Simple pneumonia and pleurisy with complications in Louisiana
What 32 hospitals in Louisiana charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with complications (DRG 194), from 2024 Medicare claims.
Average charge
$30,773
Hospital list price billed
Average payment
$6,404
Medicare + patient + other payers
Medicare paid
$4,659
Average per stay
State rank
#4 of 47
1 = lowest average payment
Hospitals in Louisiana billed an average of $30,773 for simple pneumonia and pleurisy with complications, about 4.8 times the average total payment of $6,404. That payment is 19% below the U.S. average of $7,941.
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 $6,404Billed $30,773
About 21¢ 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: simple pneumonia and pleurisy 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 |
|---|---|---|---|---|
| Willis Knighton Medical CenterShreveport | 80 | $33,893 | $6,327 | $4,589 |
| Lafayette General Medical CenterLafayette | 56 | $26,379 | $5,883 | $3,932 |
| Slidell Memorial HospitalSlidell | 48 | $35,981 | $5,391 | $4,235 |
| Our Lady of Lourdes Regional Medical Center, INCLafayette | 48 | $26,365 | $5,770 | $4,037 |
| Ochsner Foundation HospitalNew Orleans | 40 | $31,848 | $8,036 | $5,188 |
| Tulane Medical CenterNew Orleans | 38 | $57,641 | $8,154 | $5,010 |
| Our Lady of the Lake Regional Medical CenterBaton Rouge | 35 | $21,418 | $7,938 | $4,828 |
| CHRISTUS Schumpert Health SystemShreveport | 34 | $27,925 | $5,544 | $4,096 |
| St Francis Medical CenterMonroe | 30 | $32,017 | $6,143 | $4,340 |
| Mercy Regional Medical CenterVille Platte | 26 | $34,049 | $5,423 | $3,855 |
| Thibodaux Regional Medical CenterThibodaux | 24 | $30,580 | $5,685 | $3,690 |
| Ochsner Medical Center-Baton RougeBaton Rouge | 24 | $17,953 | $6,384 | $4,564 |
| Claiborne Memorial Medical CenterHomer | 23 | $25,942 | $6,658 | $5,593 |
| CHRISTUS St Frances Cabrini HospitalAlexandria | 22 | $36,390 | $6,033 | $4,392 |
| Acadia General HospitalCrowley | 21 | $20,005 | $6,396 | $4,851 |
| Terrebonne General Medical CenterHouma | 20 | $19,257 | $5,628 | $4,091 |
| Opelousas General Health SystemOpelousas | 20 | $28,995 | $5,957 | $4,733 |
| Avoyelles HospitalMarksville | 20 | $22,921 | $6,755 | $5,615 |
| St Tammany Parish HospitalCovington | 19 | $32,016 | $6,127 | $3,847 |
| Winn Parish Medical CenterWinnfield | 19 | $33,392 | $8,129 | $6,791 |
| Lasalle General HospitalMidway | 16 | $44,770 | $7,270 | $6,148 |
| North Oaks Medical CenterHammond | 15 | $53,623 | $5,492 | $3,965 |
| Jennings American Legion HospitalJennings | 14 | $17,368 | $5,967 | $4,571 |
| Lake Charles Memorial HospitalLake Charles | 14 | $36,919 | $6,574 | $5,040 |
| Franklin Medical CenterWinnsboro | 14 | $21,141 | $7,909 | $6,660 |
| Ochsner Medical Center-Kenner LLCKenner | 14 | $24,348 | $7,414 | $5,620 |
| Minden Medical CenterMinden | 13 | $31,010 | $5,914 | $4,913 |
| Savoy Medical CenterMamou | 12 | $27,090 | $5,552 | $4,600 |
| Beauregard Memorial HospitalDeridder | 12 | $29,284 | $6,915 | $5,963 |
| Richardson Medical CenterRayville | 12 | $19,010 | $7,506 | $6,554 |
| Acadian Medical CenterEunice | 12 | $34,671 | $5,083 | $3,553 |
| Glenwood Regional Medical CenterWest Monroe | 11 | $29,373 | $4,885 | $3,846 |
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
| Glenwood Regional Medical CenterWest Monroe, LA | $4,885 |
|---|---|
| Acadian Medical CenterEunice, LA | $5,083 |
| Slidell Memorial HospitalSlidell, LA | $5,391 |
| Mercy Regional Medical CenterVille Platte, LA | $5,423 |
| North Oaks Medical CenterHammond, LA | $5,492 |
Highest
| Tulane Medical CenterNew Orleans, LA | $8,154 |
|---|---|
| Winn Parish Medical CenterWinnfield, LA | $8,129 |
| Ochsner Foundation HospitalNew Orleans, LA | $8,036 |
| Our Lady of the Lake Regional Medical CenterBaton Rouge, LA | $7,938 |
| Franklin Medical CenterWinnsboro, LA | $7,909 |
Simple pneumonia and pleurisy with complications in other states
Questions
How much does simple pneumonia and pleurisy with complications cost in Louisiana?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with complications (DRG 194) at 32 hospitals in Louisiana was billed at $30,773 on average, while the average total payment was $6,404, of which Medicare paid $4,659. 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 4.8 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.