BATON ROUGE REGION HOSPITAL-BASED PHYSICIANS

BATON ROUGE REGION HOSITAL-BASED HYSICIANS Use the chart below to see whether a hospital-based physician or group participates in Blue Cross and Blue Shield of Louisiana O and/or HMO networks. The Baton Rouge Region consists of Ascension, Assumption, East Baton Rouge, East Feliciana, Iberville, Livingston, St. Helena, ointe Coupee, Tangipahoa, West Baton Rouge and West Feliciana arishes. This chart is for informational purposes only and may have changed since it was last updated on October 30, 2010. Click Here - For instructions on reading this chart or for more information. HOSITAL OR AMBULATORY O NETWORK OF HOSITAL-BASED HYSICIAN OR GROU ATHOLOGY O NETWORK Diversified rofessionals Inc 8946 Interline Ave, Ste C Baton Rouge, LA 70809 (225) 923-0030 Advanced Surgical Care of Baton Rouge LLC 7310 erkins Road (225) 236-3100 athology Group of Louisiana 7887 icardy Ave (225) 769-9337 Advanced Surgical Concepts LLC 9118 Bluebonnet Centre Blvd (225) 368-2330 Data Not Received Radiology Associates 7809 Jefferson Hwy, Ste B2 (225) 926-8686 Assumption Community Hospital 135 Hwy 402 Napoleonville, La 70390 (985) 369-3600 athology Group of Louisiana Our Lady of the Lake Assumption Emergency Room hysicians 135 Hwy 402 Napoleonville, LA 70390 (225) 757-2356 articipates in Blue Cross and/or HMO networks U Does not participate in the HMO network, but will not balance bill the member. For more information on reading the chart, please refer back to the Find a Doctor web page at www.bcbsla.com/hbp/. Reporting is required by the Health Care Consumer Billing and Disclosure rotection Act of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts. 1 of 12

Baton Rouge Region Hospital Based hysicians articipating in Blue Cross and Blue Shield of Louisiana O and/or HMO Networks This region consists of Ascension, Assumption, East Baton Rouge, East Feliciana, Iberville, Livingston, St. Helena ointe Coupee, Tangipahoa, West Baton Rouge and West Feliciana arishes HOSITAL OR AMBULATORY O NETWORK OF HOSITAL-BASED HYSICIAN OR GROU ATHOLOGY O NETWORK Lott Sheffield Anesthesia 5253 Dijon Dr Ste A (225) 768-1611 B R A S S Surgery Center 5328 Didessee (225) 766-1718 athology Group of Louisiana Anesthesiology Group Associates 8212 Summa Ave (225) 769-4403 Alan Ostrowe MD 5319 Didesse Dr Ste A (225) 766-8680 7887 icardy Ave (225) 769-9337 Baton Rouge Gen Med Center- Bluebonnet 8585 icardy Avenue (225) 763-4000 Red Stick Emergency Group LLC 8585 icardy Ave (225) 763-4000 arish Anesthesia Associates 8585 icardy Avenue (504) 779-5515 athology Group of Louisiana ediatrix Medical Group 3001 E resident George Bush Hwy Richardson, Tx 75082 (972) 437-5196 articipates in Blue Cross and/or HMO networks U Does not participate in the HMO network, but will not balance bill the member. Reporting is required by the Health Care Consumer Billing and Disclosure rotection Act of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts. 2 of 12

Baton Rouge Region Hospital Based hysicians articipating in Blue Cross and Blue Shield of Louisiana O and/or HMO Networks This region consists of Ascension, Assumption, East Baton Rouge, East Feliciana, Iberville, Livingston, St. Helena ointe Coupee, Tangipahoa, West Baton Rouge and West Feliciana arishes HOSITAL OR AMBULATORY O NETWORK OF HOSITAL-BASED HYSICIAN OR GROU ATHOLOGY O NETWORK 7887 icardy Ave (225) 769-9337 Baton Rouge General Med Center- Mid City 3600 Florida Boulevard Baton Rouge, La 70806 (225) 387-7724 Red Stick Emergency Group LLC 8585 icardy Ave (225) 763-4000 arish Anesthesia Associates 3600 Florida Boulevard Baton Rouge, La 70806 (504) 779-5515 athology Group of Louisiana ediatrix Medical Group 3001 E resident George Bush Hwy Richardson, Tx 75082 (972) 437-5196 Earl K Long Medical Center 5825 Airline Highway Baton Rouge, La 70805 (225) 358-1000 Data Not Received Endoscopy Center of Baton Rouge 6615 erkins Rd (225) 906-2575 Eye Care Surgery Center 10423 Old Hammond Hwy Baton Rouge, La 70816 (225) 923-0960 Data Not Received Data Not Received articipates in Blue Cross and/or HMO networks U Does not participate in the HMO network, but will not balance bill the member. Reporting is required by the Health Care Consumer Billing and Disclosure rotection Act of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts. 3 of 12

Baton Rouge Region Hospital Based hysicians articipating in Blue Cross and Blue Shield of Louisiana O and/or HMO Networks This region consists of Ascension, Assumption, East Baton Rouge, East Feliciana, Iberville, Livingston, St. Helena ointe Coupee, Tangipahoa, West Baton Rouge and West Feliciana arishes HOSITAL OR AMBULATORY O NETWORK OF HOSITAL-BASED HYSICIAN OR GROU ATHOLOGY O NETWORK Greater Baton Rouge Anesthesia 7855 Howell Blvd Baton Rouge, La 70807 (225) 358-4900 Greater Baton Rouge Surgical Hospital 7855 Howell lace Boulevard Baton Rouge, La 70807 (225) 358-4900 athology Group of Louisiana LAB Corp of America 16777 Medical Dr Baton Rouge, La 70816 (225) 298-8200 7887 icardy Ave (225) 769-6700 Hood Memorial Hospital 301 West Walnut Amite, La 70422 (985) 748-9485 7887 icardy Ave (225) 769-6700 Hood Memorial Hospital Emergency Room hysicians 301 West Walnut Amite, LA 70422 (985) 748-9485 Interventional ain Management Center 8748 Bluebonnet Boulevard Baton Rouge, La 70810 (225) 329-2900 The Spine Diagnostic & Treatment Center 5408 Flanders Dr (225) 769-5554 Lake Surgery Center 7145 erkins laza (225) 765-3111 Surgical Anesthesia of Baton Rouge LLC 7145 erkins Rd (225) 765-3111 articipates in Blue Cross and/or HMO networks U Does not participate in the HMO network, but will not balance bill the member. Reporting is required by the Health Care Consumer Billing and Disclosure rotection Act of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts. 4 of 12

Baton Rouge Region Hospital Based hysicians articipating in Blue Cross and Blue Shield of Louisiana O and/or HMO Networks This region consists of Ascension, Assumption, East Baton Rouge, East Feliciana, Iberville, Livingston, St. Helena ointe Coupee, Tangipahoa, West Baton Rouge and West Feliciana arishes HOSITAL OR AMBULATORY O NETWORK OF HOSITAL-BASED HYSICIAN OR GROU ATHOLOGY O NETWORK Tangipahoa Emergency Group 200 Corporate Blvd Ste 201 Lafayette, La 70508 (337) 237-1915 Lallie Kemp Medical Center 52579 Highway 51 South Independence, La 70443 (985) 878-9421 Regional Radiology LLC 52579 Hwy 51 S Independence, La 70443 (985) 878-9421 Scully, Sartin and Scioneaux AMC 4648 I-10 Service Rd Metairie, La 70001 (504) 889-2307 athology Group of Louisiana Lane Regional Medical Center 6300 Main St Zachary, La 70791 (225) 658-4000 Diagnostic Radiology Consultants 7703 icardy Ave (225) 675-8363 C & M Medical Services 3223 8th St Metairie, La 70002 (504) 833-7770 Baton Rouge Neonatal Associates 9050 Airline Highway (225) 928-2555 Louisiana Endoscopy Center 9103 Jefferson Highway (225) 927-1190 athology Group of Louisiana articipates in Blue Cross and/or HMO networks U Does not participate in the HMO network, but will not balance bill the member. Reporting is required by the Health Care Consumer Billing and Disclosure rotection Act of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts. 5 of 12

Baton Rouge Region Hospital Based hysicians articipating in Blue Cross and Blue Shield of Louisiana O and/or HMO Networks This region consists of Ascension, Assumption, East Baton Rouge, East Feliciana, Iberville, Livingston, St. Helena ointe Coupee, Tangipahoa, West Baton Rouge and West Feliciana arishes HOSITAL OR AMBULATORY O NETWORK OF HOSITAL-BASED HYSICIAN OR GROU ATHOLOGY O NETWORK North Oaks Clinic 16033 Doctors Blvd Hammond, La 70403 (985) 230-5726 North Oaks Health System 15790 aul Vega MD Drive Hammond, La 70403 (985) 345-2700 ediatrix Medical Group 3001 E resident George Bush Hwy Richardson, Tx 75082 (972) 437-5196 Northshore Imaging Assoc 15837 aul Vega Dr Ste 200 Hammond, La 70403 (985) 542-8190 Scully, Sartin and Scioneaux AMC 4648 I-10 Service Rd Metairie, La 70001 (504) 889-2307 Northlake Endoscopy LLC 16061 Doctors Blvd, Ste A Hammond, La 70403 (985) 345-6090 Guardian Anesthesia Services LLC 27327 Driftwood Rd Folsom, La 70437 (985) 796-5428 Anesthesiology Group Associates Inc 8212 Summa Ave (225) 769-4403 ACS rimary Care hysicians La 17000 Medical Center Dr Baton Rouge, La 70816 (225) 755-4858 Ochsner Medical Center at Baton Rouge 17000 Medical Center Drive Baton Rouge, La 70816 (225) 752-2470 Baton Rouge Neonatal Associates 9050 Airline Highway (225) 928-2555 Ochsner Clinic LLC 1514 Jefferson Hwy New Orleans, La 70121 (504) 842-4000 7887 icardy Ave (225) 769-9337 articipates in Blue Cross and/or HMO networks U Does not participate in the HMO network, but will not balance bill the member. Reporting is required by the Health Care Consumer Billing and Disclosure rotection Act of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts. 6 of 12

Baton Rouge Region Hospital Based hysicians articipating in Blue Cross and Blue Shield of Louisiana O and/or HMO Networks This region consists of Ascension, Assumption, East Baton Rouge, East Feliciana, Iberville, Livingston, St. Helena ointe Coupee, Tangipahoa, West Baton Rouge and West Feliciana arishes HOSITAL OR AMBULATORY O NETWORK OF HOSITAL-BASED HYSICIAN OR GROU ATHOLOGY O NETWORK The Spine Diagnostic & Treatment Center 5408 Flanders Dr (225) 769-5554 Orthopedic Surgery Center LLC 7301 Hennessy Blvd, Ste 100 (225) 763-6029 Diversified rofessionals 8946 Interline Ave Ste C (225) 923-0030 athology Group of Louisiana Anesthesiology Group Associates Inc 8212 Summa Ave (225) 769-4403 Radiology Associates 7809 Jefferson Hwy Ste B2 (225) 926-8686 Our Lady of the Lake Regional Medical Center 5000 Hennessy Blvd (225) 765-6565 rofessional Emergency hysician Associates LLC 7777 Hennessy Blvd Ste 208 (225) 765-8826 athology Group of Louisiana Baton Rouge Neonatal Associates 9050 Airline Highway (225) 928-2555 Outpatient Surgery Center for Sight 550 Connells ark Lane Baton Rouge, La 70806 (225) 925-2031 Data Not Received articipates in Blue Cross and/or HMO networks U Does not participate in the HMO network, but will not balance bill the member. Reporting is required by the Health Care Consumer Billing and Disclosure rotection Act of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts. 7 of 12

Baton Rouge Region Hospital Based hysicians articipating in Blue Cross and Blue Shield of Louisiana O and/or HMO Networks This region consists of Ascension, Assumption, East Baton Rouge, East Feliciana, Iberville, Livingston, St. Helena ointe Coupee, Tangipahoa, West Baton Rouge and West Feliciana arishes HOSITAL OR AMBULATORY O NETWORK OF HOSITAL-BASED HYSICIAN OR GROU ATHOLOGY O NETWORK Acadiana athology Services 1307 Crowley-Rayne Hwy Ste D Crowley, La 70526 (337) 783-3159 U ointe Coupee Gen Hospital 2202 False River Drive New Roads, La 70760 (225) 638-6331 C & M Medical Services 3223 8th St Metairie, La 70002 (504) 833-7770 Opelousas Radiology Group 324 Dulles Dr Lafayette, La 70506 (887) 284-9984 U revost Memorial Hospital 301 Memorial Drive Donaldsonville, La 70346 (225) 473-7931 Data Not Received romise Hospital of Ascension 5130 Mancuso Lane (225) 621-1291 7887 icardy Ave (225) 769-6700 athology Group of Louisiana Regional Eye Surgery Center LLC 4950 Essen Lane Ste 300 (225) 214-6688 Data Not Received articipates in Blue Cross and/or HMO networks U Does not participate in the HMO network, but will not balance bill the member. Reporting is required by the Health Care Consumer Billing and Disclosure rotection Act of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts. 8 of 12

Baton Rouge Region Hospital Based hysicians articipating in Blue Cross and Blue Shield of Louisiana O and/or HMO Networks This region consists of Ascension, Assumption, East Baton Rouge, East Feliciana, Iberville, Livingston, St. Helena ointe Coupee, Tangipahoa, West Baton Rouge and West Feliciana arishes HOSITAL OR AMBULATORY O NETWORK OF HOSITAL-BASED HYSICIAN OR GROU ATHOLOGY O NETWORK Lott Sheffield Anesthesia 5253 Dijon Dr, Ste A (225) 768-1611 St Elizabeth Hospital 1125 W Highway 30 Gonzales, La 70737 (225) 647-5000 7887 icardy Ave (225) 769-9337 C & M Medical Services 3223 8th St Metairie, La 70002 (504) 833-7770 athology Group of Louisiana St Helena arish Hospital 16874 Highway 43 Greensburg, La 70441 (225) 222-6111 athology Group of Louisiana 7887 icardy Ave (225) 769-9337 St Lukes Surgicenter 42144 Veterans Ave Hammond, La 70403 (985) 542-6344 Guardian Anesthesia Services LLC 27327 Driftwood Rd Folsom, La 70437 (985) 796-5428 articipates in Blue Cross and/or HMO networks U Does not participate in the HMO network, but will not balance bill the member. Reporting is required by the Health Care Consumer Billing and Disclosure rotection Act of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts. 9 of 12

Baton Rouge Region Hospital Based hysicians articipating in Blue Cross and Blue Shield of Louisiana O and/or HMO Networks This region consists of Ascension, Assumption, East Baton Rouge, East Feliciana, Iberville, Livingston, St. Helena ointe Coupee, Tangipahoa, West Baton Rouge and West Feliciana arishes HOSITAL OR AMBULATORY O NETWORK OF HOSITAL-BASED HYSICIAN OR GROU ATHOLOGY O NETWORK Anesthesiology Group Associates Inc 8212 Summa Ave (225) 769-4403 Surgical Specialty Center of Baton Rouge LLC 8080 Bluebonnet Blvd Baton Rouge, La 70810 (225) 408-8080 athology Group of Louisiana 7887 icardy Ave (225) 769-6700 Lott Sheffield Anesthesia 5253 Dijon Dr Ste A (225) 768-1611 The Neuromedical Center Hospital 10105 ark Rowe Circle Baton Rouge, La 70810 (225) 763-9900 athology Group of Louisiana The Neuromedical Center 10101 ark Rowe Ave Baton Rouge, La 70810 (225) 769-2200 West Feliciana ar Hospital 5266 South Commerce St St Francisville, La 70775 (225) 635-3811 Data Not Received articipates in Blue Cross and/or HMO networks U Does not participate in the HMO network, but will not balance bill the member. Reporting is required by the Health Care Consumer Billing and Disclosure rotection Act of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts. 10 of 12

Hospital-Based hysician Chart Instructions This is a list of the hospitals and ambulatory surgery centers in this region that participate in the Blue Cross networks. Follow these steps to get the information you need: 1. Find the facility where you will be receiving care. They are in alphabetical order. 2. Next to each facility, you will see a list of the hospital-based physicians/groups who practice at that facility. 3. The next five columns of the table represent the specialties that are considered hospital-based and include: Anesthesiology, emergency medicine, neonatology, pathology and radiology. There will be a checkmark () in the appropriate specialty column for each physician or group who participates in the Blue Cross networks. If there is no, it means that the facility does not have that hospital-based physician specialty or the facility has not reported data to Blue Cross (Data Not Received). 4. The following three columns in blue show whether the physician or group is... articipating in Blue Cross O network; articipating in the HMO network (if applicable); or, Not participating in any Blue Cross network and therefore considered out-of-network. 5. U Some hospital-based physicians participate in the Blue Cross network, but not in the HMO network. These doctors will have a U symbol because they have agreed to not balance bill HMO members for the difference between the Blue Cross allowable charge and the provider s billed charge. What you can do with this information: If you are planning to have a medical procedure or service at a network facility that has one or more out-of-network hospital-based physician(s), you may be balanced billed for the difference between the Blue Cross allowable charge and the provider s billed charge. You may consider asking your doctor whether you can have your procedure at another hospital. If that is not possible, you may be balance billed by a out-of-network (non-contracted) provider. In that case, call the out-of-network provider s office and ask whether they will accept Blue Cross allowable charge as full payment for their services. If you have questions, call Customer Service at the number on your member ID card, or use the secure online inquiry form to send us your question. articipates in Blue Cross and/or HMO networks U Does not participate in the HMO network, but will not balance bill the member. For more information on reading the chart, please refer back to the Find a Doctor web page at www.bcbsla.com/hbp/. Reporting is required by the Health Care Consumer Billing and Disclosure rotection Act of the 2009 Louisiana Legislative Session. A facility is required to report this information to each insurer with which it contracts. 12 of 12