facebook tracking Coronary bypass without cardiac catheterization with major complications cost in Indiana: 4 hospitals compared (DRG 235)

Coronary bypass without cardiac catheterization with major complications in Indiana

What 4 hospitals in Indiana charged and were paid for a Medicare hospital stay for coronary bypass without cardiac catheterization with major complications (DRG 235), from 2024 Medicare claims.

DRG 235 Inpatient 2024 Medicare data
Average charge $235,066 Hospital list price billed
Average payment $43,315 Medicare + patient + other payers
Medicare paid $39,152 Average per stay
State rank #4 of 37 1 = lowest average payment

Hospitals in Indiana billed an average of $235,066 for coronary bypass without cardiac catheterization with major complications, about 5.4 times the average total payment of $43,315. That payment is 23% below the U.S. average of $56,401.

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 $43,315Billed $235,066

About 18¢ 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: coronary bypass without cardiac catheterization with 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
St Vincent Heart Center of Indiana LLCIndianapolis 60 $198,416 $40,989 $39,956
Lutheran Hospital of IndianaFort Wayne 17 $406,584 $45,094 $34,315
Community Hospital EastIndianapolis 15 $245,079 $46,486 $45,240
Community HospitalMunster 12 $162,811 $48,460 $34,371
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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$40,989
Lutheran Hospital of IndianaFort Wayne, IN$45,094
Community Hospital EastIndianapolis, IN$46,486
Community HospitalMunster, IN$48,460

Highest

Community HospitalMunster, IN$48,460
Community Hospital EastIndianapolis, IN$46,486
Lutheran Hospital of IndianaFort Wayne, IN$45,094
St Vincent Heart Center of Indiana LLCIndianapolis, IN$40,989

Coronary bypass without cardiac catheterization with major complications in other states

Questions

How much does coronary bypass without cardiac catheterization with major complications cost in Indiana?

In 2024 Medicare data, a hospital stay for coronary bypass without cardiac catheterization with major complications (DRG 235) at 4 hospitals in Indiana was billed at $235,066 on average, while the average total payment was $43,315, of which Medicare paid $39,152. 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 5.4 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.