facebook tracking Coronary intravascular lithotripsy with intraluminal device with major complications cost in Indiana: 2 hospitals compared (DRG 323)

Coronary intravascular lithotripsy with intraluminal device with major complications in Indiana

What 2 hospitals in Indiana charged and were paid for a Medicare hospital stay for coronary intravascular lithotripsy with intraluminal device with major complications (DRG 323), from 2024 Medicare claims.

DRG 323 Inpatient 2024 Medicare data
Average charge $147,691 Hospital list price billed
Average payment $31,939 Medicare + patient + other payers
Medicare paid $30,592 Average per stay
Volume 26 Medicare hospital stays

Hospitals in Indiana billed an average of $147,691 for coronary intravascular lithotripsy with intraluminal device with major complications, about 4.6 times the average total payment of $31,939. That payment is 21% below the U.S. average of $40,408.

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 $31,939Billed $147,691

About 22¢ 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 intravascular lithotripsy with intraluminal device 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
Community HospitalMunster 15 $171,031 $33,842 $32,509
Deaconess Hospital INCEvansville 11 $115,863 $29,343 $27,977
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Coronary intravascular lithotripsy with intraluminal device with major complications in other states

Questions

How much does coronary intravascular lithotripsy with intraluminal device with major complications cost in Indiana?

In 2024 Medicare data, a hospital stay for coronary intravascular lithotripsy with intraluminal device with major complications (DRG 323) at 2 hospitals in Indiana was billed at $147,691 on average, while the average total payment was $31,939, of which Medicare paid $30,592. 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 4.6 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.