facebook tracking Lower extremity and humerus procedures except hip, foot and femur with complications cost in Louisiana: 6 hospitals compared (DRG 493)

Lower extremity and humerus procedures except hip, foot and femur with complications in Louisiana

What 6 hospitals in Louisiana charged and were paid for a Medicare hospital stay for lower extremity and humerus procedures except hip, foot and femur with complications (DRG 493), from 2024 Medicare claims.

DRG 493 Inpatient 2024 Medicare data
Average charge $106,553 Hospital list price billed
Average payment $19,201 Medicare + patient + other payers
Medicare paid $16,198 Average per stay
State rank #7 of 40 1 = lowest average payment

Hospitals in Louisiana billed an average of $106,553 for lower extremity and humerus procedures except hip, foot and femur with complications, about 5.5 times the average total payment of $19,201. That payment is 16% below the U.S. average of $22,820.

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 $19,201Billed $106,553

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

Louisiana hospitals: lower extremity and humerus procedures except hip, foot and femur with 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 26 $115,280 $16,974 $13,694
LSU Medical Center-Univ HospShreveport 15 $101,746 $26,497 $22,644
CHRISTUS Schumpert Health SystemShreveport 14 $88,404 $14,725 $13,431
Willis Knighton Medical CenterShreveport 14 $98,350 $19,280 $17,598
St Francis Medical CenterMonroe 13 $67,872 $16,301 $14,781
Ochsner Foundation HospitalNew Orleans 12 $166,301 $23,178 $16,699
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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

CHRISTUS Schumpert Health SystemShreveport, LA$14,725
St Francis Medical CenterMonroe, LA$16,301
Lafayette General Medical CenterLafayette, LA$16,974
Willis Knighton Medical CenterShreveport, LA$19,280
Ochsner Foundation HospitalNew Orleans, LA$23,178

Highest

LSU Medical Center-Univ HospShreveport, LA$26,497
Ochsner Foundation HospitalNew Orleans, LA$23,178
Willis Knighton Medical CenterShreveport, LA$19,280
Lafayette General Medical CenterLafayette, LA$16,974
St Francis Medical CenterMonroe, LA$16,301

Lower extremity and humerus procedures except hip, foot and femur with complications in other states

Questions

How much does lower extremity and humerus procedures except hip, foot and femur with complications cost in Louisiana?

In 2024 Medicare data, a hospital stay for lower extremity and humerus procedures except hip, foot and femur with complications (DRG 493) at 6 hospitals in Louisiana was billed at $106,553 on average, while the average total payment was $19,201, of which Medicare paid $16,198. 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.