facebook tracking Simple pneumonia and pleurisy with major complications cost in Louisiana: 37 hospitals compared (DRG 193)

Simple pneumonia and pleurisy with major complications in Louisiana

What 37 hospitals in Louisiana charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with major complications (DRG 193), from 2024 Medicare claims.

DRG 193 Inpatient 2024 Medicare data
Average charge $49,710 Hospital list price billed
Average payment $9,767 Medicare + patient + other payers
Medicare paid $8,043 Average per stay
State rank #3 of 50 1 = lowest average payment

Hospitals in Louisiana billed an average of $49,710 for simple pneumonia and pleurisy with major complications, about 5.1 times the average total payment of $9,767. That payment is 19% below the U.S. average of $12,020.

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 $9,767Billed $49,710

About 20¢ was paid for every $1 hospitals in Louisiana billed for this stay.

Louisiana hospitals: simple pneumonia and pleurisy with major 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 233 $50,499 $9,724 $7,754
CHRISTUS St Frances Cabrini HospitalAlexandria 147 $45,708 $9,486 $8,257
CHRISTUS Schumpert Health SystemShreveport 111 $57,194 $9,057 $7,665
Our Lady of Lourdes Regional Medical Center, INCLafayette 95 $32,622 $8,799 $7,272
Ochsner Foundation HospitalNew Orleans 77 $41,345 $12,506 $9,170
St Francis Medical CenterMonroe 70 $48,182 $9,020 $7,765
Our Lady of the Lake Regional Medical CenterBaton Rouge 69 $34,433 $12,005 $8,855
St Tammany Parish HospitalCovington 57 $46,850 $8,945 $6,994
Rapides Regional Medical CenterAlexandria 56 $89,432 $9,133 $7,670
Lafayette General Medical CenterLafayette 54 $41,826 $8,917 $7,433
North Oaks Medical CenterHammond 53 $85,912 $8,921 $7,667
Thibodaux Regional Medical CenterThibodaux 51 $51,470 $8,214 $7,094
Slidell Memorial HospitalSlidell 50 $46,591 $8,349 $6,963
CHRISTUS St Patrick HospitalLake Charles 47 $43,903 $11,558 $9,328
Tulane Medical CenterNew Orleans 45 $116,768 $12,122 $8,935
Lake Charles Memorial HospitalLake Charles 41 $48,422 $10,084 $8,659
Baton Rouge General Medical CenterBaton Rouge 38 $21,954 $9,685 $8,262
Glenwood Regional Medical CenterWest Monroe 36 $63,914 $8,753 $7,226
Claiborne Memorial Medical CenterHomer 33 $41,198 $10,205 $9,044
Northern Louisiana Medical CenterRuston 31 $58,602 $9,041 $7,168
Terrebonne General Medical CenterHouma 30 $30,495 $8,622 $7,354
Opelousas General Health SystemOpelousas 27 $40,812 $8,894 $8,108
Acadia General HospitalCrowley 24 $35,600 $9,669 $8,581
Byrd Regional HospitalLeesville 24 $71,449 $9,993 $8,973
Iberia General Hospital and Medical CenterNew Iberia 22 $26,847 $8,589 $6,682
Mercy Regional Medical CenterVille Platte 22 $68,134 $8,479 $7,367
Ochsner Medical Center-Baton RougeBaton Rouge 22 $26,258 $9,899 $8,043
Minden Medical CenterMinden 21 $39,829 $9,297 $8,134
Acadian Medical CenterEunice 19 $49,644 $7,915 $6,712
Jennings American Legion HospitalJennings 17 $26,399 $9,553 $8,405
Ochsner St MaryMorgan City 16 $51,309 $12,032 $11,218
Ochsner Medical Center-Kenner LLCKenner 16 $26,951 $10,920 $8,191
Abbeville General HospitalAbbeville 15 $57,217 $10,932 $9,957
Touro InfirmaryNew Orleans 13 $66,261 $10,825 $8,104
Franklin Medical CenterWinnsboro 12 $26,929 $11,593 $10,714
University Medical CenterLafayette 11 $39,260 $20,224 $14,450
Springhill Medical CenterSpringhill 11 $15,288 $10,607 $9,250
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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

Highest

University Medical CenterLafayette, LA$20,224
Ochsner Foundation HospitalNew Orleans, LA$12,506
Tulane Medical CenterNew Orleans, LA$12,122
Ochsner St MaryMorgan City, LA$12,032
Our Lady of the Lake Regional Medical CenterBaton Rouge, LA$12,005

Simple pneumonia and pleurisy with major complications in other states

Questions

How much does simple pneumonia and pleurisy with major complications cost in Louisiana?

In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with major complications (DRG 193) at 37 hospitals in Louisiana was billed at $49,710 on average, while the average total payment was $9,767, of which Medicare paid $8,043. 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 5.1 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.