Louisiana / Ochsner Medical Center

CMS certification 190036 · New Orleans, LA · 1 entry in CMS's price-transparency list

Ochsner Medical Center: charges and Medicare payments

Ochsner Medical Center reported 4,630 Medicare inpatient stays across 134 DRGs in 2024. Across them it charged 4.5 times what it was paid — mid-range in Louisiana, number 21 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: 399 stays at an average charge of $67,080, 26% below the national average. It also billed 7,991 outpatient services, charging 9.59 times what Medicare paid.

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  1. 1Medicare inpatient stays 4,630
  2. 2Charge ÷ paid, inpatient 4.5×
  3. 3Rank in LA (highest ratio = 1) 21 of 46
  4. 4CMS price-transparency actions 1
DRG 871$67,080DRG 291$42,811DRG 189$57,387DRG 690$28,962DRG 177$49,213DRG 683$29,938DRG 378$33,292DRG 640$55,253DRG 193$41,345DRG 872$41,389
Average charge per stay at Ochsner Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 134 DRGs that can be compared with the national average, Ochsner Medical Center charged more than the national average in 34 (25%). 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 MCC399$67,080-26%$17,956
291 Heart Failure and Shock with MCC328$42,811-24%$12,212
189 Pulmonary Edema and Respiratory Failure119$57,3870%$12,562
690 Kidney and Urinary Tract Infections without MCC100$28,962-23%$7,365
177 Respiratory Infections and Inflammations with MCC86$49,213-30%$13,926
683 Renal Failure with CC84$29,938-26%$8,742
378 Gastrointestinal Hemorrhage with CC81$33,292-31%$8,921
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...79$55,253-8%$12,716
193 Simple Pneumonia and Pleurisy with MCC77$41,345-31%$12,506
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC75$41,389-16%$10,199
699 Other Kidney and Urinary Tract Diagnoses with CC72$46,421-2%$10,109
064 Intracranial Hemorrhage or Cerebral Infarction with MCC69$92,434-7%$20,574
853 Infectious and Parasitic Diseases with O.R. Procedures with...67$182,364-20%$43,902
698 Other Kidney and Urinary Tract Diagnoses with MCC63$56,981-22%$15,851
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...62$27,103-33%$7,543
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...62$26,427-29%$7,586
812 Red Blood Cell Disorders without MCC62$32,117-28%$8,961
280 Acute Myocardial Infarction, Discharged Alive with MCC60$56,688-25%$14,760
481 Hip and Femur Procedures except Major Joint with CC59$131,776+31%$17,884
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...58$42,237-24%$9,158
682 Renal Failure with MCC58$50,522-23%$13,203
330 Major Small and Large Bowel Procedures with CC57$167,760+41%$26,421
689 Kidney and Urinary Tract Infections with MCC51$40,396-21%$10,793
309 Cardiac Arrhythmia and Conduction Disorders with CC50$26,135-28%$7,327
603 Cellulitis without MCC50$26,181-30%$8,284
267 Endovascular Cardiac Valve Replacement and Supplement...48$133,793-40%$37,077
308 Cardiac Arrhythmia and Conduction Disorders with MCC48$45,278-20%$11,726
101 Seizures without MCC45$42,567-13%$9,127
442 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic...45$49,792+5%$9,817
274 Percutaneous and Other Intracardiac Procedures without MCC42$77,236-51%$24,346
194 Simple Pneumonia and Pleurisy with CC40$31,848-17%$8,036
377 Gastrointestinal Hemorrhage with MCC40$62,363-27%$14,680
522 Hip Replacement with Principal Diagnosis of Hip Fracture...38$131,199+28%$17,921
286 Circulatory Disorders except AMI, with Cardiac...37$107,369-4%$22,547
304 Hypertension with MCC37$37,649-34%$10,682
847 Chemotherapy without Acute Leukemia As Secondary Diagnosis...37$77,049+14%$15,624
178 Respiratory Infections and Inflammations with CC35$32,585-28%$8,971
025 Craniotomy and Endovascular Intracranial Procedures with MCC34$256,636+11%$45,150
314 Other Circulatory System Diagnoses with MCC34$63,970-33%$19,990
252 Other Vascular Procedures with MCC33$102,514-40%$28,360
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...33$39,984-34%$11,563
190 Chronic Obstructive Pulmonary Disease with MCC32$37,542-26%$9,908
389 Gastrointestinal Obstruction with CC32$27,358-30%$7,779
023 Craniotomy with Major Device Implant or Acute Complex Cns...31$181,729-35%$43,924
208 Respiratory System Diagnosis with Ventilator Support <=96...30$110,390-19%$25,172
441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic...30$75,459-12%$16,758
394 Other Digestive System Diagnoses with CC29$35,896-24%$9,164
445 Disorders of The Biliary Tract with CC29$42,073-28%$9,978
638 Diabetes with CC29$28,438-32%$8,881
281 Acute Myocardial Infarction, Discharged Alive with CC28$38,984-23%$8,038
432 Cirrhosis and Alcoholic Hepatitis with MCC28$109,160+14%$23,837
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC27$17,376-40%$5,453
312 Syncope and Collapse27$35,698-22%$8,756
329 Major Small and Large Bowel Procedures with MCC27$265,980+24%$56,300
393 Other Digestive System Diagnoses with MCC27$51,410-33%$14,323
652 Kidney Transplant27$235,892-30%$26,989
220 Cardiac Valve and Other Major Cardiothoracic Procedures...26$306,907+11%$59,588
322 Percutaneous Cardiovascular Procedures with Intraluminal...26$114,9990%$17,134
552 Medical Back Problems without MCC25$28,088-43%$8,419
315 Other Circulatory System Diagnoses with CC24$53,688+12%$10,353

Showing the 60 most frequent of 134 DRGs.

Outpatient services

Against the Louisiana average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Ochsner Medical Center charged $67,080 on average, 1% less than the Louisiana average of $68,087, and was paid $17,956 against a state average of $14,397. For Heart Failure and Shock with MCC (DRG 291), Ochsner Medical Center charged $42,811 on average, 4% more than the Louisiana average of $41,326, and was paid $12,212 against a state average of $9,753. For Pulmonary Edema and Respiratory Failure (DRG 189), Ochsner Medical Center charged $57,387 on average, 26% more than the Louisiana average of $45,592, and was paid $12,562 against a state average of $9,803. For Kidney and Urinary Tract Infections without MCC (DRG 690), Ochsner Medical Center charged $28,962 on average, 6% more than the Louisiana average of $27,275, and was paid $7,365 against a state average of $6,347. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $3,680 was 16% above the state average of $3,170. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $12,334 was 24% below the state average of $16,215. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $18,404 was 31% above the state average of $14,054. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,676 was 23% below the state average of $9,908.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Ochsner Medical Center in New Orleans, 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.