Lafayette, LA
25
In-network payers
296
Disclosed rate categories
20
Beds
Lafayette Surgical Specialty Hospita is a 20-bed proprietary hospital in Lafayette, LA. Below you'll find publicly disclosed negotiated rates and facility details, including 25 in-network payers and 296 disclosed rate categories.
CCN (Medicare provider number)
190259
NPI
1134222565
Type
Short Term Acute Care Hospital
Ownership
Proprietary
Beds
20
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 Surgical Specialty Hospita 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 460
$10,409 - $40,783
from 4 insurers · median $30,838
29 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery
CPT 66984
$2,201 - $6,264
from 4 insurers · median $3,494
687 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Ear, nose and throat
CPT 30520
$2,852 - $5,113
from 4 insurers · median $4,163
59 Medicare claims in Level 4 ENT Procedures (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 470
$13,576 - $16,944
from 4 insurers · median $16,517
36 Medicare discharges for this DRG in CMS hospital data
Ear, nose and throat
CPT 69436
$1,469 - $3,335
from 4 insurers · median $2,299
18 Medicare claims in Level 3 ENT Procedures (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 473
$17,414 - $27,454
from 4 insurers · median $21,560
14 Medicare discharges for this DRG in CMS hospital data
Gynecology
CPT 58571
$8,682 - $16,394
from 3 insurers · median $14,431
Typical for a hospital with this service line
CT imaging
CPT 74177
$394 - $1,115
from 4 insurers · median $562
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,093 - $1,846
from 3 insurers · median $1,720
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$811 - $1,399
from 3 insurers · median $1,311
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$2,297 - $5,598
from 3 insurers · median $4,292
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 obstetrics / child birth services to CMS
Medicine & Surgery
CPT 47562
$5,262 - $9,324
from 4 insurers · median $7,419
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$497 - $843
from 3 insurers · median $799
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 63030
$6,513 - $11,867
from 4 insurers · median $8,876
118 Medicare claims in Level 4 Musculoskeletal Procedures (CMS 2024)
Digestive procedures
CPT 45380
$1,036 - $1,846
from 3 insurers · median $1,720
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$5,262 - $9,324
from 3 insurers · median $8,277
Typical for a hospital with this service line
Childbirth · Inpatient
MS-DRG 788
$4,500 - $8,823
from 3 insurers · median $6,023
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 obstetrics / child birth services to CMS
X-ray and bone density
CPT 71046
$84 - $165
from 4 insurers · median $136
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 64721
$1,872 - $3,012
from 4 insurers · median $2,583
193 Medicare claims in Level 1 Nerve Procedures (CMS 2024)
Mammography
CPT 77067
$86 - $91
from 2 insurers · median $89
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$116 - $1,115
from 4 insurers · median $165
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$254 - $1,115
from 4 insurers · median $369
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$2,720 - $4,993
from 3 insurers · median $4,490
Typical for a hospital with this service line
Gynecology
CPT 58661
$3,300 - $9,324
from 4 insurers · median $6,194
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* | 16 | 185% | 3 | 1 |
| Insurer B* | 24 | 151% | 21 | 1 |
| Insurer C* | 23 | 141% | 19 | 2 |
| Insurer D* | 22 | 89% | 4 | 8 |
How we chose these services: 8 appear in this hospital's own Medicare claims, 9 are common here based on CMS Medicare volume, and 7 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 Surgical Specialty Hospita.
1101 Kaliste Saloom Road, Lafayette, LA 70508
(337) 769-4100
The nearest hospitals of similar type and size. Their rates are compared with Lafayette Surgical Specialty Hospita for the same insurers and services above.
Park Place Surgery Center
â–¼ Rates typically 26% lower than Lafayette Surgical Specialty Hospita (22 services)
Ochsner Lafayette General Surgical Hospital
â–¼ Rates typically 26% lower than Lafayette Surgical Specialty Hospita (22 services)
Surgical Specialty Center Of Baton R
â–¼ Rates typically 24% lower than Lafayette Surgical Specialty Hospita (22 services)
The Spine Hospital Of Louisiana
â–² Rates typically 12% higher than Lafayette Surgical Specialty Hospita (22 services)
Central Louisiana Surgical Hospital
â–² Rates typically 32% higher than Lafayette Surgical Specialty Hospita (22 services)
Hammond Surgical L.L.C.
â–¼ Rates typically 24% lower than Lafayette Surgical Specialty Hospita (18 services)
Our Lady Of Lourdes Regional Medical Center
Lafayette General Medical Center
Our Lady Of Lourdes Heart Hospital
About Lafayette Surgical Specialty Hospita's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Lafayette Surgical Specialty Hospita range from $394 to $1,115 across 4 insurers. Cigna's rate is $1,115. The median at nearby comparable hospitals is $394. 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 Surgical Specialty Hospita range from $1,093 to $1,846 across 3 insurers. Blue Cross Blue Shield's rate is $1,093. The median at nearby comparable hospitals is $1,222. 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 Surgical Specialty Hospita range from $2,297 to $5,598 across 3 insurers. Cigna's rate is $4,292. 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 Surgical Specialty Hospita range from $86 to $91 across 2 insurers. Blue Cross Blue Shield's rate is $86. The median at nearby comparable hospitals is $129. 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 Surgical Specialty Hospita range from $13,576 to $16,944 across 4 insurers. Aetna's rate is $16,180. The median at nearby comparable hospitals is $14,006. What a patient pays depends on their plan's deductible, coinsurance and network status.
Lafayette Surgical Specialty Hospita has 20 beds. Facility type: Short Term Acute Care Hospital.
Lafayette Surgical Specialty Hospita is located at 1101 Kaliste Saloom Road, Lafayette, LA 70508. Its main phone number is (337) 769-4100.
Lafayette Surgical Specialty Hospita's CMS Certification Number (CCN), also called its Medicare provider number, is 190259.
The National Provider Identifier (NPI) on file for Lafayette Surgical Specialty Hospita is 1134222565.
Lafayette Surgical Specialty Hospita lists 25 in-network payers, including Aetna, Aspirus Health Plan, BCBS, Banner Health, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
296 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