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Ochsner Lafayette General Medical Center: what a joint replacement costs

Lafayette, LA 70503 · CMS Certification Number 190002. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.

Surgery center nearby
$7,992
Surgery Center, same ZIP
Outpatient here
$10,826
178 Medicare cases, APC 5115
Inpatient here
$13,217
117 Medicare stays, MS-DRG 470

Medicare prices at Ochsner Lafayette General Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$13,217$84,6616.4×$10,826
Shoulder replacement$17,901$112,6656.3×$15,464
Hip replacement after a fracture (DRG 522)$14,434$98,2866.8×—

Quality

Complications after hip or knee replacement: 2.5% (no different from the national rate). Readmissions: 5.2%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 526 beds

Louisiana has a certificate-of-need program that does not cover surgery centers.

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Questions

How much does Medicare pay Ochsner Lafayette General Medical Center for a knee or hip replacement?

In 2024 Medicare paid Ochsner Lafayette General Medical Center an average of $13,217 per inpatient hip or knee replacement stay (MS-DRG 470, 117 stays) and $10,826 per outpatient case (APC 5115, 178 cases).

What is Ochsner Lafayette General Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $84,661, 6.4× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

Is a knee replacement cheaper at a surgery center near Ochsner Lafayette General Medical Center?

Yes for Medicare facility payments. Surgery Center, an orthopedic surgery center same ZIP away, is paid about $7,992 by Medicare for a knee replacement (CPT 27447), $5,225 less than an inpatient stay at Ochsner Lafayette General Medical Center. Not every patient is a surgery-center candidate.

How does Ochsner Lafayette General Medical Center compare with other Louisiana hospitals?

Medicare paid Ochsner Lafayette General Medical Center less than 60% of the 10 Louisiana hospitals that report inpatient hip or knee replacement.