facebook tracking Extensive operating room procedures unrelated to principal diagnosis with major complications cost in Louisiana: 7 hospitals compared (DRG 981)

Extensive operating room procedures unrelated to principal diagnosis with major complications in Louisiana

What 7 hospitals in Louisiana charged and were paid for a Medicare hospital stay for extensive operating room procedures unrelated to principal diagnosis with major complications (DRG 981), from 2024 Medicare claims.

DRG 981 Inpatient 2024 Medicare data
Average charge $217,714 Hospital list price billed
Average payment $39,834 Medicare + patient + other payers
Medicare paid $33,686 Average per stay
State rank #14 of 42 1 = lowest average payment

Hospitals in Louisiana billed an average of $217,714 for extensive operating room procedures unrelated to principal diagnosis with major complications, about 5.5 times the average total payment of $39,834. That payment is 15% below the U.S. average of $47,051.

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 $39,834Billed $217,714

About 18¢ was paid for every $1 hospitals in Louisiana billed for this stay.

Louisiana hospitals: extensive operating room procedures unrelated to principal diagnosis 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
Willis Knighton Medical CenterShreveport 25 $187,356 $34,593 $32,344
Tulane Medical CenterNew Orleans 24 $382,152 $40,820 $32,078
Lafayette General Medical CenterLafayette 19 $192,615 $34,472 $29,404
Our Lady of the Lake Regional Medical CenterBaton Rouge 19 $132,003 $41,443 $30,907
Ochsner Foundation HospitalNew Orleans 13 $222,150 $42,863 $33,921
Baton Rouge General Medical CenterBaton Rouge 11 $115,920 $34,220 $32,370
LSU Medical Center-Univ HospShreveport 11 $215,889 $58,113 $53,473
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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.

Lowest

Baton Rouge General Medical CenterBaton Rouge, LA$34,220
Lafayette General Medical CenterLafayette, LA$34,472
Willis Knighton Medical CenterShreveport, LA$34,593
Tulane Medical CenterNew Orleans, LA$40,820
Our Lady of the Lake Regional Medical CenterBaton Rouge, LA$41,443

Highest

LSU Medical Center-Univ HospShreveport, LA$58,113
Ochsner Foundation HospitalNew Orleans, LA$42,863
Our Lady of the Lake Regional Medical CenterBaton Rouge, LA$41,443
Tulane Medical CenterNew Orleans, LA$40,820
Willis Knighton Medical CenterShreveport, LA$34,593

Extensive operating room procedures unrelated to principal diagnosis with major complications in other states

Questions

How much does extensive operating room procedures unrelated to principal diagnosis with major complications cost in Louisiana?

In 2024 Medicare data, a hospital stay for extensive operating room procedures unrelated to principal diagnosis with major complications (DRG 981) at 7 hospitals in Louisiana was billed at $217,714 on average, while the average total payment was $39,834, of which Medicare paid $33,686. 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 5.5 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.