facebook tracking Level 2 ICD and Similar Procedures cost in Louisiana: 30 hospitals compared (APC 5232)

Level 2 ICD and Similar Procedures in Louisiana

What 30 hospitals in Louisiana charged and were paid for level 2 icd and similar procedures (APC 5232), from 2024 Medicare claims.

APC 5232 Outpatient 2024 Medicare data
Average charge $186,623 Hospital list price billed
Average allowed $27,611 Medicare's payment + patient's share
Medicare paid $25,975 Average per service
State rank #5 of 47 1 = lowest average payment

Hospitals in Louisiana billed an average of $186,623 for level 2 icd and similar procedures, about 6.8 times the average medicare-allowed amount of $27,611. That payment is 11% below the U.S. average of $31,009.

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 $27,611Billed $186,623

About 15¢ was paid for every $1 hospitals in Louisiana billed for this service.

Louisiana hospitals: level 2 icd and similar procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Willis Knighton Medical CenterShreveport 48 $110,216 $27,871 $26,239
Our Lady of Lourdes Regional Medical Center, INCLafayette 40 $114,601 $27,274 $25,636
Our Lady of the Lake Regional Medical CenterBaton Rouge 36 $215,008 $27,736 $26,101
St Francis Medical CenterMonroe 35 $144,355 $27,274 $25,637
Lafayette General Medical CenterLafayette 33 $200,875 $27,274 $25,628
Ochsner Foundation HospitalNew Orleans 28 $180,927 $27,274 $25,639
Terrebonne General Medical CenterHouma 25 $131,389 $27,523 $25,891
St Tammany Parish HospitalCovington 21 $223,215 $27,786 $26,154
Tulane Medical CenterNew Orleans 20 $413,077 $27,786 $26,154
CHRISTUS Schumpert Health SystemShreveport 18 $258,468 $28,429 $26,797
University Medical Center New OrleansNew Orleans 11 $304,736 $27,646 $26,014
CHRISTUS St Frances Cabrini HospitalAlexandria 11 $203,528 $28,400 $26,768
University Medical CenterLafayette – – – –
Natchitoches Regional Medical CenterNatchitoches – – – –
North Oaks Medical CenterHammond – – – –
Opelousas General Health SystemOpelousas – – – –
Lane Regional Medical CenterZachary – – – –
Rapides Regional Medical CenterAlexandria – – – –
CHRISTUS St Patrick HospitalLake Charles – – – –
West Jefferson Medical CenterMarrero – – – –
Slidell Memorial HospitalSlidell – – – –
Touro InfirmaryNew Orleans – – – –
Lake Charles Memorial HospitalLake Charles – – – –
Baton Rouge General Medical CenterBaton Rouge – – – –
LSU Medical Center-Univ HospShreveport – – – –
Byrd Regional HospitalLeesville – – – –
Leonard J Chabert Medical CenterHouma – – – –
Ochsner Medical Center-Baton RougeBaton Rouge – – – –
Ochsner Medical Center-Kenner LLCKenner – – – –
Cypress Pointe Surgical HospitalHammond – – – –
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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.

Highest

CHRISTUS Schumpert Health SystemShreveport, LA$28,429
CHRISTUS St Frances Cabrini HospitalAlexandria, LA$28,400
Willis Knighton Medical CenterShreveport, LA$27,871
St Tammany Parish HospitalCovington, LA$27,786
Tulane Medical CenterNew Orleans, LA$27,786

Level 2 ICD and Similar Procedures in other states

Questions

How much does level 2 icd and similar procedures cost in Louisiana?

In 2024 Medicare data, level 2 icd and similar procedures (APC 5232) at 30 hospitals in Louisiana was billed at $186,623 on average, while the average medicare-allowed amount was $27,611, of which Medicare paid $25,975. 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.