facebook tracking Carotid artery stent procedures with complications cost in Indiana: 4 hospitals compared (DRG 035)

Carotid artery stent procedures with complications in Indiana

What 4 hospitals in Indiana charged and were paid for a Medicare hospital stay for carotid artery stent procedures with complications (DRG 035), from 2024 Medicare claims.

DRG 035 Inpatient 2024 Medicare data
Average charge $64,634 Hospital list price billed
Average payment $17,767 Medicare + patient + other payers
Medicare paid $15,091 Average per stay
State rank #8 of 23 1 = lowest average payment

Hospitals in Indiana billed an average of $64,634 for carotid artery stent procedures with complications, about 3.6 times the average total payment of $17,767. That payment is 10% below the U.S. average of $19,727.

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 $17,767Billed $64,634

About 27¢ was paid for every $1 hospitals in Indiana billed for this stay.

Indiana hospitals: carotid artery stent procedures with 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 38 $49,351 $17,246 $14,892
Community HospitalMunster 29 $81,471 $16,548 $15,111
Community Hospital EastIndianapolis 20 $79,647 $21,088 $16,117
St Mary Medical Center INCHobart 11 $45,749 $16,740 $13,856
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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$16,548
St Mary Medical Center INCHobart, IN$16,740
Deaconess Hospital INCEvansville, IN$17,246
Community Hospital EastIndianapolis, IN$21,088

Highest

Community Hospital EastIndianapolis, IN$21,088
Deaconess Hospital INCEvansville, IN$17,246
St Mary Medical Center INCHobart, IN$16,740
Community HospitalMunster, IN$16,548

Carotid artery stent procedures with complications in other states

Questions

How much does carotid artery stent procedures with complications cost in Indiana?

In 2024 Medicare data, a hospital stay for carotid artery stent procedures with complications (DRG 035) at 4 hospitals in Indiana was billed at $64,634 on average, while the average total payment was $17,767, of which Medicare paid $15,091. 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.