facebook tracking Amputation for circulatory system disorders except upper limb and toe with major complications cost in Indiana: 3 hospitals compared (DRG 239)

Amputation for circulatory system disorders except upper limb and toe with major complications in Indiana

What 3 hospitals in Indiana charged and were paid for a Medicare hospital stay for amputation for circulatory system disorders except upper limb and toe with major complications (DRG 239), from 2024 Medicare claims.

DRG 239 Inpatient 2024 Medicare data
Average charge $141,061 Hospital list price billed
Average payment $34,753 Medicare + patient + other payers
Medicare paid $32,403 Average per stay
State rank #1 of 12 1 = lowest average payment

Hospitals in Indiana billed an average of $141,061 for amputation for circulatory system disorders except upper limb and toe with major complications, about 4.1 times the average total payment of $34,753. That payment is 32% below the U.S. average of $50,891.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $34,753Billed $141,061

About 25¢ was paid for every $1 hospitals in Indiana billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Indiana:

Indiana hospitals: amputation for circulatory system disorders except upper limb and toe with major complications

Every Indiana hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
Deaconess Hospital INCEvansville 13 $108,718 $32,214 $31,076
St Vincent Hospital & Health ServicesIndianapolis 12 $175,577 $40,467 $35,609
Parkview HospitalFort Wayne 11 $141,632 $31,522 $30,475
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Lowest and highest payments in Indiana

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Parkview HospitalFort Wayne, IN$31,522
Deaconess Hospital INCEvansville, IN$32,214
St Vincent Hospital & Health ServicesIndianapolis, IN$40,467

Highest

St Vincent Hospital & Health ServicesIndianapolis, IN$40,467
Deaconess Hospital INCEvansville, IN$32,214
Parkview HospitalFort Wayne, IN$31,522

Amputation for circulatory system disorders except upper limb and toe with major complications in other states

Questions

How much does amputation for circulatory system disorders except upper limb and toe with major complications cost in Indiana?

In 2024 Medicare data, a hospital stay for amputation for circulatory system disorders except upper limb and toe with major complications (DRG 239) at 3 hospitals in Indiana was billed at $141,061 on average, while the average total payment was $34,753, of which Medicare paid $32,403. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Indiana, average charges were 4.1 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.