Level 3 Lower GI Procedures in Louisiana
What 53 hospitals in Louisiana charged and were paid for level 3 lower gi procedures (APC 5313), from 2024 Medicare claims.
Average charge
$17,111
Hospital list price billed
Average allowed
$2,316
Medicare's payment + patient's share
Medicare paid
$1,855
Average per service
State rank
#4 of 49
1 = lowest average payment
Hospitals in Louisiana billed an average of $17,111 for level 3 lower gi procedures, about 7.4 times the average medicare-allowed amount of $2,316. That payment is 14% below the U.S. average of $2,703.
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 $2,316Billed $17,111
About 14¢ was paid for every $1 hospitals in Louisiana billed for this service.
Louisiana hospitals: level 3 lower 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
| Park Place Surgical HospitalLafayette, LA | $2,155 |
|---|---|
| Our Lady of Lourdes Regional Medical Center, INCLafayette, LA | $2,191 |
| Tulane Medical CenterNew Orleans, LA | $2,214 |
| Ochsner Foundation HospitalNew Orleans, LA | $2,219 |
| Our Lady of the Lake Regional Medical CenterBaton Rouge, LA | $2,225 |
Highest
| Rapides Regional Medical CenterAlexandria, LA | $2,431 |
|---|---|
| Lake Charles Memorial HospitalLake Charles, LA | $2,407 |
| Willis Knighton Medical CenterShreveport, LA | $2,402 |
| St Tammany Parish HospitalCovington, LA | $2,378 |
| Slidell Memorial HospitalSlidell, LA | $2,378 |
Level 3 Lower GI Procedures in other states
Questions
How much does level 3 lower gi procedures cost in Louisiana?
In 2024 Medicare data, level 3 lower gi procedures (APC 5313) at 53 hospitals in Louisiana was billed at $17,111 on average, while the average medicare-allowed amount was $2,316, of which Medicare paid $1,855. 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 7.4 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.