facebook tracking Coronary bypass without cardiac catheterization with major complications cost in Louisiana: 3 hospitals compared (DRG 235)

Coronary bypass without cardiac catheterization with major complications in Louisiana

What 3 hospitals in Louisiana charged and were paid for a Medicare hospital stay for coronary bypass without cardiac catheterization with major complications (DRG 235), from 2024 Medicare claims.

DRG 235 Inpatient 2024 Medicare data
Average charge $162,610 Hospital list price billed
Average payment $44,446 Medicare + patient + other payers
Medicare paid $36,294 Average per stay
State rank #5 of 37 1 = lowest average payment

Hospitals in Louisiana billed an average of $162,610 for coronary bypass without cardiac catheterization with major complications, about 3.7 times the average total payment of $44,446. That payment is 21% below the U.S. average of $56,401.

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 $44,446Billed $162,610

About 27¢ was paid for every $1 hospitals in Louisiana billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Louisiana:

Louisiana hospitals: coronary bypass without cardiac catheterization with major complications

Every Louisiana hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
Our Lady of Lourdes Regional Medical Center, INCLafayette 15 $139,083 $44,687 $31,946
Lake Charles Memorial HospitalLake Charles 13 $222,112 $43,513 $42,073
Baton Rouge General Medical CenterBaton Rouge 11 $124,373 $45,220 $35,392
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Lowest and highest payments in Louisiana

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Coronary bypass without cardiac catheterization with major complications in other states

Questions

How much does coronary bypass without cardiac catheterization with major complications cost in Louisiana?

In 2024 Medicare data, a hospital stay for coronary bypass without cardiac catheterization with major complications (DRG 235) at 3 hospitals in Louisiana was billed at $162,610 on average, while the average total payment was $44,446, of which Medicare paid $36,294. 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 stay in Louisiana, average charges were 3.7 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.