How many shoppable procedure prices are published for West Jefferson Medical Center?

West Jefferson Medical Center in Marrero, LA currently has 103 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do West Jefferson Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, West Jefferson Medical Center's median negotiated commercial rate is 1.2× the regionally adjusted fair BaseRate benchmark.

What is West Jefferson Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns West Jefferson 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 193 Beds · urban Updated: 2026-06-30

West Jefferson Medical Center

1101 Medical Center Blvd, Marrero, LA 70072 · 103 Priced Procedures · 72% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Above Fair Market · Negotiate

1.19×vs. Fair Market Price

Typical commercial prices here are +19% above the fair benchmark (1.19×) even after accounting for local nurse/doctor wages and patient complexity.

76/100 · Corroborated

76/100Self-Pay Cash Beats Insurance 41% of the Time

File Completeness51

Price Logic95

Peer Alignment64

Clean Billing66

Real Cash Discount100

Regional Value Leader

3-Star CMS clinical quality rating paired with 1.19× fair market pricing.

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

West Jefferson Medical Center maintains elevated commercial insurance contracts (1.19× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 41% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#72 of 101 in LA · 70th State Percentile#1,974 of 3,385 in U.S. · 58th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.99× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 41% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (70/100 safety score) with 72% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (17.5% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.19× 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 1.21× Fair BaseRate (1.6× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.60×) jump +32% above the median procedure ratio (Q50 1.21×)
Unnegotiated chargemaster list prices average 14.6× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.6× Medicare

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

Back-Door Captive & ER0.75× Divergence

1.2× Medicare

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

Quantile Tail Spread+32% Upper Tail

Q25 0.99× · Q50 1.21× · Q75 1.60×

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

1.6× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.5× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

2.3× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

3.4× MedicareElevated

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

0.8× MedicareGood

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

41% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 70/100Fair

Procedure Prices at West Jefferson Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 103 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`	$5,761	$2,847	$13,523	0.2×
Cataract surgery with lens implant CPT Code: `66984`	$1,193	$2,448	$2,540	1.0×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,874	$2,448	$6,109	0.4×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,089	$1,775	$1,021	1.7×
Breast lump removal CPT Code: `19120`	$809	$1,744	$3,875	0.5×
Colonoscopy (diagnostic) CPT Code: `45378`	$706	$1,527	$981	1.6×
Upper endoscopy with biopsy CPT Code: `43239`	$619	$1,527	$987	1.5×
Colonoscopy with biopsy CPT Code: `45380`	$780	$1,527	$1,256	1.2×
Blood transfusion CPT Code: `36430`	$261	$1,142	$498	2.3×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$699	$940	$583	1.6×
MRI, brain (with and without contrast) CPT Code: `70553`	$947	$852	$511	1.7×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$720	$870	$448	unverified
Rabies immune globulin HCPCS Code: `90375`	$2,042	$606	$322	1.9×
MRI, knee or other leg joint CPT Code: `73721`	$1,025	$564	$369	1.5×
Neurobehavioral status check CPT Code: `96116`	$106	$494	$231	2.1×
MRI, brain (no contrast) CPT Code: `70551`	$785	$514	$343	1.5×
MRI, lower back (no contrast) CPT Code: `72148`	$866	$491	$338	1.5×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$255	$455	$272	1.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$777	$460	$258	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$711	$414	$303	1.4×
CT scan, head (with contrast) CPT Code: `70460`	$706	$386	$242	1.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$625	$337	$169	2.0×
Breathing treatment (nebulizer) CPT Code: `94640`	$87	$359	$201	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$667	$333	$167	2.0×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$671	$334	$168	2.0×
CT scan, sinuses CPT Code: `70486`	$500	$354	$166	unverified
CT scan, pelvis CPT Code: `72192`	$531	$332	$163	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$212	$327	$132	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$319	$306	$134	unverified
CT scan, head (no contrast) CPT Code: `70450`	$590	$270	$160	1.7×
Ultrasound, pelvis CPT Code: `76856`	$243	$286	$130	unverified
Psychotherapy session (45 minutes) CPT Code: `90834`	$109	$257	$166	1.5×
Family therapy session CPT Code: `90847`	$72	$257	$173	1.5×
Psychotherapy session (60 minutes) CPT Code: `90837`	$109	$257	$181	1.4×
Psychiatric evaluation (first visit) CPT Code: `90791`	$109	$257	$185	1.4×
Ultrasound, abdomen (limited) CPT Code: `76705`	$201	$233	$126	unverified
X-ray, hip CPT Code: `73502`	$104	$146	$93	1.6×
Group therapy session CPT Code: `90853`	$27	$153	$100	1.5×
X-ray, lower back CPT Code: `72110`	$166	$156	$112	1.4×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$133	$178	$148	1.2×
Screening mammogram (both breasts) CPT Code: `77067`	$99	$147	$123	1.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$98	$107	$64	1.7×
X-ray, neck (cervical spine) CPT Code: `72040`	$101	$115	$93	1.2×
X-ray, hand CPT Code: `73130`	$83	$115	$93	1.2×
X-ray, ankle CPT Code: `73610`	$77	$111	$93	1.2×
X-ray, foot CPT Code: `73630`	$106	$103	$92	1.1×
X-ray, shoulder CPT Code: `73030`	$121	$102	$92	1.1×
X-ray, chest (two views) CPT Code: `71046`	$103	$92	$93	1.0×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$345	$182	$203	0.9×
Pneumococcal vaccine HCPCS Code: `90732`	$202	$141	$140	1.0×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$108	$55	$25	2.2×
Physical therapy (functional capacity test) CPT Code: `97750`	$33	$66	$38	1.7×
Occupational therapy (self-care training) CPT Code: `97535`	$21	$64	$38	1.7×
Physical therapy (manual therapy) CPT Code: `97140`	$38	$54	$34	1.6×
X-ray, chest (single view) CPT Code: `71045`	$92	$69	$92	0.8×
X-ray, pelvis CPT Code: `72170`	$106	$78	$110	0.7×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$160	$76	$111	0.7×
Speech therapy (group session) CPT Code: `92508`	$35	$45	$27	1.7×
Drug screening test HCPCS Code: `G0480`	$58	$58	$116	0.5×
Office visit, established patient (30-39 min) CPT Code: `99214`	$29	$57	$123	0.5×
Office visit, established patient (20-29 min) CPT Code: `99213`	$29	$38	$87	0.4×
Psychological testing evaluation CPT Code: `96136`	$58	$45	$128	0.4×
New patient office visit (30-44 min) CPT Code: `99203`	$29	$38	$110	0.3×
Care planning with family CPT Code: `90887`	$58	$58	$107	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$26	$4	$3	1.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$34	$5	$4	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$19	$5	$4	1.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	$41	$10	$8	1.3×
Culture, bacterial CPT Code: `87070`	$96	$11	$9	1.2×
Blood test, ferritin (iron stores) CPT Code: `82728`	$31	$17	$14	1.2×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$37	$12	$10	1.2×
Blood test, potassium CPT Code: `84132`	$12	$6	$5	1.2×
Hepatitis C antibody test CPT Code: `86803`	$35	$18	$15	1.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$77	$13	$11	1.2×
Culture, blood CPT Code: `87040`	$41	$13	$11	1.2×
Blood test, thyroid (TSH) CPT Code: `84443`	$38	$21	$18	1.2×
Blood test, vitamin D CPT Code: `82306`	$45	$36	$31	1.2×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$141	$36	$56	0.6×
Blood test, creatinine (kidney) CPT Code: `82565`	$33	$6	$5	1.2×
Blood test, vitamin B12 CPT Code: `82607`	$40	$19	$16	1.2×
Blood test, clotting time (PTT) CPT Code: `85730`	$48	$7	$6	1.2×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$46	$16	$14	1.1×
Blood test, amylase CPT Code: `82150`	$31	$8	$7	1.1×
Blood test, lipase CPT Code: `83690`	$29	$8	$7	1.1×
Blood test, magnesium CPT Code: `83735`	$48	$8	$7	1.1×
Blood test, basic metabolic panel CPT Code: `80048`	$49	$10	$9	1.1×
Blood test, liver function panel CPT Code: `80076`	$65	$10	$9	1.1×
Blood test, PSA (prostate screen) CPT Code: `84153`	$48	$19	$19	1.0×
Hepatitis B vaccine HCPCS Code: `90744`	$84	$33	$37	0.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$113	$30	$39	0.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$29	$29	$40	0.7×
Prosthetic fitting and training CPT Code: `97761`	$28	$20	$45	0.4×
Orthotic fitting and training CPT Code: `97760`	$26	$22	$51	0.4×
Speech therapy (language evaluation) CPT Code: `92507`	$56	$33	$86	0.4×
Blood test, hemoglobin CPT Code: `85018`	$24	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$17	$5	$5	1.0×
Physical therapy (gait training) CPT Code: `97116`	$30	$11	$33	0.3×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$33	$11	$35	0.3×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$21	$11	$38	0.3×
Blood antibody screen CPT Code: `86850`	$40	$11	$46	0.2×
Blood test, calcium CPT Code: `82310`	$27	$6	$5	unverified
Blood test, sodium CPT Code: `84295`	$13	$6	$5	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$22	$22	$86	unverified

Showing top 25 high-impact procedures of 103 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 17.5%

Audit a Bill or Quote at West Jefferson Medical Center (Zero PHI Required)

CMS CCN: 190039

CPT 27447

Select Procedure to Audit:

Fair BaseRate™ $13,523

Medicare Rate $13,117

Self-Pay Cash $5,761

Insurer Median $2,847

1. Amount on Your Bill or Quote ($) Pre-filled with West Jefferson 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: $6,316 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $6,316

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (17.5% of gross = $6,316).

Step 2 · Cash vs. Insurance Arbitrage Save $30,246 Paying Cash

Self-Pay Cash Rate ($5,761) Beats Your Bill

West Jefferson Medical Center's published 45 CFR § 180 self-pay cash rate is $5,761 (vs. $2,847 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$22,484 Above Fair BaseRate

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

Your bill ($36,007) is $22,484 above the denoised Fair BaseRate ($13,523) and 2.7× 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) 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 (17.5% 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.

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 Overall3/5 Stars (3/5)

Safety Composite70/100

Would Recommend72%

Rated 9 or 10 (HCAHPS)71%

Median ER Wait154 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 Infectionbetter

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 West Jefferson Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2026-03-20·warning_notice
Warning Notice
Recorded
2025-01-21·administrative_or_closure
Closure Notice
Recorded
2024-09-27·cap_corrective_action
CAP Request
Recorded

Source: CMS Hospital Care Compare (1,189 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

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

Price Index: 0.88× regional baseline

Quality: 64/100 CMS composite

Median Household Income$65,246U.S. Census ACS

Local Uninsured Share10.9%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 76/100 · Corroborated CMS CCN 190039

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 190039) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-06-30

Validated Rate Rows6,926 (CMS v3.0.0)

File Integrity DigestVerified · CCN 190039

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