Louisiana / Ochsner Medical Center - Baton Rouge
CMS certification 190202 · Baton Rouge, LA · 4 entries in CMS's price-transparency list
Ochsner Medical Center - Baton Rouge: charges and Medicare payments
Ochsner Medical Center - Baton Rouge reported 677 Medicare inpatient stays across 28 DRGs in 2024. Across them it charged 3.06 times what it was paid — among the lower ratios in Louisiana, number 36 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: 130 stays at an average charge of $25,508, 55% below the national average. It also billed 1,178 outpatient services, charging 6.32 times what Medicare paid.
- 1Medicare inpatient stays 677
- 2Charge ÷ paid, inpatient 3.06×
- 3Rank in LA (highest ratio = 1) 36 of 46
- 4CMS price-transparency actions 4
Inpatient stays
For the 28 DRGs that can be compared with the national average, Ochsner Medical Center - Baton Rouge 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 | 130 | $25,508 | -55% | $9,132 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 77 | $34,884 | -61% | $12,817 |
| 177 Respiratory Infections and Inflammations with MCC | 29 | $36,159 | -49% | $11,480 |
| 189 Pulmonary Edema and Respiratory Failure | 26 | $31,924 | -45% | $8,986 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 26 | $29,698 | -39% | $7,630 |
| 194 Simple Pneumonia and Pleurisy with CC | 24 | $17,953 | -53% | $6,384 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 23 | $30,967 | -45% | $8,787 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 23 | $26,037 | -57% | $9,279 |
| 193 Simple Pneumonia and Pleurisy with MCC | 22 | $26,258 | -56% | $9,899 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 22 | $14,771 | -60% | $5,980 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 19 | $16,591 | -54% | $5,686 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 19 | $20,807 | -48% | $6,413 |
| 683 Renal Failure with CC | 19 | $18,641 | -54% | $6,918 |
| 690 Kidney and Urinary Tract Infections without MCC | 19 | $23,158 | -39% | $6,055 |
| 378 Gastrointestinal Hemorrhage with CC | 18 | $27,095 | -44% | $8,063 |
| 305 Hypertension without MCC | 17 | $14,766 | -63% | $6,122 |
| 689 Kidney and Urinary Tract Infections with MCC | 17 | $27,366 | -47% | $8,162 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 17 | $110,520 | -52% | $31,554 |
| 603 Cellulitis without MCC | 16 | $17,785 | -52% | $6,636 |
| 682 Renal Failure with MCC | 14 | $33,549 | -49% | $9,909 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 14 | $25,011 | -66% | $10,067 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 13 | $36,336 | -52% | $11,124 |
| 389 Gastrointestinal Obstruction with CC | 13 | $16,641 | -57% | $6,057 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 13 | $64,640 | -37% | $15,177 |
| 812 Red Blood Cell Disorders without MCC | 13 | $19,474 | -56% | $7,049 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 12 | $22,859 | -55% | $8,073 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 11 | $24,087 | -57% | $8,024 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 11 | $54,043 | -52% | $15,194 |
Outpatient services
Against the Louisiana average
For Heart Failure and Shock with MCC (DRG 291), Ochsner Medical Center - Baton Rouge charged $25,508 on average, 38% less than the Louisiana average of $41,326, and was paid $9,132 against a state average of $9,753. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Ochsner Medical Center - Baton Rouge charged $34,884 on average, 49% less than the Louisiana average of $68,087, and was paid $12,817 against a state average of $14,397. For Respiratory Infections and Inflammations with MCC (DRG 177), Ochsner Medical Center - Baton Rouge charged $36,159 on average, 31% less than the Louisiana average of $52,107, and was paid $11,480 against a state average of $11,929. For Pulmonary Edema and Respiratory Failure (DRG 189), Ochsner Medical Center - Baton Rouge charged $31,924 on average, 30% less than the Louisiana average of $45,592, and was paid $8,986 against a state average of $9,803. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $3,277 was 3% above the state average of $3,170. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $9,214 was 43% below the state average of $16,215. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,644 was 13% below the state average of $9,908. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $8,559 was 34% below the state average of $13,062.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Ochsner Medical Center - Baton Rouge in Baton Rouge, LA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-05-26 (CMS case 683)
- CAP Request — 2023-09-19 (CMS case 683)
- Closure Notice — 2024-03-05 (CMS case 683)
- Met Requirements — 2025-08-11 (CMS case 6224)
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.