Louisiana / East Jefferson General Hospital
CMS certification 190176 · Metairie, LA · 3 entries in CMS's price-transparency list
East Jefferson General Hospital: charges and Medicare payments
East Jefferson General Hospital reported 2,667 Medicare inpatient stays across 90 DRGs in 2024. Across them it charged 8.88 times what it was paid — among the higher ratios in Louisiana, number 3 of 46 hospitals with at least 100 stays (state median 4.2×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 228 stays at an average charge of $136,983, 52% above the national average. It also billed 3,747 outpatient services, charging 16.22 times what Medicare paid.
- 1Medicare inpatient stays 2,667
- 2Charge ÷ paid, inpatient 8.88×
- 3Rank in LA (highest ratio = 1) 3 of 46
- 4CMS price-transparency actions 3
Inpatient stays
For the 90 DRGs that can be compared with the national average, East Jefferson General Hospital charged more than the national average in 88 (98%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 228 | $136,983 | +52% | $17,389 |
| 291 Heart Failure and Shock with MCC | 158 | $76,503 | +36% | $12,006 |
| 690 Kidney and Urinary Tract Infections without MCC | 85 | $49,604 | +31% | $7,253 |
| 177 Respiratory Infections and Inflammations with MCC | 75 | $96,118 | +36% | $14,606 |
| 683 Renal Failure with CC | 65 | $49,757 | +22% | $8,198 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 59 | $60,100 | +62% | $7,561 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 56 | $217,603 | +39% | $24,984 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 56 | $57,895 | +18% | $9,582 |
| 689 Kidney and Urinary Tract Infections with MCC | 55 | $64,040 | +25% | $9,999 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 53 | $82,632 | +48% | $9,337 |
| 481 Hip and Femur Procedures except Major Joint with CC | 52 | $160,484 | +59% | $17,436 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 52 | $74,641 | +24% | $11,191 |
| 193 Simple Pneumonia and Pleurisy with MCC | 45 | $116,768 | +95% | $12,122 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 44 | $49,598 | +23% | $7,429 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 43 | $212,277 | +113% | $21,159 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 43 | $44,903 | +24% | $6,919 |
| 603 Cellulitis without MCC | 42 | $40,287 | +8% | $8,439 |
| 194 Simple Pneumonia and Pleurisy with CC | 38 | $57,641 | +50% | $8,154 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 38 | $80,654 | +70% | $9,417 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 38 | $444,917 | +94% | $46,627 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 36 | $115,031 | +57% | $15,348 |
| 189 Pulmonary Edema and Respiratory Failure | 35 | $105,233 | +83% | $11,156 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 35 | $85,567 | +13% | $13,896 |
| 378 Gastrointestinal Hemorrhage with CC | 33 | $66,465 | +37% | $9,588 |
| 812 Red Blood Cell Disorders without MCC | 32 | $61,040 | +38% | $9,074 |
| 682 Renal Failure with MCC | 31 | $87,487 | +33% | $13,521 |
| 330 Major Small and Large Bowel Procedures with CC | 28 | $235,547 | +98% | $21,757 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 27 | $74,365 | +47% | $9,549 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 27 | $324,095 | +46% | $36,444 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 27 | $116,814 | +106% | $12,413 |
| 482 Hip and Femur Procedures except Major Joint without CC/MCC | 26 | $122,515 | +57% | $14,045 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 25 | $268,916 | +64% | $22,337 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 25 | $154,754 | +51% | $17,692 |
| 650 Kidney Transplant with Hemodialysis with MCC | 25 | $885,393 | +111% | $39,016 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 24 | $85,603 | +34% | $10,034 |
| 377 Gastrointestinal Hemorrhage with MCC | 24 | $96,183 | +13% | $14,707 |
| 389 Gastrointestinal Obstruction with CC | 24 | $51,696 | +33% | $7,492 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 24 | $382,152 | +77% | $40,820 |
| 039 Extracranial Procedures without CC/MCC | 23 | $118,545 | +86% | $10,325 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 23 | $432,105 | +54% | $50,171 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 22 | $507,666 | +81% | $50,319 |
| 178 Respiratory Infections and Inflammations with CC | 22 | $52,749 | +16% | $8,508 |
| 312 Syncope and Collapse | 22 | $47,822 | +5% | $7,919 |
| 314 Other Circulatory System Diagnoses with MCC | 22 | $119,331 | +26% | $17,659 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 22 | $149,407 | +74% | $13,372 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 21 | $178,574 | +56% | $16,386 |
| 638 Diabetes with CC | 21 | $62,465 | +50% | $8,579 |
| 057 Degenerative Nervous System Disorders without MCC | 20 | $73,883 | +30% | $12,007 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 20 | $335,890 | +59% | $30,809 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 20 | $30,102 | +5% | $5,301 |
| 483 Major Joint or Limb Reattachment Procedures of Upper... | 20 | $199,941 | +58% | $21,070 |
| 552 Medical Back Problems without MCC | 20 | $58,358 | +19% | $8,717 |
| 811 Red Blood Cell Disorders with MCC | 20 | $67,188 | -1% | $12,281 |
| 069 Transient Ischemia without Thrombolytic | 18 | $51,550 | +2% | $7,333 |
| 202 Bronchitis and Asthma with CC/MCC | 18 | $72,661 | +57% | $8,765 |
| 394 Other Digestive System Diagnoses with CC | 18 | $60,351 | +28% | $9,209 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 17 | $358,313 | +55% | $37,524 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 17 | $284,935 | +110% | $25,263 |
| 252 Other Vascular Procedures with MCC | 17 | $213,794 | +25% | $26,154 |
| 271 Other Major Cardiovascular Procedures with CC | 17 | $234,633 | +35% | $29,908 |
Showing the 60 most frequent of 90 DRGs.
Outpatient services
Against the Louisiana average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), East Jefferson General Hospital charged $136,983 on average, 101% more than the Louisiana average of $68,087, and was paid $17,389 against a state average of $14,397. For Heart Failure and Shock with MCC (DRG 291), East Jefferson General Hospital charged $76,503 on average, 85% more than the Louisiana average of $41,326, and was paid $12,006 against a state average of $9,753. For Kidney and Urinary Tract Infections without MCC (DRG 690), East Jefferson General Hospital charged $49,604 on average, 82% more than the Louisiana average of $27,275, and was paid $7,253 against a state average of $6,347. For Respiratory Infections and Inflammations with MCC (DRG 177), East Jefferson General Hospital charged $96,118 on average, 84% more than the Louisiana average of $52,107, and was paid $14,606 against a state average of $11,929. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $24,201 was 49% above the state average of $16,215. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $38,685 was 45% above the state average of $26,600. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $19,661 was 98% above the state average of $9,908. For Level 2 Endovascular Procedures (outpatient APC 5192), its average charge of $51,619 was 38% above the state average of $37,357.
Price-transparency record
CMS's enforcement list records these actions for a hospital named East Jefferson General Hospital in Metairie, LA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- CAP Request — 2024-09-12 (CMS case 2626)
- Closure Notice — 2025-01-07 (CMS case 2626)
- Met Requirements — 2026-03-23 (CMS case 7343)
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.