Pathological fractures and musculoskeletal and connective tissue malignancy with complications in Louisiana
What 2 hospitals in Louisiana charged and were paid for a Medicare hospital stay for pathological fractures and musculoskeletal and connective tissue malignancy with complications (DRG 543), from 2024 Medicare claims.
Average charge
$44,994
Hospital list price billed
Average payment
$8,382
Medicare + patient + other payers
Medicare paid
$6,297
Average per stay
Volume
27
Medicare hospital stays
Hospitals in Louisiana billed an average of $44,994 for pathological fractures and musculoskeletal and connective tissue malignancy with complications, about 5.4 times the average total payment of $8,382. That payment is 19% below the U.S. average of $10,379.
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 $8,382Billed $44,994
About 19¢ was paid for every $1 hospitals in Louisiana billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Louisiana:
Louisiana hospitals: pathological fractures and musculoskeletal and connective tissue malignancy 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 | 14 | $54,757 | $7,320 | $6,194 |
| Ochsner Foundation HospitalNew Orleans | 13 | $34,481 | $9,526 | $6,409 |
Pathological fractures and musculoskeletal and connective tissue malignancy with complications in other states
Questions
How much does pathological fractures and musculoskeletal and connective tissue malignancy with complications cost in Louisiana?
In 2024 Medicare data, a hospital stay for pathological fractures and musculoskeletal and connective tissue malignancy with complications (DRG 543) at 2 hospitals in Louisiana was billed at $44,994 on average, while the average total payment was $8,382, of which Medicare paid $6,297. 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 5.4 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.