Louisiana / Claiborne Memorial Medical Center
CMS certification 190114 · Homer, LA · 3 entries in CMS's price-transparency list
Claiborne Memorial Medical Center: charges and Medicare payments
Claiborne Memorial Medical Center reported 238 Medicare inpatient stays across 11 DRGs in 2024. Across them it charged 2.9 times what it was paid — among the lower ratios in Louisiana, number 38 of 46 hospitals with at least 100 stays (state median 4.2×, national 4.15×). Its most frequent stay was DRG 690, Kidney and Urinary Tract Infections without MCC: 34 stays at an average charge of $13,855, 63% below the national average. It also billed 130 outpatient services, charging 4.79 times what Medicare paid.
- 1Medicare inpatient stays 238
- 2Charge ÷ paid, inpatient 2.9×
- 3Rank in LA (highest ratio = 1) 38 of 46
- 4CMS price-transparency actions 3
Inpatient stays
For the 11 DRGs that can be compared with the national average, Claiborne Memorial Medical Center charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 690 Kidney and Urinary Tract Infections without MCC | 34 | $13,855 | -63% | $6,374 |
| 193 Simple Pneumonia and Pleurisy with MCC | 33 | $41,198 | -31% | $10,205 |
| 291 Heart Failure and Shock with MCC | 26 | $27,686 | -51% | $9,233 |
| 177 Respiratory Infections and Inflammations with MCC | 24 | $29,234 | -59% | $12,840 |
| 194 Simple Pneumonia and Pleurisy with CC | 23 | $25,942 | -32% | $6,658 |
| 689 Kidney and Urinary Tract Infections with MCC | 20 | $28,743 | -44% | $8,929 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 20 | $33,752 | -63% | $15,295 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 19 | $29,152 | -42% | $8,785 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 15 | $13,035 | -68% | $6,420 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 13 | $21,188 | -57% | $8,224 |
| 378 Gastrointestinal Hemorrhage with CC | 11 | $21,301 | -56% | $7,688 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 130 | $8,677 | $2,276 |
Against the Louisiana average
For Kidney and Urinary Tract Infections without MCC (DRG 690), Claiborne Memorial Medical Center charged $13,855 on average, 49% less than the Louisiana average of $27,275, and was paid $6,374 against a state average of $6,347. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Claiborne Memorial Medical Center charged $41,198 on average, 15% less than the Louisiana average of $48,369, and was paid $10,205 against a state average of $9,868. For Heart Failure and Shock with MCC (DRG 291), Claiborne Memorial Medical Center charged $27,686 on average, 33% less than the Louisiana average of $41,326, and was paid $9,233 against a state average of $9,753. For Respiratory Infections and Inflammations with MCC (DRG 177), Claiborne Memorial Medical Center charged $29,234 on average, 44% less than the Louisiana average of $52,107, and was paid $12,840 against a state average of $11,929. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $8,677 was 46% below the state average of $16,215.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Claiborne Memorial Medical Center in Homer, LA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-11-27 (CMS case 2965)
- Closure Notice — 2025-02-28 (CMS case 2965)
- Warning Notice — 2026-07-16 (CMS case 8211)
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.