facebook tracking Hip and femur procedures except major joint with major complications cost in Louisiana: 12 hospitals compared (DRG 480)

Hip and femur procedures except major joint with major complications in Louisiana

What 12 hospitals in Louisiana charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint with major complications (DRG 480), from 2024 Medicare claims.

DRG 480 Inpatient 2024 Medicare data
Average charge $122,138 Hospital list price billed
Average payment $20,658 Medicare + patient + other payers
Medicare paid $18,567 Average per stay
State rank #3 of 46 1 = lowest average payment

Hospitals in Louisiana billed an average of $122,138 for hip and femur procedures except major joint with major complications, about 5.9 times the average total payment of $20,658. That payment is 21% below the U.S. average of $26,284.

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 $20,658Billed $122,138

About 17¢ was paid for every $1 hospitals in Louisiana billed for this stay.

Louisiana hospitals: hip and femur procedures except major joint 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
Lafayette General Medical CenterLafayette 32 $126,769 $19,957 $18,450
Willis Knighton Medical CenterShreveport 32 $104,827 $19,573 $17,781
CHRISTUS St Frances Cabrini HospitalAlexandria 28 $105,687 $19,167 $17,944
Our Lady of the Lake Regional Medical CenterBaton Rouge 27 $71,313 $22,273 $20,292
Lake Charles Memorial HospitalLake Charles 24 $85,991 $20,340 $19,063
Baton Rouge General Medical CenterBaton Rouge 22 $62,194 $20,355 $18,368
Ochsner Foundation HospitalNew Orleans 19 $168,339 $25,926 $21,103
Tulane Medical CenterNew Orleans 17 $221,851 $22,235 $19,038
CHRISTUS Schumpert Health SystemShreveport 16 $130,090 $18,667 $17,218
Rapides Regional Medical CenterAlexandria 15 $279,122 $18,758 $17,551
St Tammany Parish HospitalCovington 15 $124,051 $20,110 $18,807
Our Lady of Lourdes Regional Medical Center, INCLafayette 12 $67,254 $21,594 $15,995
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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

Highest

Hip and femur procedures except major joint with major complications in other states

Questions

How much does hip and femur procedures except major joint with major complications cost in Louisiana?

In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint with major complications (DRG 480) at 12 hospitals in Louisiana was billed at $122,138 on average, while the average total payment was $20,658, of which Medicare paid $18,567. 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 5.9 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.