Louisiana / Thibodaux Regional Medical Center
CMS certification 190004 · Thibodaux, LA · 3 entries in CMS's price-transparency list
Thibodaux Regional Medical Center: charges and Medicare payments
Thibodaux Regional Medical Center reported 862 Medicare inpatient stays across 34 DRGs in 2024. Across them it charged 5.23 times what it was paid — mid-range in Louisiana, number 17 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: 97 stays at an average charge of $40,108, 29% below the national average. It also billed 1,709 outpatient services, charging 6.82 times what Medicare paid.
- 1Medicare inpatient stays 862
- 2Charge ÷ paid, inpatient 5.23×
- 3Rank in LA (highest ratio = 1) 17 of 46
- 4CMS price-transparency actions 3
Inpatient stays
For the 34 DRGs that can be compared with the national average, Thibodaux Regional Medical Center charged more than the national average in 3 (9%). 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 | 97 | $40,108 | -29% | $8,122 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 78 | $59,479 | -34% | $12,834 |
| 193 Simple Pneumonia and Pleurisy with MCC | 51 | $51,470 | -14% | $8,214 |
| 690 Kidney and Urinary Tract Infections without MCC | 45 | $25,949 | -31% | $5,230 |
| 689 Kidney and Urinary Tract Infections with MCC | 38 | $30,567 | -40% | $7,321 |
| 177 Respiratory Infections and Inflammations with MCC | 37 | $65,056 | -8% | $10,359 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 29 | $36,741 | -34% | $6,523 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 27 | $35,830 | -29% | $7,120 |
| 683 Renal Failure with CC | 27 | $39,573 | -3% | $10,181 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 26 | $61,592 | -19% | $10,706 |
| 481 Hip and Femur Procedures except Major Joint with CC | 25 | $67,044 | -33% | $12,954 |
| 194 Simple Pneumonia and Pleurisy with CC | 24 | $30,580 | -20% | $5,685 |
| 378 Gastrointestinal Hemorrhage with CC | 23 | $40,461 | -17% | $7,148 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 22 | $23,663 | -41% | $5,363 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 21 | $39,776 | -19% | $6,740 |
| 189 Pulmonary Edema and Respiratory Failure | 20 | $50,699 | -12% | $7,976 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 20 | $71,403 | -30% | $13,255 |
| 603 Cellulitis without MCC | 20 | $25,931 | -30% | $5,884 |
| 682 Renal Failure with MCC | 20 | $50,237 | -24% | $9,578 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 19 | $48,592 | -34% | $10,010 |
| 178 Respiratory Infections and Inflammations with CC | 18 | $34,967 | -23% | $6,431 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 17 | $134,149 | +17% | $13,574 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 17 | $39,050 | +5% | $5,953 |
| 467 Revision of Hip or Knee Replacement with CC | 15 | $110,011 | -30% | $23,040 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 15 | $87,087 | -30% | $17,680 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 15 | $41,567 | -31% | $8,551 |
| 314 Other Circulatory System Diagnoses with MCC | 14 | $42,874 | -55% | $13,459 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 13 | $77,257 | +36% | $7,837 |
| 482 Hip and Femur Procedures except Major Joint without CC/MCC | 13 | $65,395 | -16% | $10,259 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 12 | $110,028 | -52% | $29,946 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 11 | $33,658 | -15% | $6,012 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 11 | $27,750 | -23% | $4,923 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 11 | $17,593 | -39% | $3,756 |
| 377 Gastrointestinal Hemorrhage with MCC | 11 | $37,282 | -56% | $11,668 |
Outpatient services
Against the Louisiana average
For Heart Failure and Shock with MCC (DRG 291), Thibodaux Regional Medical Center charged $40,108 on average, 3% less than the Louisiana average of $41,326, and was paid $8,122 against a state average of $9,753. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Thibodaux Regional Medical Center charged $59,479 on average, 13% less than the Louisiana average of $68,087, and was paid $12,834 against a state average of $14,397. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Thibodaux Regional Medical Center charged $51,470 on average, 6% more than the Louisiana average of $48,369, and was paid $8,214 against a state average of $9,868. For Kidney and Urinary Tract Infections without MCC (DRG 690), Thibodaux Regional Medical Center charged $25,949 on average, 5% less than the Louisiana average of $27,275, and was paid $5,230 against a state average of $6,347. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $16,473 was 2% above the state average of $16,215. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $38,645 was 39% below the state average of $63,573. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $9,262 was 21% below the state average of $11,748. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $8,563 was 34% below the state average of $13,062.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Thibodaux Regional Medical Center in Thibodaux, LA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2025-04-10 (CMS case 3715)
- CAP Request — 2025-07-16 (CMS case 3715)
- Closure Notice — 2025-08-25 (CMS case 3715)
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.