Louisiana / Byrd Regional Hospital
CMS certification 190164 · Leesville, LA · 2 entries in CMS's price-transparency list
Byrd Regional Hospital: charges and Medicare payments
Byrd Regional Hospital reported 262 Medicare inpatient stays across 9 DRGs in 2024. Across them it charged 6.63 times what it was paid — among the higher ratios in Louisiana, number 5 of 46 hospitals with at least 100 stays (state median 4.2×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 57 stays at an average charge of $72,785, 29% above the national average. It also billed 567 outpatient services, charging 13.78 times what Medicare paid.
- 1Medicare inpatient stays 262
- 2Charge ÷ paid, inpatient 6.63×
- 3Rank in LA (highest ratio = 1) 5 of 46
- 4CMS price-transparency actions 2
Inpatient stays
For the 9 DRGs that can be compared with the national average, Byrd Regional Hospital charged more than the national average in 6 (67%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 291 Heart Failure and Shock with MCC | 57 | $72,785 | +29% | $9,618 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 42 | $95,644 | +6% | $14,945 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 33 | $63,734 | +26% | $8,266 |
| 177 Respiratory Infections and Inflammations with MCC | 27 | $73,830 | +5% | $12,078 |
| 689 Kidney and Urinary Tract Infections with MCC | 27 | $51,311 | 0% | $8,675 |
| 193 Simple Pneumonia and Pleurisy with MCC | 24 | $71,449 | +20% | $9,993 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 24 | $54,047 | -29% | $10,774 |
| 690 Kidney and Urinary Tract Infections without MCC | 17 | $37,990 | 0% | $6,221 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $43,585 | +9% | $6,417 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 247 | $26,471 | $2,327 |
| Level 1 Endovascular Procedures | 53 | $24,453 | $2,762 |
| Level 1 Intraocular Procedures | 53 | $12,971 | $1,999 |
| Level 3 Endovascular Procedures | 41 | $132,887 | $9,241 |
| Level 3 Musculoskeletal Procedures | 38 | $33,550 | $2,604 |
| Level 3 Urology and Related Services | 38 | $20,306 | $1,747 |
| Level 3 Vascular Procedures | 20 | $23,267 | $2,625 |
| Level 4 Urology and Related Services | 19 | $30,476 | $2,990 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 15 | $13,827 | $1,224 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 15 | $24,096 | $2,337 |
| Level 4 Endovascular Procedures | 15 | $122,819 | $15,013 |
| Level 4 Musculoskeletal Procedures | 13 | $66,544 | $5,761 |
Against the Louisiana average
For Heart Failure and Shock with MCC (DRG 291), Byrd Regional Hospital charged $72,785 on average, 76% more than the Louisiana average of $41,326, and was paid $9,618 against a state average of $9,753. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Byrd Regional Hospital charged $95,644 on average, 40% more than the Louisiana average of $68,087, and was paid $14,945 against a state average of $14,397. For Chronic Obstructive Pulmonary Disease with MCC (DRG 190), Byrd Regional Hospital charged $63,734 on average, 49% more than the Louisiana average of $42,735, and was paid $8,266 against a state average of $8,433. For Respiratory Infections and Inflammations with MCC (DRG 177), Byrd Regional Hospital charged $73,830 on average, 42% more than the Louisiana average of $52,107, and was paid $12,078 against a state average of $11,929. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $26,471 was 63% above the state average of $16,215. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $24,453 was 8% below the state average of $26,600. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $12,971 was 8% below the state average of $14,054. For Level 3 Endovascular Procedures (outpatient APC 5193), its average charge of $132,887 was 70% above the state average of $78,200.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Byrd Regional Hospital in Leesville, LA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2026-05-19 (CMS case 7828)
- Closure Notice — 2026-07-01 (CMS case 7828)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.