Metairie, LA 70006 · CMS Certification Number 190176. 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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,680 | $136,096 | 8.7× | $10,719 |
| Shoulder replacement | $21,070 | $199,941 | 9.5× | $15,754 |
| Hip replacement after a fracture (DRG 522) | $17,692 | $154,754 | 8.7× | — |
Complications after hip or knee replacement: 4.1% (no different from the national rate). Readmissions: 5.8%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 665 beds
Louisiana has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid East Jefferson General Hospital an average of $15,680 per inpatient hip or knee replacement stay (MS-DRG 470, 14 stays) and $10,719 per outpatient case (APC 5115, 114 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $136,096, 8.7× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Crescent View Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,228 by Medicare for a knee replacement (CPT 27447), $7,452 less than an inpatient stay at East Jefferson General Hospital. Not every patient is a surgery-center candidate.
Medicare paid East Jefferson General Hospital more than 100% of the 10 Louisiana hospitals that report inpatient hip or knee replacement.