Louisiana / Ochsner Lsu Health Monroe
CMS certification 190011 · Monroe, LA · 1 entry in CMS's price-transparency list
Ochsner Lsu Health Monroe: charges and Medicare payments
Ochsner Lsu Health Monroe reported 181 Medicare inpatient stays across 8 DRGs in 2024. Across them it charged 3.83 times what it was paid — mid-range in Louisiana, number 26 of 46 hospitals with at least 100 stays (state median 4.2×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 42 stays at an average charge of $42,517, 25% below the national average. It also billed 226 outpatient services, charging 7.66 times what Medicare paid.
- 1Medicare inpatient stays 181
- 2Charge ÷ paid, inpatient 3.83×
- 3Rank in LA (highest ratio = 1) 26 of 46
- 4CMS price-transparency actions 1
Inpatient stays
For the 8 DRGs that can be compared with the national average, Ochsner Lsu Health Monroe 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 |
|---|---|---|---|---|
| 291 Heart Failure and Shock with MCC | 42 | $42,517 | -25% | $11,234 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 41 | $63,562 | -30% | $15,957 |
| 812 Red Blood Cell Disorders without MCC | 26 | $36,174 | -19% | $9,219 |
| 683 Renal Failure with CC | 25 | $26,465 | -35% | $8,956 |
| 189 Pulmonary Edema and Respiratory Failure | 13 | $43,999 | -24% | $10,540 |
| 481 Hip and Femur Procedures except Major Joint with CC | 12 | $81,385 | -19% | $16,870 |
| 682 Renal Failure with MCC | 11 | $33,547 | -49% | $11,832 |
| 690 Kidney and Urinary Tract Infections without MCC | 11 | $29,339 | -22% | $8,384 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 75 | $12,500 | $2,252 |
| Level 1 Intraocular Procedures | 55 | $14,304 | $1,894 |
| Level 2 Endovascular Procedures | 28 | $21,527 | $4,752 |
| Level 1 Laparoscopy and Related Services | 19 | $32,577 | $4,797 |
| Level 3 Vascular Procedures | 16 | $20,301 | $2,650 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 11 | $9,197 | $1,348 |
| Level 2 Vascular Procedures | 11 | $7,543 | $1,332 |
| Level 2 Intraocular Procedures | 11 | $19,561 | $3,144 |
Against the Louisiana average
For Heart Failure and Shock with MCC (DRG 291), Ochsner Lsu Health Monroe charged $42,517 on average, 3% more than the Louisiana average of $41,326, and was paid $11,234 against a state average of $9,753. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Ochsner Lsu Health Monroe charged $63,562 on average, 7% less than the Louisiana average of $68,087, and was paid $15,957 against a state average of $14,397. For Red Blood Cell Disorders without MCC (DRG 812), Ochsner Lsu Health Monroe charged $36,174 on average, 19% more than the Louisiana average of $30,301, and was paid $9,219 against a state average of $8,019. For Renal Failure with CC (DRG 683), Ochsner Lsu Health Monroe charged $26,465 on average, 11% less than the Louisiana average of $29,719, and was paid $8,956 against a state average of $7,179. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $12,500 was 23% below the state average of $16,215. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $14,304 was 2% above the state average of $14,054. For Level 2 Endovascular Procedures (outpatient APC 5192), its average charge of $21,527 was 42% below the state average of $37,357. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $32,577 was 14% below the state average of $38,055.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Ochsner Lsu Health Monroe in Monroe, LA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-08-11 (CMS case 6225)
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.