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Baton Rouge General Medical Center

Baton Rouge, LA

Baton Rouge, LA

169

Beds

1,738

Inpatient discharges a year

$46.7M

Net patient revenue a year

30

In-network payers

About this hospital

Baton Rouge General Medical Center is a 169-bed hospital in Baton Rouge, LA. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 442 disclosed rate categories.

  • Disproportionate share hospital
  • 340B participant
  • Helipad
CCN
190316
NPI
1619504016
Teaching
No Medicare-funded residents
County
East Baton Rouge Parish
Metro area
Baton Rouge, LA MSA
Medicare contractor
Jurisdiction H, Novitas Solutions (07001)
In Medicare since
2020
Last CMS survey
2023

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

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PayerCategoryCode Type & GroupContract Typevs. State Average

Aetna

Outpatient

CPT Anesthesia

Range: 00100 - 01999

Negotiated

Very High

Aetna

Outpatient

CPT Category II Codes

Range: 0001F - 9007F

Negotiated

Very Low

Aetna

Outpatient

CPT Category III Codes

Range: 0042T - 0810T

Negotiated

High

Aetna

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

Negotiated

Very High

Aetna

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Negotiated

Very High

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Multianalyte Assay

Range: 0002M - 0018M

Negotiated

Low

Aetna

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Negotiated

Very Low

Aetna

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Percentage of Bill Charged

-

Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

...

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Baton Rouge General Medical Center in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
72-1025017Baton Rouge General Medical Center41Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 36 more1962537407 Baton Rouge General Medical Center1619504016 Baton Rouge General Medical Center1184750192 Baton Rouge General Medical Centerand 13 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

Baton Rouge, LA

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Frequently asked questions

About Baton Rouge General Medical Center's rates and hospital price transparency.

Is Baton Rouge General Medical Center a teaching hospital?

CMS reports no Medicare-funded interns or residents at Baton Rouge General Medical Center for fiscal year 2027.

Does Medicare penalize Baton Rouge General Medical Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Baton Rouge General Medical Center's base inpatient payments by an estimated 0.06% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Baton Rouge General Medical Center?

In 2024, the most common were psychoses (67 discharges), septicemia or severe sepsis without mv >96 hours with mcc (34 discharges), heart failure and shock with mcc (14 discharges).

What is Baton Rouge General Medical Center's case mix index?

Baton Rouge General Medical Center's Medicare case mix index is 1.39 for fiscal year 2027, higher than 16% of hospitals paid under the inpatient prospective payment system.

How many patients does Baton Rouge General Medical Center admit?

Baton Rouge General Medical Center reported 1,738 inpatient discharges and 11,170 inpatient days from Oct 1, 2024 to Sep 30, 2025.

How many employees does Baton Rouge General Medical Center have?

Baton Rouge General Medical Center reported 154 full-time-equivalent employees on payroll from Oct 1, 2024 to Sep 30, 2025.

How much revenue does Baton Rouge General Medical Center make?

Baton Rouge General Medical Center reported $46.7M in net patient revenue on $103.8M of gross charges for Oct 1, 2024 to Sep 30, 2025, an operating margin of 18.5%, and net income of $10.2M.

How much charity and uncompensated care does Baton Rouge General Medical Center provide?

Baton Rouge General Medical Center reported $3.4M of unreimbursed and uncompensated care for Oct 1, 2024 to Sep 30, 2025, including $2M of charity care at cost.

Who is the CEO of Baton Rouge General Medical Center?

Baton Rouge General Medical Center's 2024 IRS Form 990 lists Edgardo Tenreiro as Pres & Chief Executive Off.

What is Baton Rouge General Medical Center's tax ID (EIN)?

Insurers' price transparency files list Baton Rouge General Medical Center under employer identification number 72-1025017 (Baton Rouge General Medical Center). 41 health plans and networks list 72-1025017 for it.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

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.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "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
      }
    ]
  }]
}
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  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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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

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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