Complex GI Procedures in Louisiana
What 31 hospitals in Louisiana charged and were paid for complex gi procedures (APC 5331), from 2024 Medicare claims.
Average charge
$32,773
Hospital list price billed
Average allowed
$4,788
Medicare's payment + patient's share
Medicare paid
$3,808
Average per service
State rank
#15 of 48
1 = lowest average payment
Hospitals in Louisiana billed an average of $32,773 for complex gi procedures, about 6.8 times the average medicare-allowed amount of $4,788. That payment is 11% below the U.S. average of $5,364.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $4,788Billed $32,773
About 15¢ was paid for every $1 hospitals in Louisiana billed for this service.
Louisiana hospitals: complex gi procedures
Every Louisiana hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Lowest and highest allowed amounts in Louisiana
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Ochsner Foundation HospitalNew Orleans, LA | $4,658 |
|---|---|
| Lafayette General Medical CenterLafayette, LA | $4,738 |
| Our Lady of the Lake Regional Medical CenterBaton Rouge, LA | $4,819 |
| Slidell Memorial HospitalSlidell, LA | $4,827 |
| Tulane Medical CenterNew Orleans, LA | $4,827 |
Highest
| Willis Knighton Medical CenterShreveport, LA | $4,876 |
|---|---|
| Slidell Memorial HospitalSlidell, LA | $4,827 |
| Tulane Medical CenterNew Orleans, LA | $4,827 |
| Ochsner Medical Center-Kenner LLCKenner, LA | $4,827 |
| Our Lady of the Lake Regional Medical CenterBaton Rouge, LA | $4,819 |
Complex GI Procedures in other states
Questions
How much does complex gi procedures cost in Louisiana?
In 2024 Medicare data, complex gi procedures (APC 5331) at 31 hospitals in Louisiana was billed at $32,773 on average, while the average medicare-allowed amount was $4,788, of which Medicare paid $3,808. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this service in Louisiana, average charges were 6.8 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.