We demonstrate cw output powers >290 mW into a nearly diffraction-limited (M² ≈2.2) output beam from an interband cascade laser operating at λ = 3.6-3.7 μm at room temperature. The interband cascade laser was designed for nearly equal electron and hole populations in the active region with heavy electron-injector doping, and was processed into narrow ridges mounted epitaxial side down on a copper heat sink. A 15.7-μm-wide, 4-mm-long ridge with the back facet coated for high reflection (HR) and an anti-reflection-coated front facet produced 253 mW of cw output power at T = 25°C into a beam with M² ≈2.7. Furthermore, corrugating the sidewalls of the ridge leads to a 20% improvement in the brightness. A 15.7-μm-wide, 0.5-mm-long ridge with an HR-coated back facet and an uncoated front facet exhibited a maximum cw wall-plug efficiency of nearly 15% at room temperature.