Lafayette General Health · Lafayette, LA
28
In-network payers
326
Disclosed rate categories
465
Beds
4
Care quality
Lafayette General Medical Center is a 465-bed voluntary non-profit - private hospital in Lafayette, LA, affiliated with Lafayette General Health. Below you'll find publicly disclosed negotiated rates and facility details, including 28 in-network payers and 326 disclosed rate categories.
CCN (Medicare provider number)
190002
NPI
1275536799
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
465
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 Lafayette General Medical Center 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
$6,927 - $8,704
from 2 insurers · median $7,815
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
Medicine & Surgery · Inpatient
MS-DRG 470
$18,859 - $30,077
from 3 insurers · median $27,840
192 Medicare discharges for this DRG in CMS hospital data
Childbirth · Inpatient
MS-DRG 788
$8,168 - $12,239
from 2 insurers · median $10,203
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
CPT 47562
$7,615 - $10,556
from 2 insurers · median $9,085
126 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 49650
$10,556 - $14,651
from 2 insurers · median $12,603
126 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Gynecology
CPT 58558
$4,816 - $7,180
from 2 insurers · median $5,998
12 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
CT imaging
CPT 70450
$361 - $766
from 2 insurers · median $563
Common here, based on CMS Medicare volume
CT imaging
CPT 74177
$638 - $900
from 2 insurers · median $769
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$6,927 - $8,704
from 2 insurers · median $7,815
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
CPT 49505
$6,756 - $10,229
from 2 insurers · median $8,492
70 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Digestive procedures
CPT 43239
$1,250 - $2,255
from 2 insurers · median $1,753
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$15,393 - $52,598
from 2 insurers · median $33,995
16 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery
CPT 66984
$764 - $4,816
from 3 insurers · median $3,599
470 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Cardiology and vascular testing
CPT 93306
$276 - $1,893
from 2 insurers · median $1,084
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$124 - $389
from 3 insurers · median $177
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$10,556 - $17,326
from 2 insurers · median $13,941
27 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 47563
$7,937 - $10,556
from 2 insurers · median $9,246
126 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 74176
$692 - $702
from 2 insurers · median $697
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$556 - $2,255
from 3 insurers · median $1,410
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$2,890 - $4,675
from 2 insurers · median $3,783
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$10,556 - $15,305
from 2 insurers · median $12,930
Typical for a hospital with this service line
MRI imaging
CPT 70553
$1,221 - $1,280
from 2 insurers · median $1,251
Common here, based on CMS Medicare volume
Gynecology
CPT 58662
$10,556 - $15,115
from 2 insurers · median $12,835
Typical for a hospital with this service line
CT imaging
CPT 71275
$766 - $897
from 2 insurers · median $831
Common here, based on CMS Medicare volume
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* | 5 | 487% | 1 | 0 |
| Insurer B* | 10 | 255% | 1 | 8 |
| Insurer C* | 21 | 237% | 12 | 9 |
| Insurer D* | 16 | 171% | 2 | 3 |
How we chose these services: 9 appear in this hospital's own Medicare claims, 10 are common here based on CMS Medicare volume, and 5 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 Lafayette General Medical Center.
1214 Coolidge Boulevard, Lafayette, LA 70503
(337) 289-7991
The nearest hospitals of similar type and size. Their rates are compared with Lafayette General Medical Center for the same insurers and services above.
Our Lady Of The Lake Regional Medical Center
▲ Rates typically 57% higher than Lafayette General Medical Center (21 services)
Lake Charles Memorial Hospital
▼ Rates typically 11% lower than Lafayette General Medical Center (21 services)
Christus St Frances Cabrini Hospital
▲ Rates typically 22% higher than Lafayette General Medical Center (21 services)
Rapides Regional Medical Center
▲ Rates typically 33% higher than Lafayette General Medical Center (21 services)
Terrebonne General Medical Center
Rates about the same as Lafayette General Medical Center (21 services)
North Oaks Medical Center
▼ Rates typically 28% lower than Lafayette General Medical Center (21 services)
Ochsner University Hospital & Clinics
Ochsner Lafayette General Surgical Hospital
Ochsner Lafayette General Orthopaedic Hospital
Our Lady Of Lourdes Regional Medical Center
About Lafayette General Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Lafayette General Medical Center range from $1,221 to $1,280 across 2 insurers. Blue Cross Blue Shield's rate is $1,280. The median at nearby comparable hospitals is $1,092. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT head or brain without contrast (CPT 70450), published negotiated rates at Lafayette General Medical Center range from $361 to $766 across 2 insurers. Aetna's rate is $766. The median at nearby comparable hospitals is $515. 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 Lafayette General Medical Center range from $556 to $2,255 across 3 insurers. UnitedHealthcare's rate is $2,255. The median at nearby comparable hospitals is $2,312. 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 Lafayette General Medical Center range from $6,927 to $8,704 across 2 insurers. Cigna's rate is $6,927. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Lafayette General Medical Center range from $124 to $389 across 3 insurers. Cigna's rate is $389. The median at nearby comparable hospitals is $253. 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 Lafayette General Medical Center range from $18,859 to $30,077 across 3 insurers. Blue Cross Blue Shield's rate is $27,840. The median at nearby comparable hospitals is $23,128. What a patient pays depends on their plan's deductible, coinsurance and network status.
Lafayette General Medical Center has 465 beds. Facility type: Short Term Acute Care Hospital.
Lafayette General Medical Center is located at 1214 Coolidge Boulevard, Lafayette, LA 70503. Its main phone number is (337) 289-7991.
Lafayette General Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 190002.
The National Provider Identifier (NPI) on file for Lafayette General Medical Center is 1275536799.
Lafayette General Medical Center is affiliated with Lafayette General Health.
Lafayette General Medical Center lists 28 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
326 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.
What a review covers