Cardiac valve and other major cardiothoracic procedures without cardiac catheterization in Indiana
What 6 hospitals in Indiana charged and were paid for a Medicare hospital stay for cardiac valve and other major cardiothoracic procedures without cardiac catheterization (DRG 220), from 2024 Medicare claims.
Average charge
$255,561
Hospital list price billed
Average payment
$46,335
Medicare + patient + other payers
Medicare paid
$38,669
Average per stay
State rank
#9 of 33
1 = lowest average payment
Hospitals in Indiana billed an average of $255,561 for cardiac valve and other major cardiothoracic procedures without cardiac catheterization, about 5.5 times the average total payment of $46,335. That payment is 17% below the U.S. average of $55,508.
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 $46,335Billed $255,561
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:
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 | 47 | $191,707 | $37,478 | $34,186 |
| Franciscan Health IndianapolisIndianapolis | 41 | $278,719 | $42,916 | $35,528 |
| Clarian Health PartnersIndianapolis | 36 | $349,253 | $63,960 | $55,265 |
| Elkhart General HospitalElkhart | 27 | $192,098 | $44,773 | $33,150 |
| Community Hospital EastIndianapolis | 15 | $242,670 | $43,445 | $41,873 |
| Floyd Memorial Hospital and Health ServicesNew Albany | 12 | $304,358 | $46,965 | $25,587 |
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 | $37,478 |
|---|---|
| Franciscan Health IndianapolisIndianapolis, IN | $42,916 |
| Community Hospital EastIndianapolis, IN | $43,445 |
| Elkhart General HospitalElkhart, IN | $44,773 |
| Floyd Memorial Hospital and Health ServicesNew Albany, IN | $46,965 |
Highest
| Clarian Health PartnersIndianapolis, IN | $63,960 |
|---|---|
| Floyd Memorial Hospital and Health ServicesNew Albany, IN | $46,965 |
| Elkhart General HospitalElkhart, IN | $44,773 |
| Community Hospital EastIndianapolis, IN | $43,445 |
| Franciscan Health IndianapolisIndianapolis, IN | $42,916 |
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization in other states
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 220) at 6 hospitals in Indiana was billed at $255,561 on average, while the average total payment was $46,335, of which Medicare paid $38,669. 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 5.5 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.