University Medical Center New Orleans
2000 Canal Street, New Orleans, LA 70112 · 107 Priced Procedures · 75% Patient Recommendation
Typical commercial prices here are 5% below the fair benchmark (0.95×) after accounting for local nurse/doctor wages and patient complexity.
4-Star CMS clinical quality rating paired with 0.95× fair market pricing.
Aligned Regional Benchmark Peer
University Medical Center New Orleans prices shoppable and inpatient services (1.3× to 1.0× Medicare, divergence 0.77×) in alignment with regional hospital peers (0.95× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 5% below peer Fair BaseRate (0.95×)
- Self-pay cash beats commercial insurance on 20% of shoppable procedures (99/100 Cash Honesty)
- 2-Star CMS clinical rating with 75% patient recommendation (70/100 safety score)
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (22.5% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (0.95× 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 0.98× Fair BaseRate (1.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 1.24×) jump +27% above the median procedure ratio (Q50 0.98×)
- Unnegotiated chargemaster list prices average 8.1× Medicare (14¢ 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 University Medical Center New Orleans
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 107 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $10,000 | 1.6× |
| Total knee replacement CPT Code: 27447 | $10,000 | 0.7× |
| Cataract surgery with lens implant CPT Code: 66984 | $10,000 | unverified |
| Rabies immune globulin HCPCS Code: 90375 | $5,326 | 16.5× |
| Breast lump removal CPT Code: 19120 | $2,038 | unverified |
| Sleep study (overnight, in lab) CPT Code: 95810 | $1,471 | 1.4× |
| Trauma team activation HCPCS Code: G0390 | $1,442 | 1.0× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $779 | 1.3× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $618 | 1.4× |
| Blood transfusion CPT Code: 36430 | $628 | 1.3× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $618 | 1.2× |
| Colonoscopy with biopsy CPT Code: 45380 | $430 | 0.3× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $377 | 1.4× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $377 | 1.2× |
| MRI, lower back (no contrast) CPT Code: 72148 | $377 | 1.1× |
| MRI, brain (no contrast) CPT Code: 70551 | $377 | 1.1× |
| MRI, knee or other leg joint CPT Code: 73721 | $377 | 1.0× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $395 | 0.4× |
| Breathing treatment (nebulizer) CPT Code: 94640 | $298 | 1.5× |
| CT scan, head (with contrast) CPT Code: 70460 | $295 | 1.2× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $295 | 1.1× |
| Upper endoscopy with biopsy CPT Code: 43239 | $295 | unverified |
| Psychotherapy session (45 minutes) CPT Code: 90834 | $213 | 1.3× |
| Family therapy session CPT Code: 90847 | $213 | 1.2× |
| Psychotherapy session (60 minutes) CPT Code: 90837 | $213 | 1.2× |
Audit a Bill or Quote at University Medical Center New Orleans (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $5,189
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (22.5% of gross = $5,189).
Self-Pay Cash Rate ($5,078) Beats Your Bill
University Medical Center New Orleans's published 45 CFR § 180 self-pay cash rate is $5,078 (vs. $10,000 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $6,109 Fair BaseRate ($6,176 Medicare)
Your bill ($23,082) is $16,973 above the denoised Fair BaseRate ($6,109) and 3.7× the $6,176 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (22.5% 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.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at University Medical Center New Orleans. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-03-25·administrative_or_closure
Met Requirements
Recorded
Source: CMS Hospital Care Compare (1,577 completed HCAHPS patient surveys). 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 University Medical Center New Orleans.
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.