Louisiana / Iberia Medical Center
CMS certification 190054 · New Iberia, LA · 3 entries in CMS's price-transparency list
Iberia Medical Center: charges and Medicare payments
Iberia Medical Center reported 466 Medicare inpatient stays across 16 DRGs in 2024. Across them it charged 3.03 times what it was paid — among the lower ratios in Louisiana, number 37 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: 108 stays at an average charge of $38,555, 57% below the national average. It also billed 530 outpatient services, charging 5.6 times what Medicare paid.
- 1Medicare inpatient stays 466
- 2Charge ÷ paid, inpatient 3.03×
- 3Rank in LA (highest ratio = 1) 37 of 46
- 4CMS price-transparency actions 3
Inpatient stays
For the 16 DRGs that can be compared with the national average, Iberia 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 |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 108 | $38,555 | -57% | $12,454 |
| 291 Heart Failure and Shock with MCC | 50 | $21,246 | -62% | $8,152 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 44 | $34,032 | -55% | $10,830 |
| 177 Respiratory Infections and Inflammations with MCC | 33 | $30,429 | -57% | $10,216 |
| 189 Pulmonary Edema and Respiratory Failure | 29 | $31,029 | -46% | $8,564 |
| 682 Renal Failure with MCC | 27 | $22,604 | -66% | $9,181 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 23 | $83,938 | -63% | $28,763 |
| 193 Simple Pneumonia and Pleurisy with MCC | 22 | $26,847 | -55% | $8,589 |
| 689 Kidney and Urinary Tract Infections with MCC | 22 | $19,840 | -61% | $7,528 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 20 | $25,360 | -58% | $8,144 |
| 683 Renal Failure with CC | 18 | $15,551 | -62% | $5,964 |
| 481 Hip and Femur Procedures except Major Joint with CC | 15 | $48,211 | -52% | $13,189 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 15 | $26,517 | -46% | $6,784 |
| 378 Gastrointestinal Hemorrhage with CC | 14 | $24,199 | -50% | $6,643 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 14 | $17,644 | -52% | $5,472 |
| 377 Gastrointestinal Hemorrhage with MCC | 12 | $26,342 | -69% | $10,512 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 104 | $12,177 | $2,258 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 49 | $7,439 | $1,326 |
| Level 1 Endovascular Procedures | 44 | $16,899 | $2,713 |
| Level 5 Musculoskeletal Procedures | 43 | $35,160 | $10,930 |
| Level 3 Urology and Related Services | 41 | $9,729 | $1,693 |
| Level 4 Urology and Related Services | 41 | $18,644 | $2,898 |
| Level 3 Vascular Procedures | 31 | $13,346 | $2,650 |
| Level 2 Vascular Procedures | 30 | $4,646 | $1,243 |
| Level 1 Laparoscopy and Related Services | 29 | $22,215 | $4,665 |
| Level 5 Urology and Related Services | 26 | $17,751 | $4,302 |
| Level 4 Airway Endoscopy | 18 | $14,099 | $2,993 |
| Level 2 Breast/Lymphatic Surgery and Related Procedures | 13 | $21,135 | $5,422 |
| Level 3 Endovascular Procedures | 13 | $41,138 | $8,738 |
| Level 3 Musculoskeletal Procedures | 12 | $16,456 | $2,691 |
| Level 4 Endovascular Procedures | 12 | $49,293 | $12,263 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 12 | $14,944 | $2,876 |
| Level 6 Urology and Related Services | 12 | $22,994 | $7,659 |
Against the Louisiana average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Iberia Medical Center charged $38,555 on average, 43% less than the Louisiana average of $68,087, and was paid $12,454 against a state average of $14,397. For Heart Failure and Shock with MCC (DRG 291), Iberia Medical Center charged $21,246 on average, 49% less than the Louisiana average of $41,326, and was paid $8,152 against a state average of $9,753. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Iberia Medical Center charged $34,032 on average, 35% less than the Louisiana average of $52,037, and was paid $10,830 against a state average of $11,840. For Respiratory Infections and Inflammations with MCC (DRG 177), Iberia Medical Center charged $30,429 on average, 42% less than the Louisiana average of $52,107, and was paid $10,216 against a state average of $11,929. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $12,177 was 25% below the state average of $16,215. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,439 was 25% below the state average of $9,908. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $16,899 was 36% below the state average of $26,600. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $35,160 was 45% below the state average of $63,573.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Iberia Medical Center in New Iberia, LA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-09-04 (CMS case 2578)
- CAP Request — 2024-12-11 (CMS case 2578)
- Closure Notice — 2025-01-16 (CMS case 2578)
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.