Covington, LA
23
In-network payers
377
Disclosed rate categories
21
Beds
Avala Hospital is a 21-bed physician hospital in Covington, LA. Below you'll find publicly disclosed negotiated rates and facility details, including 23 in-network payers and 377 disclosed rate categories.
CCN (Medicare provider number)
190267
NPI
1851487086
Type
Short Term Acute Care Hospital
Ownership
Physician
Beds
21
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Avala Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Medicine & Surgery · Inpatient
MS-DRG 470
$14,091 - $21,797
from 4 insurers · median $15,227
27 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery · Inpatient
MS-DRG 473
$18,208 - $28,117
from 4 insurers · median $19,898
20 Medicare discharges for this DRG in CMS hospital data
Orthopedics and pain
CPT 63030
$6,420 - $15,588
from 3 insurers · median $6,466
134 Medicare claims in Level 4 Musculoskeletal Procedures (CMS 2024)
Medicine & Surgery
CPT 29881
$2,819 - $6,821
from 4 insurers · median $4,525
65 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Digestive procedures
CPT 43239
$831 - $1,851
from 3 insurers · median $1,433
Common here, based on CMS Medicare volume
CT imaging
CPT 74177
$393 - $778
from 4 insurers · median $480
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,034 - $2,429
from 3 insurers · median $1,433
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$6,420 - $20,379
from 3 insurers · median $9,095
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$5,110 - $11,689
from 3 insurers · median $6,420
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$2,289 - $4,929
from 4 insurers · median $3,032
59 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Cardiology and vascular testing
CPT 93306
$545 - $1,128
from 3 insurers · median $676
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 64721
$1,770 - $4,031
from 3 insurers · median $2,918
75 Medicare claims in Level 1 Nerve Procedures (CMS 2024)
Digestive procedures
CPT 45380
$1,089 - $2,429
from 3 insurers · median $1,433
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$115 - $650
from 4 insurers · median $185
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$91 - $199
from 3 insurers · median $91
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$808 - $1,864
from 3 insurers · median $1,433
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$240 - $650
from 4 insurers · median $409
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 29880
$2,819 - $6,966
from 3 insurers · median $3,820
65 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
X-ray and bone density
CPT 71046
$80 - $195
from 4 insurers · median $95
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 29848
$1,433 - $3,820
from 3 insurers · median $3,459
55 Medicare claims in Level 2 Musculoskeletal Procedures (CMS 2024)
Gynecology
CPT 58661
$4,977 - $11,689
from 3 insurers · median $6,420
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$1,310 - $2,977
from 3 insurers · median $1,602
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$413 - $826
from 4 insurers · median $616
Common here, based on CMS Medicare volume
Gynecology
CPT 58662
$4,447 - $11,689
from 3 insurers · median $6,420
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 9 | 218% | 1 | 0 |
| Insurer B* | 24 | 203% | 19 | 0 |
| Insurer C* | 24 | 121% | 15 | 2 |
| Insurer D* | 24 | 89% | 0 | 21 |
How we chose these services: 8 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 4 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Avala Hospital.
67252 Industry Lane, Covington, LA 70433
(985) 801-3010
The nearest hospitals of similar type and size. Their rates are compared with Avala Hospital for the same insurers and services above.
St. Bernard Parish Hospital
â–² Rates typically 18% higher than Avala Hospital (24 services)
Beacham Memorial Hospital
â–¼ Rates typically 43% lower than Avala Hospital (24 services)
Physicians Medical Center
â–¼ Rates typically 14% lower than Avala Hospital (24 services)
Jefferson County Hospital
â–¼ Rates typically 60% lower than Avala Hospital (14 services)
Jasper General Hospital
â–¼ Rates typically 61% lower than Avala Hospital (16 services)
Jackson Medical Center
â–¼ Rates typically 26% lower than Avala Hospital (20 services)
Lakeview Regional Medical Center
St. Tammany Parish Hospital
Saint Francis Specialty Hospital
Ochsner St. Mary
About Avala Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Avala Hospital range from $413 to $826 across 4 insurers. Blue Cross Blue Shield's rate is $413. The median at nearby comparable hospitals is $503. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Avala Hospital range from $393 to $778 across 4 insurers. Cigna's rate is $778. The median at nearby comparable hospitals is $448. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Avala Hospital range from $1,034 to $2,429 across 3 insurers. UnitedHealthcare's rate is $1,433. The median at nearby comparable hospitals is $1,065. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Avala Hospital range from $91 to $199 across 3 insurers. UnitedHealthcare's rate is $91. The median at nearby comparable hospitals is $99. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Avala Hospital range from $14,091 to $21,797 across 4 insurers. Aetna's rate is $21,797. The median at nearby comparable hospitals is $13,728. What a patient pays depends on their plan's deductible, coinsurance and network status.
Avala Hospital has 21 beds. Facility type: Short Term Acute Care Hospital.
Avala Hospital is located at 67252 Industry Lane, Covington, LA 70433. Its main phone number is (985) 801-3010.
Avala Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 190267.
The National Provider Identifier (NPI) on file for Avala Hospital is 1851487086.
Avala Hospital lists 23 in-network payers, including Aetna, Aspirus Health Plan, Avera Health Plans, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
377 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers