Louisiana / Rapides Regional Medical Center
CMS certification 190026 · Alexandria, LA · 5 entries in CMS's price-transparency list
Rapides Regional Medical Center: charges and Medicare payments
Rapides Regional Medical Center reported 2,451 Medicare inpatient stays across 76 DRGs in 2024. Across them it charged 10.31 times what it was paid — among the higher ratios in Louisiana, number 1 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: 453 stays at an average charge of $131,175, 45% above the national average. It also billed 1,019 outpatient services, charging 15.79 times what Medicare paid.
- 1Medicare inpatient stays 2,451
- 2Charge ÷ paid, inpatient 10.31×
- 3Rank in LA (highest ratio = 1) 1 of 46
- 4CMS price-transparency actions 5
Inpatient stays
For the 76 DRGs that can be compared with the national average, Rapides Regional Medical Center charged more than the national average in 71 (93%). 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 | 453 | $131,175 | +45% | $13,570 |
| 291 Heart Failure and Shock with MCC | 112 | $70,389 | +25% | $9,162 |
| 682 Renal Failure with MCC | 76 | $89,654 | +36% | $9,575 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 74 | $452,931 | +98% | $34,127 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 69 | $120,853 | +21% | $13,581 |
| 069 Transient Ischemia without Thrombolytic | 57 | $62,245 | +23% | $6,058 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 57 | $82,614 | +9% | $10,862 |
| 193 Simple Pneumonia and Pleurisy with MCC | 56 | $89,432 | +50% | $9,133 |
| 481 Hip and Femur Procedures except Major Joint with CC | 52 | $195,713 | +94% | $14,427 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 46 | $80,419 | +64% | $7,025 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 44 | $68,921 | +24% | $7,964 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 44 | $77,581 | +29% | $9,018 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 44 | $395,939 | +22% | $44,713 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 42 | $149,774 | +104% | $11,975 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 39 | $76,847 | +20% | $8,699 |
| 377 Gastrointestinal Hemorrhage with MCC | 38 | $113,797 | +33% | $11,613 |
| 683 Renal Failure with CC | 38 | $56,831 | +40% | $6,602 |
| 177 Respiratory Infections and Inflammations with MCC | 35 | $94,651 | +34% | $12,037 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 34 | $195,810 | +44% | $17,529 |
| 690 Kidney and Urinary Tract Infections without MCC | 32 | $50,356 | +33% | $6,402 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 30 | $188,490 | +84% | $14,807 |
| 039 Extracranial Procedures without CC/MCC | 28 | $181,891 | +185% | $9,795 |
| 100 Seizures with MCC | 28 | $165,174 | +75% | $15,001 |
| 378 Gastrointestinal Hemorrhage with CC | 28 | $83,621 | +72% | $7,703 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 27 | $136,643 | +22% | $16,110 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 27 | $42,491 | +18% | $5,670 |
| 312 Syncope and Collapse | 27 | $56,934 | +25% | $6,285 |
| 811 Red Blood Cell Disorders with MCC | 27 | $100,008 | +47% | $10,119 |
| 101 Seizures without MCC | 26 | $61,772 | +27% | $6,608 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 26 | $194,884 | +19% | $20,174 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 26 | $143,626 | +25% | $13,927 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 26 | $58,035 | +44% | $5,760 |
| 086 Traumatic Stupor and Coma <1 Hour with CC | 25 | $133,096 | +95% | $9,294 |
| 552 Medical Back Problems without MCC | 25 | $85,128 | +74% | $6,700 |
| 189 Pulmonary Edema and Respiratory Failure | 24 | $67,695 | +18% | $8,500 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 24 | $269,940 | +22% | $33,662 |
| 313 Chest Pain | 22 | $33,551 | -16% | $5,528 |
| 394 Other Digestive System Diagnoses with CC | 21 | $70,808 | +50% | $6,544 |
| 689 Kidney and Urinary Tract Infections with MCC | 21 | $68,940 | +34% | $8,300 |
| 083 Traumatic Stupor and Coma >1 Hour with CC | 20 | $132,310 | +80% | $10,257 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 20 | $62,411 | +24% | $7,072 |
| 330 Major Small and Large Bowel Procedures with CC | 20 | $236,912 | +99% | $16,175 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 19 | $315,928 | +36% | $28,288 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 19 | $66,193 | +17% | $8,606 |
| 329 Major Small and Large Bowel Procedures with MCC | 19 | $424,666 | +98% | $34,851 |
| 638 Diabetes with CC | 18 | $64,123 | +54% | $7,914 |
| 207 Respiratory System Diagnosis with Ventilator Support >96... | 17 | $365,745 | +25% | $38,940 |
| 521 Hip Replacement with Principal Diagnosis of Hip Fracture... | 16 | $251,101 | +86% | $19,674 |
| 233 Coronary Bypass with Cardiac Catheterization or Open... | 15 | $655,011 | +70% | $54,525 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 15 | $142,147 | -9% | $23,349 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 15 | $279,122 | +101% | $18,758 |
| 234 Coronary Bypass with Cardiac Catheterization or Open... | 14 | $557,555 | +107% | $42,258 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 14 | $29,240 | +2% | $4,344 |
| 389 Gastrointestinal Obstruction with CC | 14 | $67,144 | +72% | $5,940 |
| 393 Other Digestive System Diagnoses with MCC | 14 | $114,367 | +49% | $11,511 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 14 | $65,724 | +38% | $6,787 |
| 812 Red Blood Cell Disorders without MCC | 14 | $49,043 | +10% | $8,201 |
| 917 Poisoning and Toxic Effects of Drugs with MCC | 14 | $114,481 | +53% | $9,820 |
| 066 Intracranial Hemorrhage or Cerebral Infarction without... | 13 | $63,610 | +50% | $4,739 |
| 091 Other Disorders of Nervous System with MCC | 13 | $146,351 | +77% | $12,544 |
Showing the 60 most frequent of 76 DRGs.
Outpatient services
Against the Louisiana average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Rapides Regional Medical Center charged $131,175 on average, 93% more than the Louisiana average of $68,087, and was paid $13,570 against a state average of $14,397. For Heart Failure and Shock with MCC (DRG 291), Rapides Regional Medical Center charged $70,389 on average, 70% more than the Louisiana average of $41,326, and was paid $9,162 against a state average of $9,753. For Renal Failure with MCC (DRG 682), Rapides Regional Medical Center charged $89,654 on average, 88% more than the Louisiana average of $47,778, and was paid $9,575 against a state average of $10,873. For Infectious and Parasitic Diseases with O.R. Procedures with MCC (DRG 853), Rapides Regional Medical Center charged $452,931 on average, 144% more than the Louisiana average of $185,446, and was paid $34,127 against a state average of $36,352. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $47,003 was 77% above the state average of $26,600. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $28,603 was 76% above the state average of $16,215. For Level 3 Endovascular Procedures (outpatient APC 5193), its average charge of $100,926 was 29% above the state average of $78,200. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $17,846 was 80% above the state average of $9,908.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Rapides Regional Medical Center in Alexandria, LA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-05-18 (CMS case 123)
- CAP Request — 2021-10-27 (CMS case 123)
- Closure Notice — 2023-07-20 (CMS case 123)
- Met Requirements — 2025-04-10 (CMS case 3727)
- Met Requirements — 2025-05-07 (CMS case 4378)
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.