Louisiana / Opelousas General Health System
CMS certification 190017 · Opelousas, LA
Opelousas General Health System: charges and Medicare payments
Opelousas General Health System reported 502 Medicare inpatient stays across 18 DRGs in 2024. Across them it charged 3.74 times what it was paid — mid-range in Louisiana, number 28 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: 159 stays at an average charge of $45,931, 49% below the national average. It also billed 1,093 outpatient services, charging 6.64 times what Medicare paid.
- 1Medicare inpatient stays 502
- 2Charge ÷ paid, inpatient 3.74×
- 3Rank in LA (highest ratio = 1) 28 of 46
- 4CMS price-transparency actions 0
Inpatient stays
For the 18 DRGs that can be compared with the national average, Opelousas General Health System charged more than the national average in 1 (6%). 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 | 159 | $45,931 | -49% | $12,598 |
| 291 Heart Failure and Shock with MCC | 49 | $27,072 | -52% | $8,375 |
| 177 Respiratory Infections and Inflammations with MCC | 33 | $52,743 | -25% | $10,788 |
| 193 Simple Pneumonia and Pleurisy with MCC | 27 | $40,812 | -32% | $8,894 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 22 | $19,289 | -61% | $6,962 |
| 194 Simple Pneumonia and Pleurisy with CC | 20 | $28,995 | -24% | $5,957 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 20 | $28,093 | -53% | $8,887 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 19 | $81,801 | -64% | $29,852 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 17 | $30,939 | -44% | $7,318 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 17 | $69,974 | -39% | $12,799 |
| 682 Renal Failure with MCC | 17 | $52,954 | -20% | $13,466 |
| 683 Renal Failure with CC | 17 | $17,132 | -58% | $6,208 |
| 690 Kidney and Urinary Tract Infections without MCC | 17 | $14,143 | -63% | $5,709 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 16 | $54,810 | +8% | $8,726 |
| 689 Kidney and Urinary Tract Infections with MCC | 15 | $21,379 | -58% | $7,549 |
| 189 Pulmonary Edema and Respiratory Failure | 14 | $32,276 | -44% | $8,667 |
| 378 Gastrointestinal Hemorrhage with CC | 12 | $26,015 | -46% | $7,023 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 11 | $20,457 | -45% | $5,759 |
Outpatient services
Against the Louisiana average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Opelousas General Health System charged $45,931 on average, 33% less than the Louisiana average of $68,087, and was paid $12,598 against a state average of $14,397. For Heart Failure and Shock with MCC (DRG 291), Opelousas General Health System charged $27,072 on average, 34% less than the Louisiana average of $41,326, and was paid $8,375 against a state average of $9,753. For Respiratory Infections and Inflammations with MCC (DRG 177), Opelousas General Health System charged $52,743 on average, 1% more than the Louisiana average of $52,107, and was paid $10,788 against a state average of $11,929. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Opelousas General Health System charged $40,812 on average, 16% less than the Louisiana average of $48,369, and was paid $8,894 against a state average of $9,868. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $14,854 was 8% below the state average of $16,215. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $18,961 was 29% below the state average of $26,600. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $39,686 was 38% below the state average of $63,573. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,769 was 1% below the state average of $9,908.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
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.