Complex GI Procedures in Indiana
What 51 hospitals in Indiana charged and were paid for complex gi procedures (APC 5331), from 2024 Medicare claims.
Average charge
$38,149
Hospital list price billed
Average allowed
$5,027
Medicare's payment + patient's share
Medicare paid
$3,996
Average per service
State rank
#22 of 48
1 = lowest average payment
Hospitals in Indiana billed an average of $38,149 for complex gi procedures, about 7.6 times the average medicare-allowed amount of $5,027. That payment is 6% below the U.S. average of $5,364.
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 $5,027Billed $38,149
About 13¢ was paid for every $1 hospitals in Indiana billed for this service.
Indiana hospitals: complex gi procedures
Every Indiana hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Lowest and highest allowed amounts in Indiana
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Deaconess Hospital INCEvansville, IN | $4,541 |
|---|---|
| Community Hospital of Anderson and Madison CountyAnderson, IN | $4,752 |
| Community Hospital SouthIndianapolis, IN | $4,760 |
| St Vincent Carmel Hospital INCCarmel, IN | $4,817 |
| St Mary's Medical Center of Evansville INCEvansville, IN | $4,898 |
Highest
| Community HospitalMunster, IN | $5,360 |
|---|---|
| Parkview HospitalFort Wayne, IN | $5,263 |
| Franciscan Health IndianapolisIndianapolis, IN | $5,193 |
| Lutheran Hospital of IndianaFort Wayne, IN | $5,168 |
| Clarian Health PartnersIndianapolis, IN | $5,151 |
Complex GI Procedures in other states
Questions
How much does complex gi procedures cost in Indiana?
In 2024 Medicare data, complex gi procedures (APC 5331) at 51 hospitals in Indiana was billed at $38,149 on average, while the average medicare-allowed amount was $5,027, of which Medicare paid $3,996. 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 service in Indiana, average charges were 7.6 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.