Thibodaux, LA
31
In-network payers
307
Disclosed rate categories
180
Beds
3
Care quality
Thibodaux Regional Medical Center is a 180-bed government - hospital district or authority hospital in Thibodaux, LA. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 307 disclosed rate categories.
CCN (Medicare provider number)
190004
NPI
1902465065
Type
Short Term Acute Care Hospital
Ownership
Government - Hospital District Or Authority
Beds
180
Care Quality
3
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 Thibodaux Regional 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
$3,293 - $10,463
from 4 insurers · median $5,732
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
$3,530 - $15,828
from 4 insurers · median $7,385
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
CT imaging
CPT 74177
$257 - $3,784
from 4 insurers · median $1,121
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 216
$99,367 - $161,494
from 3 insurers · median $105,634
Hospital reports cardiac thoracic surgery services to CMS
Cardiology and vascular testing
CPT 93306
$857 - $2,133
from 4 insurers · median $1,912
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$81 - $427
from 4 insurers · median $262
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$75 - $805
from 4 insurers · median $471
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$654 - $1,938
from 3 insurers · median $1,567
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$172 - $3,313
from 4 insurers · median $967
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$63 - $792
from 4 insurers · median $246
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$1,047 - $7,116
from 4 insurers · median $4,664
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$3,293 - $10,463
from 4 insurers · median $5,732
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
Nuclear imaging
CPT 78452
$940 - $6,877
from 4 insurers · median $3,837
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$863 - $1,869
from 2 insurers · median $1,366
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$863 - $3,392
from 3 insurers · median $1,952
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$11,024 - $54,770
from 3 insurers · median $38,413
Hospital reports neurosurgical services to CMS
Gynecology
CPT 58571
$7,278 - $16,772
from 3 insurers · median $7,842
Typical for a hospital with this service line
Digestive procedures
CPT 49650
$4,358 - $9,879
from 3 insurers · median $7,672
29 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 47562
$4,358 - $8,992
from 3 insurers · median $4,604
29 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
MRI imaging
CPT 70553
$251 - $2,962
from 4 insurers · median $1,121
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$16,496 - $40,301
from 4 insurers · median $25,399
Hospital reports neurosurgical services to CMS
Lung function and sleep
CPT 94726
$460 - $4,074
from 3 insurers · median $3,476
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$172 - $1,870
from 4 insurers · median $976
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$1,664 - $3,593
from 2 insurers · median $2,628
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 | 538% | 4 | 3 |
| Insurer B* | 21 | 401% | 14 | 2 |
| Insurer C* | 24 | 166% | 5 | 15 |
| Insurer D* | 24 | 71% | 1 | 18 |
How we chose these services: 2 appear in this hospital's own Medicare claims, 14 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 Thibodaux Regional Medical Center.
602 North Acadia Road, Thibodaux, LA 70301
(985) 447-5500
The nearest hospitals of similar type and size. Their rates are compared with Thibodaux Regional Medical Center for the same insurers and services above.
Terrebonne General Medical Center
Rates about the same as Thibodaux Regional Medical Center (21 services)
Leonard J. Chabert Medical Center
â–² Rates typically 15% higher than Thibodaux Regional Medical Center (21 services)
Ochsner St. Mary
â–² Rates typically 9% higher than Thibodaux Regional Medical Center (21 services)
Ochsner Health Center - Kenner
â–² Rates typically 8% higher than Thibodaux Regional Medical Center (21 services)
Ochsner Baptist - A Campus Of Ochsner Medical Center
â–² Rates typically 37% higher than Thibodaux Regional Medical Center (21 services)
Touro Infirmary
â–¼ Rates typically 22% lower than Thibodaux Regional Medical Center (21 services)
Omega Hospital Llc
Iberia Medical Center
East Carroll Parish Hospital
Slidell Memorial Hospital East
About Thibodaux Regional Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Thibodaux Regional Medical Center range from $251 to $2,962 across 4 insurers. Blue Cross Blue Shield's rate is $742. The median at nearby comparable hospitals is $1,247. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Thibodaux Regional Medical Center range from $257 to $3,784 across 4 insurers. Cigna's rate is $1,500. The median at nearby comparable hospitals is $969. 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 Thibodaux Regional Medical Center range from $863 to $1,869 across 2 insurers. UnitedHealthcare's rate is $863. The median at nearby comparable hospitals is $2,456. 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 Thibodaux Regional Medical Center range from $3,293 to $10,463 across 4 insurers. Aetna's rate is $10,463. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Thibodaux Regional Medical Center range from $81 to $427 across 4 insurers. UnitedHealthcare's rate is $81. The median at nearby comparable hospitals is $212. What a patient pays depends on their plan's deductible, coinsurance and network status.
Thibodaux Regional Medical Center has 180 beds. Facility type: Short Term Acute Care Hospital.
Thibodaux Regional Medical Center is located at 602 North Acadia Road, Thibodaux, LA 70301. Its main phone number is (985) 447-5500.
Thibodaux Regional Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 190004.
The National Provider Identifier (NPI) on file for Thibodaux Regional Medical Center is 1902465065.
Thibodaux Regional Medical Center lists 31 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.
307 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