facebook tracking Major chest procedures with complications cost in Louisiana: 4 hospitals compared (DRG 164)

Major chest procedures with complications in Louisiana

What 4 hospitals in Louisiana charged and were paid for a Medicare hospital stay for major chest procedures with complications (DRG 164), from 2024 Medicare claims.

DRG 164 Inpatient 2024 Medicare data
Average charge $110,621 Hospital list price billed
Average payment $20,083 Medicare + patient + other payers
Medicare paid $15,442 Average per stay
State rank #4 of 41 1 = lowest average payment

Hospitals in Louisiana billed an average of $110,621 for major chest procedures with complications, about 5.5 times the average total payment of $20,083. That payment is 21% below the U.S. average of $25,501.

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 $20,083Billed $110,621

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

Louisiana hospitals: major chest procedures 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 27 $108,317 $16,889 $15,324
Our Lady of the Lake Regional Medical CenterBaton Rouge 27 $73,247 $23,074 $14,011
Our Lady of Lourdes Regional Medical Center, INCLafayette 24 $109,788 $18,012 $14,971
Ochsner Foundation HospitalNew Orleans 14 $188,573 $24,027 $19,238
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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.

Major chest procedures with complications in other states

Questions

How much does major chest procedures with complications cost in Louisiana?

In 2024 Medicare data, a hospital stay for major chest procedures with complications (DRG 164) at 4 hospitals in Louisiana was billed at $110,621 on average, while the average total payment was $20,083, of which Medicare paid $15,442. 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.