East Jefferson General Hospital · Metairie, LA
31
In-network payers
213
Disclosed rate categories
407
Beds
4
Care quality
East Jefferson General Hospital is a 407-bed government - hospital district or authority hospital in Metairie, LA, affiliated with East Jefferson General Hospital. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 213 disclosed rate categories.
CCN (Medicare provider number)
190146
NPI
1538174347
Type
Short Term Acute Care Hospital
Ownership
Government - Hospital District Or Authority
Beds
407
Care Quality
4
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 East Jefferson General 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.
Childbirth · Inpatient
MS-DRG 807
$8,026
negotiated rate
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$11,930
negotiated rate
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 460
$46,145 - $60,148
from 2 insurers · median $53,147
11 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery · Inpatient
MS-DRG 216
$126,562 - $151,696
from 2 insurers · median $139,129
Hospital reports cardiac thoracic surgery services to CMS
Childbirth · Inpatient
MS-DRG 807
$8,026
negotiated rate
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 473
$33,272 - $38,642
from 2 insurers · median $35,957
Hospital reports neurosurgical services to CMS
Medicine & Surgery · Inpatient
MS-DRG 470
$23,632 - $29,843
from 2 insurers · median $26,737
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 743
$15,581 - $18,748
from 2 insurers · median $17,165
Hospital reports inpatient surgical services to CMS
Cardiology and vascular testing
CPT 93015
$544
negotiated rate
Typical for a hospital with this service line
CT imaging
CPT 74177
$566 - $3,518
from 3 insurers · median $780
Typical for a hospital with this service line
Gynecology
CPT 58571
$11,080 - $22,652
from 3 insurers · median $19,343
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$1,776 - $2,856
from 3 insurers · median $2,158
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$1,089 - $1,107
from 2 insurers · median $1,098
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$2,179 - $2,764
from 3 insurers · median $2,186
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$2,179 - $2,991
from 3 insurers · median $2,186
Typical for a hospital with this service line
CT imaging
CPT 70450
$183 - $784
from 3 insurers · median $253
Typical for a hospital with this service line
Nuclear imaging
CPT 78815
$1,900 - $3,325
from 3 insurers · median $2,803
Hospital reports pet scan services to CMS
Digestive procedures
CPT 49650
$6,804 - $11,080
from 3 insurers · median $10,164
Typical for a hospital with this service line
CT imaging
CPT 74176
$351 - $2,927
from 3 insurers · median $531
Typical for a hospital with this service line
Mammography
CPT 77067
$126 - $199
from 3 insurers · median $144
Typical for a hospital with this service line
Gynecology
CPT 58661
$9,390 - $17,671
from 3 insurers · median $11,080
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$90 - $172
from 3 insurers · median $133
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$851 - $2,597
from 3 insurers · median $1,673
Hospital reports nuclear medicine services to CMS
Gynecology
CPT 58558
$5,100 - $13,426
from 3 insurers · median $5,497
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* | 15 | 228% | 13 | 1 |
| Insurer B* | 21 | 193% | 16 | 1 |
| Insurer C* | 22 | 162% | 9 | 9 |
How we chose these services: 1 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 23 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 East Jefferson General Hospital.
4200 Houma Boulevard, Metairie, LA 70006
(504) 454-4000
The nearest hospitals of similar type and size. Their rates are compared with East Jefferson General Hospital for the same insurers and services above.
University Medical Center New Orleans
▼ Rates typically 23% lower than East Jefferson General Hospital (20 services)
Touro Infirmary
▼ Rates typically 29% lower than East Jefferson General Hospital (21 services)
West Jefferson Medical Center
▼ Rates typically 17% lower than East Jefferson General Hospital (21 services)
Slidell Memorial Hospital
▼ Rates typically 16% lower than East Jefferson General Hospital (21 services)
St. Tammany Parish Hospital
▲ Rates typically 36% higher than East Jefferson General Hospital (21 services)
North Oaks Medical Center
Rates about the same as East Jefferson General Hospital (21 services)
Omega Hospital Llc
Ochsner Acadia General Hospital
Leonard J. Chabert Medical Center
About East Jefferson General Hospital's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at East Jefferson General Hospital range from $566 to $3,518 across 3 insurers. Aetna's rate is $3,518. The median at nearby comparable hospitals is $669. 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 East Jefferson General Hospital range from $2,179 to $2,764 across 3 insurers. Aetna's rate is $2,764. The median at nearby comparable hospitals is $1,295. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at East Jefferson General Hospital range from $8,026 to $8,026 across 1 insurers. UnitedHealthcare's rate is $8,026. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at East Jefferson General Hospital range from $126 to $199 across 3 insurers. Aetna's rate is $126. The median at nearby comparable hospitals is $146. 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 East Jefferson General Hospital range from $23,632 to $29,843 across 2 insurers. Blue Cross Blue Shield's rate is $23,632. The median at nearby comparable hospitals is $24,869. What a patient pays depends on their plan's deductible, coinsurance and network status.
East Jefferson General Hospital has 407 beds. Facility type: Short Term Acute Care Hospital.
East Jefferson General Hospital is located at 4200 Houma Boulevard, Metairie, LA 70006. Its main phone number is (504) 454-4000.
East Jefferson General Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 190146.
The National Provider Identifier (NPI) on file for East Jefferson General Hospital is 1538174347.
East Jefferson General Hospital lists 31 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.
213 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.
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{
"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.
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