Louisiana / Lake Charles Memorial Hospital

CMS certification 190060 · Lake Charles, LA · 2 entries in CMS's price-transparency list

Lake Charles Memorial Hospital: charges and Medicare payments

Lake Charles Memorial Hospital reported 1,547 Medicare inpatient stays across 55 DRGs in 2024. Across them it charged 4.2 times what it was paid — mid-range in Louisiana, number 23 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: 224 stays at an average charge of $57,218, 37% below the national average. It also billed 2,375 outpatient services, charging 7.49 times what Medicare paid.

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  1. 1Medicare inpatient stays 1,547
  2. 2Charge ÷ paid, inpatient 4.2×
  3. 3Rank in LA (highest ratio = 1) 23 of 46
  4. 4CMS price-transparency actions 2
DRG 871$57,218DRG 291$38,664DRG 177$52,037DRG 872$34,195DRG 481$65,020DRG 640$34,544DRG 690$25,579DRG 689$36,377DRG 193$48,422DRG 190$45,305
Average charge per stay at Lake Charles Memorial Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 55 DRGs that can be compared with the national average, Lake Charles Memorial Hospital charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC224$57,218-37%$14,220
291 Heart Failure and Shock with MCC99$38,664-31%$9,769
177 Respiratory Infections and Inflammations with MCC61$52,037-26%$12,464
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC50$34,195-30%$8,177
481 Hip and Femur Procedures except Major Joint with CC49$65,020-35%$14,903
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...47$34,544-43%$9,802
690 Kidney and Urinary Tract Infections without MCC45$25,579-32%$6,416
689 Kidney and Urinary Tract Infections with MCC42$36,377-29%$8,950
193 Simple Pneumonia and Pleurisy with MCC41$48,422-19%$10,084
190 Chronic Obstructive Pulmonary Disease with MCC36$45,305-10%$8,503
378 Gastrointestinal Hemorrhage with CC35$29,865-38%$7,831
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...34$27,320-51%$7,899
522 Hip Replacement with Principal Diagnosis of Hip Fracture...32$65,085-36%$14,509
039 Extracranial Procedures without CC/MCC31$40,783-36%$8,920
280 Acute Myocardial Infarction, Discharged Alive with MCC31$46,016-39%$11,608
853 Infectious and Parasitic Diseases with O.R. Procedures with...28$142,663-38%$31,617
682 Renal Failure with MCC25$42,646-35%$10,992
267 Endovascular Cardiac Valve Replacement and Supplement...24$133,698-40%$33,754
480 Hip and Femur Procedures except Major Joint with MCC24$85,991-38%$20,340
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...24$22,494-39%$6,311
812 Red Blood Cell Disorders without MCC24$31,786-28%$7,232
064 Intracranial Hemorrhage or Cerebral Infarction with MCC22$41,934-58%$14,280
683 Renal Failure with CC22$23,415-42%$7,270
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale21$31,889-51%$10,604
389 Gastrointestinal Obstruction with CC21$19,755-49%$6,552
208 Respiratory System Diagnosis with Ventilator Support <=96...20$103,636-24%$20,412
321 Percutaneous Cardiovascular Procedures with Intraluminal...20$105,135-36%$20,478
603 Cellulitis without MCC20$22,073-41%$7,063
308 Cardiac Arrhythmia and Conduction Disorders with MCC19$48,728-14%$8,843
309 Cardiac Arrhythmia and Conduction Disorders with CC19$24,141-33%$6,121
322 Percutaneous Cardiovascular Procedures with Intraluminal...19$72,523-37%$13,702
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...19$28,051-30%$6,064
178 Respiratory Infections and Inflammations with CC17$36,342-20%$7,687
377 Gastrointestinal Hemorrhage with MCC17$39,184-54%$12,358
482 Hip and Femur Procedures except Major Joint without CC/MCC17$47,159-39%$11,618
811 Red Blood Cell Disorders with MCC17$32,655-52%$10,324
066 Intracranial Hemorrhage or Cerebral Infarction without...15$19,055-55%$5,685
189 Pulmonary Edema and Respiratory Failure15$41,113-29%$8,873
286 Circulatory Disorders except AMI, with Cardiac...15$57,988-48%$15,725
312 Syncope and Collapse15$27,400-40%$6,950
314 Other Circulatory System Diagnoses with MCC15$37,801-60%$14,414
100 Seizures with MCC14$44,196-53%$14,590
194 Simple Pneumonia and Pleurisy with CC14$36,919-4%$6,574
220 Cardiac Valve and Other Major Cardiothoracic Procedures...14$205,370-26%$37,881
698 Other Kidney and Urinary Tract Diagnoses with MCC14$47,395-35%$12,399
235 Coronary Bypass without Cardiac Catheterization with MCC13$222,112-24%$43,513
236 Coronary Bypass without Cardiac Catheterization without MCC13$163,469-22%$27,352
266 Endovascular Cardiac Valve Replacement and Supplement...13$156,827-45%$44,913
069 Transient Ischemia without Thrombolytic12$25,357-50%$6,452
253 Other Vascular Procedures with CC12$86,204-35%$21,665
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC12$17,778-38%$4,824
388 Gastrointestinal Obstruction with MCC12$45,905-33%$10,858
071 Other Cerebrovascular Disorders with CC11$47,225-6%$8,400
287 Circulatory Disorders except AMI, with Cardiac...11$37,008-42%$8,416
331 Major Small and Large Bowel Procedures without CC/MCC11$78,184-9%$13,119

Outpatient services

Against the Louisiana average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Lake Charles Memorial Hospital charged $57,218 on average, 16% less than the Louisiana average of $68,087, and was paid $14,220 against a state average of $14,397. For Heart Failure and Shock with MCC (DRG 291), Lake Charles Memorial Hospital charged $38,664 on average, 6% less than the Louisiana average of $41,326, and was paid $9,769 against a state average of $9,753. For Respiratory Infections and Inflammations with MCC (DRG 177), Lake Charles Memorial Hospital charged $52,037 on average, 0% less than the Louisiana average of $52,107, and was paid $12,464 against a state average of $11,929. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Lake Charles Memorial Hospital charged $34,195 on average, 9% less than the Louisiana average of $37,671, and was paid $8,177 against a state average of $8,100. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $14,555 was 10% below the state average of $16,215. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,289 was 26% below the state average of $9,908. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $17,501 was 34% below the state average of $26,600. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $57,957 was 9% below the state average of $63,573.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Lake Charles Memorial Hospital in Lake Charles, LA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

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.