Baptist Memorial Health Care Corporation · Houma, LA
22
In-network payers
241
Disclosed rate categories
30
Beds
Physicians Medical Center is a 30-bed physician hospital in Houma, LA, affiliated with Baptist Memorial Health Care Corporation. Below you'll find publicly disclosed negotiated rates and facility details, including 22 in-network payers and 241 disclosed rate categories.
CCN (Medicare provider number)
190241
NPI
1477509859
Type
Short Term Acute Care Hospital
Ownership
Physician
Beds
30
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 Physicians 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.
Medicine & Surgery
CPT 66984
$2,067 - $2,499
from 4 insurers · median $2,417
182 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Medicine & Surgery
CPT 47562
$2,982 - $5,886
from 4 insurers · median $4,827
27 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 49650
$1,890 - $7,923
from 4 insurers · median $5,548
27 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 49505
$1,890 - $5,384
from 4 insurers · median $3,687
15 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Digestive procedures
CPT 47563
$2,982 - $7,923
from 4 insurers · median $5,548
27 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 74177
$393 - $630
from 4 insurers · median $452
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$938 - $1,179
from 3 insurers · median $1,080
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$103 - $237
from 4 insurers · median $133
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$586 - $765
from 2 insurers · median $676
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$600 - $1,199
from 4 insurers · median $1,130
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$3,150 - $10,245
from 4 insurers · median $6,397
Typical for a hospital with this service line
CT imaging
CPT 70450
$115 - $630
from 4 insurers · median $148
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,519 - $2,018
from 2 insurers · median $1,768
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$240 - $630
from 4 insurers · median $295
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 42820
$2,420 - $5,907
from 2 insurers · median $4,163
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$38 - $99
from 4 insurers · median $64
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$2,310 - $5,886
from 4 insurers · median $4,833
Typical for a hospital with this service line
Medicine & Surgery
CPT 55700
$1,080 - $2,820
from 4 insurers · median $1,347
36 Medicare claims in Level 3 Urology and Related Services (CMS 2024)
Gynecology
CPT 58558
$1,391 - $4,298
from 4 insurers · median $2,731
Typical for a hospital with this service line
Gynecology
CPT 58662
$2,310 - $5,886
from 3 insurers · median $5,210
Typical for a hospital with this service line
CT imaging
CPT 71260
$188 - $630
from 4 insurers · median $250
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 29888
$2,155 - $7,285
from 3 insurers · median $5,210
Typical for a hospital with this service line
Orthopedics and pain
CPT 63030
$1,909 - $7,142
from 4 insurers · median $5,755
Typical for a hospital with this service line
Ear, nose and throat
CPT 69436
$1,179 - $1,643
from 3 insurers · median $1,391
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* | 20 | 123% | 3 | 14 |
| Insurer B* | 24 | 101% | 1 | 23 |
| Insurer C* | 20 | 85% | 0 | 1 |
| Insurer D* | 22 | 84% | 1 | 21 |
How we chose these services: 6 appear in this hospital's own Medicare claims, 10 are common here based on CMS Medicare volume, and 8 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 Physicians Medical Center.
218 Corporate Drive, Houma, LA 70360
(985) 853-1390
The nearest hospitals of similar type and size. Their rates are compared with Physicians Medical Center for the same insurers and services above.
St. Charles Parish Hospital
▲ Rates typically 39% higher than Physicians Medical Center (24 services)
St. Bernard Parish Hospital
▲ Rates typically 47% higher than Physicians Medical Center (24 services)
New Orleans East Hospital
▲ Rates typically 37% higher than Physicians Medical Center (24 services)
Avala Hospital
▲ Rates typically 20% higher than Physicians Medical Center (24 services)
Abbeville General Hospital
▲ Rates typically 58% higher than Physicians Medical Center (24 services)
Beacham Memorial Hospital
▼ Rates typically 25% lower than Physicians Medical Center (24 services)
Leonard J. Chabert Medical Center
Terrebonne General Medical Center
Touro Infirmary
University Medical Center New Orleans
About Physicians Medical Center's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Physicians Medical Center range from $393 to $630 across 4 insurers. Aetna's rate is $430. The median at nearby comparable hospitals is $532. 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 Physicians Medical Center range from $600 to $1,199 across 4 insurers. Cigna's rate is $1,080. The median at nearby comparable hospitals is $1,711. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Physicians Medical Center range from $103 to $237 across 4 insurers. Blue Cross Blue Shield's rate is $107. The median at nearby comparable hospitals is $124. What a patient pays depends on their plan's deductible, coinsurance and network status.
Physicians Medical Center has 30 beds. Facility type: Short Term Acute Care Hospital.
Physicians Medical Center is located at 218 Corporate Drive, Houma, LA 70360. Its main phone number is (985) 853-1390.
Physicians Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 190241.
The National Provider Identifier (NPI) on file for Physicians Medical Center is 1477509859.
Physicians Medical Center is affiliated with Baptist Memorial Health Care Corporation.
Physicians Medical Center lists 22 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.
241 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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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.
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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