis C antibody test CPT Code: `86803`	$158	$28	$15	1.9×
Psychological testing by technician CPT Code: `96138`	—	$46	$395	0.1×
Culture, blood CPT Code: `87040`	$193	$20	$11	1.8×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$45	$35	1.3×
Hospital observation (per hour) HCPCS Code: `G0378`	$87	$42	$86	0.5×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$35	$35	$25	unverified
Blood test, potassium CPT Code: `84132`	$61	$9	$5	1.8×
Blood test, sodium CPT Code: `84295`	$62	$9	$5	1.8×
Blood test, basic metabolic panel CPT Code: `80048`	$203	$16	$9	1.8×
Blood antibody screen CPT Code: `86850`	$127	$19	$46	0.4×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$224	$21	$11	unverified
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$149	$26	$14	unverified
Blood test, liver function panel CPT Code: `80076`	$106	$16	$9	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$187	$33	$18	unverified
Blood test, hemoglobin CPT Code: `85018`	$19	$5	$3	1.7×
Blood test, complete blood count (CBC) CPT Code: `85025`	$80	$12	$8	1.5×
Hepatitis B vaccine HCPCS Code: `90744`	$120	$35	$37	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$112	$23	$25	0.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$120	$33	$39	0.8×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$81	$6	$3	unverified
Blood test, amylase CPT Code: `82150`	$84	$13	$7	unverified
Blood test, calcium CPT Code: `82310`	$67	$10	$5	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$66	$10	$5	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$50	$8	$4	unverified
Blood test, lipase CPT Code: `83690`	$89	$13	$7	unverified
Blood test, magnesium CPT Code: `83735`	$93	$13	$7	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$33	$8	$5	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$78	$12	$6	unverified
Culture, bacterial CPT Code: `87070`	$112	$17	$9	unverified

Showing top 25 high-impact procedures of 124 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 15.7%

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

CMS CCN: 190004

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $36,059

1. Amount on Your Bill or Quote ($) Pre-filled with Thibodaux 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 501(r) AGB Cap: $13,622 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $13,622

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (15.7% of gross = $13,622).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Thibodaux 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 +$55,767 Above Fair BaseRate

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

Your bill ($86,542) is $55,767 above the denoised Fair BaseRate ($30,775) and 3.7× 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 (15.7% 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 Overall4/5 Stars (4/5)

Safety Composite69/100

Would Recommend80%

Rated 9 or 10 (HCAHPS)78%

Median ER Wait170 min

Left ER Before Seen3%

30-Day Mortality vs U.S.worse

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 Infectionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Thibodaux Regional Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2025-08-25·administrative_or_closure
Closure Notice
Recorded
2025-07-16·cap_corrective_action
CAP Request
Recorded
2025-04-10·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (984 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 Thibodaux Regional Medical Center.

Price Index: 0.98× regional baseline

Quality: 54/100 CMS composite

Median Household Income$63,439U.S. Census ACS

Local Uninsured Share6.6%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 62/100 · Caution CMS CCN 190004

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 190004) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-01

Validated Rate Rows421 (CMS v3.0.0)

File Integrity DigestVerified · CCN 190004

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