facebook tracking Cardiac valve and other major cardiothoracic procedures without cardiac catheterization cost in Indiana: 5 hospitals compared (DRG 219)

Cardiac valve and other major cardiothoracic procedures without cardiac catheterization in Indiana

What 5 hospitals in Indiana charged and were paid for a Medicare hospital stay for cardiac valve and other major cardiothoracic procedures without cardiac catheterization (DRG 219), from 2024 Medicare claims.

DRG 219 Inpatient 2024 Medicare data
Average charge $338,074 Hospital list price billed
Average payment $60,785 Medicare + patient + other payers
Medicare paid $58,022 Average per stay
State rank #3 of 37 1 = lowest average payment

Hospitals in Indiana billed an average of $338,074 for cardiac valve and other major cardiothoracic procedures without cardiac catheterization, about 5.6 times the average total payment of $60,785. That payment is 27% below the U.S. average of $83,705.

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 $60,785Billed $338,074

About 18¢ was paid for every $1 hospitals in Indiana billed for this stay.

Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Indiana:

DRG 219 $60,785 DRG 219 · this page DRG 220 $55,508 DRG 220 · U.S. average DRG 221 $42,892 DRG 221 · U.S. average

Indiana hospitals: cardiac valve and other major cardiothoracic procedures without cardiac catheterization

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
St Vincent Heart Center of Indiana LLCIndianapolis 135 $257,230 $53,762 $52,412
Clarian Health PartnersIndianapolis 27 $507,643 $91,180 $84,492
Lutheran Hospital of IndianaFort Wayne 18 $630,991 $59,312 $57,356
Franciscan Health IndianapolisIndianapolis 15 $383,778 $62,312 $51,675
Community Hospital EastIndianapolis 14 $365,041 $70,142 $68,724
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization: all states All Indiana hospitals Indiana hospital finances
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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

St Vincent Heart Center of Indiana LLCIndianapolis, IN$53,762
Lutheran Hospital of IndianaFort Wayne, IN$59,312
Franciscan Health IndianapolisIndianapolis, IN$62,312
Community Hospital EastIndianapolis, IN$70,142
Clarian Health PartnersIndianapolis, IN$91,180

Highest

Clarian Health PartnersIndianapolis, IN$91,180
Community Hospital EastIndianapolis, IN$70,142
Franciscan Health IndianapolisIndianapolis, IN$62,312
Lutheran Hospital of IndianaFort Wayne, IN$59,312
St Vincent Heart Center of Indiana LLCIndianapolis, IN$53,762

Cardiac valve and other major cardiothoracic procedures without cardiac catheterization in other states

Arkansas · $58,815 Iowa · $64,460 Kansas · $65,336 Louisiana · $62,171 Mississippi · $61,300 Montana · $63,563 Nebraska · $66,212 Oklahoma · $59,290

Questions

How much does cardiac valve and other major cardiothoracic procedures without cardiac catheterization cost in Indiana?

In 2024 Medicare data, a hospital stay for cardiac valve and other major cardiothoracic procedures without cardiac catheterization (DRG 219) at 5 hospitals in Indiana was billed at $338,074 on average, while the average total payment was $60,785, of which Medicare paid $58,022. 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 5.6 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.