CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$1,433 - $2,440
from 4 insurers · median $2,135
Typical for a hospital with this service line
Donaldsonville, LA
31
In-network payers
200
Disclosed rate categories
25
Beds
Prevost Memorial Hospital is a 25-bed government - hospital district or authority hospital in Donaldsonville, LA. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 200 disclosed rate categories.
CCN (Medicare provider number)
191308
NPI
1306849617
Type
Critical Access Hospital
Ownership
Government - Hospital District Or Authority
Beds
25
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 Prevost Memorial 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.
CT imaging
CPT 74177
$1,433 - $2,440
from 4 insurers · median $2,135
Typical for a hospital with this service line
CT imaging
CPT 71275
$850 - $1,960
from 4 insurers · median $1,433
Typical for a hospital with this service line
CT imaging
CPT 74176
$625 - $1,285
from 4 insurers · median $1,053
Typical for a hospital with this service line
CT imaging
CPT 70450
$323 - $664
from 4 insurers · median $381
Typical for a hospital with this service line
Mammography
CPT 77067
$135 - $261
from 4 insurers · median $214
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$49 - $147
from 4 insurers · median $128
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$296 - $410
from 3 insurers · median $337
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$41 - $105
from 4 insurers · median $98
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$451 - $526
from 2 insurers · median $489
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$451 - $544
from 2 insurers · median $498
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$451 - $526
from 2 insurers · median $489
Typical for a hospital with this service line
Laboratory and pathology
CPT 85025
$21 - $67
from 4 insurers · median $66
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$451 - $526
from 2 insurers · median $489
Typical for a hospital with this service line
Ultrasound
CPT 76830
$88 - $280
from 4 insurers · median $213
Typical for a hospital with this service line
Ultrasound
CPT 76705
$116 - $128
from 4 insurers · median $122
Typical for a hospital with this service line
Ultrasound
CPT 76700
$135 - $403
from 4 insurers · median $336
Typical for a hospital with this service line
X-ray and bone density
CPT 73630
$75 - $119
from 4 insurers · median $117
Typical for a hospital with this service line
Ultrasound
CPT 76856
$98 - $262
from 4 insurers · median $194
Typical for a hospital with this service line
Mammography
CPT 77066
$164 - $277
from 4 insurers · median $224
Typical for a hospital with this service line
X-ray and bone density
CPT 73030
$38 - $119
from 4 insurers · median $119
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$125 - $504
from 3 insurers · median $159
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93880
$250 - $432
from 3 insurers · median $424
Typical for a hospital with this service line
Orthopedics and pain
CPT 20610
$341 - $480
from 2 insurers · median $410
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$250 - $432
from 3 insurers · median $298
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* | 19 | 236% | 1 | 11 |
| Insurer B* | 20 | 199% | 11 | 7 |
| Insurer C* | 24 | 171% | 10 | 14 |
| Insurer D* | 19 | 146% | 5 | 13 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 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 Prevost Memorial Hospital.
301 Memorial Drive, Donaldsonville, LA 70346
(225) 474-2133
About Prevost Memorial Hospital's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Prevost Memorial Hospital range from $1,433 to $2,440 across 4 insurers. Aetna's rate is $2,440. The median at nearby comparable hospitals is $794. 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 Prevost Memorial Hospital range from $451 to $544 across 2 insurers. Aetna's rate is $544. The median at nearby comparable hospitals is $1,149. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Prevost Memorial Hospital range from $135 to $261 across 4 insurers. Aetna's rate is $261. The median at nearby comparable hospitals is $160. What a patient pays depends on their plan's deductible, coinsurance and network status.
Prevost Memorial Hospital has 25 beds. Facility type: Critical Access Hospital.
Prevost Memorial Hospital is located at 301 Memorial Drive, Donaldsonville, LA 70346. Its main phone number is (225) 474-2133.
Prevost Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 191308.
The National Provider Identifier (NPI) on file for Prevost Memorial Hospital is 1306849617.
Prevost Memorial Hospital lists 31 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
200 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.
For hospital finance and compliance teams
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.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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