Louisiana / Lane Regional Medical Center
CMS certification 190020 · Zachary, LA · 3 entries in CMS's price-transparency list
Lane Regional Medical Center: charges and Medicare payments
Lane Regional Medical Center reported 155 Medicare inpatient stays across 5 DRGs in 2024. Across them it charged 3.06 times what it was paid — among the lower ratios in Louisiana, number 35 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: 68 stays at an average charge of $34,618, 62% below the national average. It also billed 400 outpatient services, charging 9.19 times what Medicare paid.
- 1Medicare inpatient stays 155
- 2Charge ÷ paid, inpatient 3.06×
- 3Rank in LA (highest ratio = 1) 35 of 46
- 4CMS price-transparency actions 3
Inpatient stays
For the 5 DRGs that can be compared with the national average, Lane Regional 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 | 68 | $34,618 | -62% | $11,904 |
| 291 Heart Failure and Shock with MCC | 46 | $21,022 | -63% | $8,373 |
| 177 Respiratory Infections and Inflammations with MCC | 15 | $32,174 | -54% | $9,948 |
| 481 Hip and Femur Procedures except Major Joint with CC | 13 | $56,127 | -44% | $12,652 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 13 | $27,366 | -44% | $6,926 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 255 | $18,113 | $2,293 |
| Level 1 Endovascular Procedures | 60 | $29,966 | $2,760 |
| Level 5 Musculoskeletal Procedures | 26 | $61,553 | $11,115 |
| Level 3 Endovascular Procedures | 19 | $64,087 | $9,296 |
| Level 4 Musculoskeletal Procedures | 16 | $35,949 | $6,049 |
| Level 2 Upper GI Procedures | 12 | $9,433 | $1,609 |
| Level 1 Laparoscopy and Related Services | 12 | $26,762 | $4,879 |
Against the Louisiana average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Lane Regional Medical Center charged $34,618 on average, 49% less than the Louisiana average of $68,087, and was paid $11,904 against a state average of $14,397. For Heart Failure and Shock with MCC (DRG 291), Lane Regional Medical Center charged $21,022 on average, 49% less than the Louisiana average of $41,326, and was paid $8,373 against a state average of $9,753. For Respiratory Infections and Inflammations with MCC (DRG 177), Lane Regional Medical Center charged $32,174 on average, 38% less than the Louisiana average of $52,107, and was paid $9,948 against a state average of $11,929. For Hip and Femur Procedures except Major Joint with CC (DRG 481), Lane Regional Medical Center charged $56,127 on average, 39% less than the Louisiana average of $92,260, and was paid $12,652 against a state average of $15,310. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $18,113 was 12% above the state average of $16,215. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $29,966 was 13% above the state average of $26,600. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $61,553 was 3% below the state average of $63,573. For Level 3 Endovascular Procedures (outpatient APC 5193), its average charge of $64,087 was 18% below the state average of $78,200.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Lane Regional Medical Center in Zachary, LA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-02-09 (CMS case 1225)
- CAP Request — 2024-05-16 (CMS case 1225)
- Closure Notice — 2024-07-09 (CMS case 1225)
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.