You have reached the federally-required section of our website that contains the charges for the services we provide within our facility. While we provide this information to comply with federal regulations, healthcare billing is complex. It is extremely important for you, as the consumer, to understand that standard charges may not be a relevant starting point for estimating what costs you may incur during an episode of care, and the amount actually paid by a patient will depend on that patient’s insurance coverage, policy provisions and other factors. Everyone’s case is different based on that patient’s medical condition.
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The charges displayed only include hospital charges and do not include charges that are billed separately by the physician or other professional fees. Furthermore, the actual amount paid by a patient will depend on that patient’s insurance coverage, as benefit plans vary greatly.
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IF YOU HAVE COMMERCIAL INSURANCE:
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Contact your insurance company to understand all of the factors affecting your financial responsibility.
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Numerous factors, such as type of plan, co-pay, co-insurance, deductible, out-of-pocket maximums, provider network and other limitations, will affect your financial responsibility to a hospital.
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he prices reflected on this site do not include charges for the physician or other professional fees, such as pharmacy, diagnostic imaging or lab work.
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The prices reflected on this site do not include any negotiated discounts between your insurance company and the hospital.
IF YOU HAVE MEDICARE:
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Medicare has many different parts, and not everyone has the same type of Medicare coverage. Medicare will pay for many of your healthcare expenses but not all of them.
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Special rules apply if you have employer group health insurance coverage through your job or a spouse’s job.
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If you have a supplemental health insurance policy, it may cover some costs that Medicare does not cover.
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The best way to be sure of what your Medicare plan covers is to call 1-800-MEDICARE, or visit the website at www.mymedicare.gov.
​IF YOU HAVE MEDICAID:
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Contact your local Medicaid office at 1-888-544-7996, or visit the Louisiana Department of Health to determine all the factors affecting your financial responsibility.
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Generally, Medicaid recipients are not responsible for any portion of the bill.
​IF YOU ARE UNINSURED:
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Please contact our Patient Financial Services Department at 337-442-6254, and ask about our payment policies.
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As required by the Affordable Care Act (ACA), hospitals have a written financial assistance policy that includes eligibility criteria, the basis for calculating charges and the method for applying for financial assistance.
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Contact our Patient Financial Services Department at 337-442-6254 to determine if you meet the criteria for financial assistance.
PROGRAM COSTS
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Every patient is different, which is why we customize treatment to address the biopsychosocial needs of each patient. And because patients’ needs differ, time in treatment varies for each.
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All-Inclusive Rates
Daily inpatient rates include:
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Room and board
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Diagnostic assessments and treatment planning
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Program groups and activities
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Specialty groups
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Evidence-based and psychodynamic therapies, including cognitive-behavior therapy (CBT).
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Meetings with the interdisciplinary treatment team
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Individual and family therapy as prescribed
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Planning for follow-up care and support after discharge
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Routine physicals and lab work
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24-hour psychiatric nursing care
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Placement Assistance
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Partial Hospitalization Program rates include:
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Initial Psychiatric Evaluation and follow up visits
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Comprehensive assessments
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Licensed therapist assigned to each patient to coordinate care and provide individual sessions as needed
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Individualized Treatment planning coordinated by a multidisciplinary treatment team.
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Daily therapeutic and educational groups provided by licensed counselors, nurses and other healthcare professionals.
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Treatment 5- 6 days a week based on individualized treatment plan.
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Planning for follow up care and support after discharge
Intensive Outpatient Program rates include:
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Initial Psychiatric Evaluation and follow up visits
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Comprehensive assessments
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Licensed Therapist assigned to each patient to coordinate care and provide individual sessions as needed.
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Individualized Treatment planning coordinated by a multidisciplinary treatment team.
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Three therapeutic groups per day provided by licensed counselors.
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Treatment days range from 5 days per week to 1 day per week based on an individualized treatment plan.
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Planning for follow up care and support after discharge
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Important Notes About Genesis’ Billing Process
Genesis Behavioral Hospital—with a local inpatient facilities in Breaux Bridge and Church Point Louisiana, as well as, outpatient clinics in Crowley, Lafayette, New Iberia, and Church Point, Louisiana—submits hospital and intensive outpatient program charges to your insurance, while estimates provided are not guarantees of payment and exclude outside services.
Understanding these notes and how the billing process works at Genesis is vital for avoiding unexpected medical bills. Key takeaways include:
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Prior Authorization: Genesis will work with your provider to get prior approval for your behavioral health services, but your specific policy might dictate this requirement.
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Claim Submission: The hospital will automatically bill your health insurance for inpatient and intensive outpatient program (IOP) services.
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Out-of-Pocket Liability: Insurance doesn't always guarantee full coverage. It is highly recommended that you review your specific benefit limits, copays, and deductibles.
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Separate Billing: Coverage estimates provided by Genesis are only estimates. They do not cover physician charges or third-party/outside services (which are typically billed separately by those independent groups).
Frequently Asked Billing Questions
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What is the Patient’s payment responsibility?
Your payment responsibility includes deductibles (out-of-pocket costs before insurance pays), copayments (fixed fees per visit), and coinsurance (your percentage of costs after the deductible is met). These out-of-pocket amounts vary based on your specific plan's rules and deductible.
Breaking Down Your Healthcare Costs
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Deductible: The set dollar amount you must pay out-of-pocket for medical services before your insurance company starts paying for care.
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Coinsurance: Once your deductible is met, insurance covers a large percentage of the allowable cost, and you are billed for the remaining percentage (e.g., insurance pays 80%, you pay 20%).
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Copayments: A fixed, flat fee you pay for a specific service or doctor's office visit, generally due at the time of service.
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Out-of-Pocket Maximum: The maximum amount you will pay in a policy year; once you hit this cap, your insurance covers 100% of covered costs.
For further clarity on your specific medical bills, you can refer to the official CMS Health Insurance Terms guide.
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How will my insurance company get billed?
Genesis will bill your primary and secondary insurance companies on your behalf, then bill you monthly for any remaining balances.
Here is a quick breakdown of your billing and insurance process:
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Insurance Billing: Genesis submits courtesy claims sequentially starting with your primary provider, then to your secondary insurance (if applicable). To prevent delays, always verify your insurance information at admission.
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Determining What You Owe: Your insurance provider will send you an Explanation of Benefits (EOB) detailing what they paid, what was denied, and your patient responsibility.
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Receiving Statements: You will receive a monthly statement from Genesis after your insurance has processed and paid its portion.
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Separate Physician Bills: You may receive separate, additional bills directly from other doctors or specialists (such as psychiatrists) who were involved in your care.
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If you have questions about a recent EOB or need to view and pay your statement, you can contact our business office directly.
Who should I contact if I have questions or need help paying my bill?
Please contact our billing office at 337-237-4673 to discuss any questions or to speak with a financial counselor about payment options.
Price Transparency
To receive a clear, customized estimate of your actual out-of-pocket costs at a Genesis Behavioral Hospital, you should contact our financial or admissions department directly. They can provide accurate Good Faith Estimates for uninsured patients or calculate precise co-insurance and deductible amounts for insured patients.
Because health insurance plans vary widely, final out-of-pocket expenses depend entirely on your specific policy's coverage details rather than the hospital's base "chargemaster" list price. To get the most accurate estimate and verify your coverage, use the following resources:
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Direct Billing Inquiries: Reach out to the billing and admissions staff at Genesis Behavioral Hospital to get an assessment of your deductible and co-insurance.
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Local Assistance (Lafayette, LA): If you are local to the Lafayette area, you can visit the Genesis Behavioral Hospital Outpatient Services Lafayette or call them at (337) 237-4673 for a customized breakdown.
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Insurance Verification: Review your specific health plan to check the negotiated rate tiers for services via the Centers for Medicare and Medicaid Services hospital price transparency resources.
The Centers for Medicare and Medicaid Services now requires hospitals to disclose negotiated rates with various insurance providers and discounted cash prices to patients without insurance. To comply with these regulations, pricing data for three services – an inpatient psychiatric hospitalization, partial psychiatric program, and intensive outpatient program are listed below. This information is current as of its posting and will be updated annually, as the rule requires.
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Click on a facility below to download the list of standard service packages and negotiated rates for service packages at that facility.
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