Louisiana / Ochsner University Hospital and Clinics
CMS certification 190006 · Lafayette, LA · 3 entries in CMS's price-transparency list
Ochsner University Hospital and Clinics: charges and Medicare payments
Ochsner University Hospital and Clinics reported 154 Medicare inpatient stays across 8 DRGs in 2024. Across them it charged 1.99 times what it was paid — among the lower ratios in Louisiana, number 45 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: 42 stays at an average charge of $60,135, 33% below the national average. It also billed 283 outpatient services, charging 6 times what Medicare paid.
- 1Medicare inpatient stays 154
- 2Charge ÷ paid, inpatient 1.99×
- 3Rank in LA (highest ratio = 1) 45 of 46
- 4CMS price-transparency actions 3
Inpatient stays
For the 8 DRGs that can be compared with the national average, Ochsner University Hospital and Clinics 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 | 42 | $60,135 | -33% | $28,353 |
| 291 Heart Failure and Shock with MCC | 24 | $33,454 | -41% | $16,071 |
| 683 Renal Failure with CC | 23 | $19,177 | -53% | $13,890 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 14 | $75,214 | -1% | $28,845 |
| 812 Red Blood Cell Disorders without MCC | 14 | $14,798 | -67% | $13,604 |
| 638 Diabetes with CC | 13 | $28,580 | -31% | $13,712 |
| 690 Kidney and Urinary Tract Infections without MCC | 13 | $22,639 | -40% | $14,202 |
| 193 Simple Pneumonia and Pleurisy with MCC | 11 | $39,260 | -34% | $20,224 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 2 Urology and Related Services | 52 | $2,599 | $568 |
| Comprehensive Observation Services | 51 | $11,163 | $2,276 |
| Level 1 Endovascular Procedures | 44 | $14,900 | $2,669 |
| Level 1 Intraocular Procedures | 41 | $9,169 | $1,881 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 40 | $4,445 | $1,348 |
| Level 3 Vascular Procedures | 16 | $10,482 | $2,650 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 15 | $7,825 | $2,362 |
| Level 3 Airway Endoscopy | 13 | $6,319 | $1,411 |
| Level 3 Urology and Related Services | 11 | $7,815 | $1,694 |
Against the Louisiana average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Ochsner University Hospital and Clinics charged $60,135 on average, 12% less than the Louisiana average of $68,087, and was paid $28,353 against a state average of $14,397. For Heart Failure and Shock with MCC (DRG 291), Ochsner University Hospital and Clinics charged $33,454 on average, 19% less than the Louisiana average of $41,326, and was paid $16,071 against a state average of $9,753. For Renal Failure with CC (DRG 683), Ochsner University Hospital and Clinics charged $19,177 on average, 35% less than the Louisiana average of $29,719, and was paid $13,890 against a state average of $7,179. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Ochsner University Hospital and Clinics charged $75,214 on average, 45% more than the Louisiana average of $52,037, and was paid $28,845 against a state average of $11,840. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $2,599 was 18% below the state average of $3,170. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $11,163 was 31% below the state average of $16,215. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $14,900 was 44% below the state average of $26,600. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $9,169 was 35% below the state average of $14,054.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Ochsner University Hospital and Clinics in Lafayette, LA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-02-01 (CMS case 845)
- Closure Notice — 2024-05-06 (CMS case 845)
- Met Requirements — 2025-08-11 (CMS case 6233)
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.