facebook tracking Bone diseases and arthropathies without major complications cost in Indiana: 4 hospitals compared (DRG 554)

Bone diseases and arthropathies without major complications in Indiana

What 4 hospitals in Indiana charged and were paid for a Medicare hospital stay for bone diseases and arthropathies without major complications (DRG 554), from 2024 Medicare claims.

DRG 554 Inpatient 2024 Medicare data
Average charge $23,359 Hospital list price billed
Average payment $6,570 Medicare + patient + other payers
Medicare paid $5,104 Average per stay
State rank #1 of 19 1 = lowest average payment

Hospitals in Indiana billed an average of $23,359 for bone diseases and arthropathies without major complications, about 3.6 times the average total payment of $6,570. That payment is 25% below the U.S. average of $8,815.

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 $6,570Billed $23,359

About 28¢ 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: bone diseases and arthropathies without 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
Community HospitalMunster 14 $23,582 $6,021 $4,588
Parkview HospitalFort Wayne 11 $32,817 $7,159 $5,086
Reid Hosp & Hlth Care ServicesRichmond 11 $17,012 $6,882 $5,525
Deaconess Hospital INCEvansville 11 $19,963 $6,367 $5,359
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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

Community HospitalMunster, IN$6,021
Deaconess Hospital INCEvansville, IN$6,367
Reid Hosp & Hlth Care ServicesRichmond, IN$6,882
Parkview HospitalFort Wayne, IN$7,159

Highest

Parkview HospitalFort Wayne, IN$7,159
Reid Hosp & Hlth Care ServicesRichmond, IN$6,882
Deaconess Hospital INCEvansville, IN$6,367
Community HospitalMunster, IN$6,021

Bone diseases and arthropathies without major complications in other states

Questions

How much does bone diseases and arthropathies without major complications cost in Indiana?

In 2024 Medicare data, a hospital stay for bone diseases and arthropathies without major complications (DRG 554) at 4 hospitals in Indiana was billed at $23,359 on average, while the average total payment was $6,570, of which Medicare paid $5,104. 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 3.6 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.