facebook tracking Craniotomy with major device implant or acute complex CNS principal diagnosis with major complications o cost in Indiana: 7 hospitals compared (DRG 023)

Craniotomy with major device implant or acute complex CNS principal diagnosis with major complications o in Indiana

What 7 hospitals in Indiana charged and were paid for a Medicare hospital stay for craniotomy with major device implant or acute complex cns principal diagnosis with major complications o (DRG 023), from 2024 Medicare claims.

DRG 023 Inpatient 2024 Medicare data
Average charge $216,793 Hospital list price billed
Average payment $46,667 Medicare + patient + other payers
Medicare paid $41,436 Average per stay
State rank #10 of 38 1 = lowest average payment

Hospitals in Indiana billed an average of $216,793 for craniotomy with major device implant or acute complex cns principal diagnosis with major complications o, about 4.6 times the average total payment of $46,667. That payment is 18% below the U.S. average of $56,603.

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 $46,667Billed $216,793

About 22¢ was paid for every $1 hospitals in Indiana billed for this stay.

Indiana hospitals: craniotomy with major device implant or acute complex cns principal diagnosis with major complications o

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
Clarian Health PartnersIndianapolis 40 $282,171 $54,776 $48,508
St Vincent Hospital & Health ServicesIndianapolis 35 $234,105 $49,162 $45,293
Community HospitalMunster 35 $166,593 $41,766 $37,301
Parkview HospitalFort Wayne 32 $248,120 $46,324 $40,238
Deaconess Hospital INCEvansville 26 $129,737 $39,516 $37,778
Memorial Hospital of South BendSouth Bend 20 $208,092 $39,932 $38,145
Franciscan Health IndianapolisIndianapolis 11 $214,162 $54,976 $34,713
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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

Deaconess Hospital INCEvansville, IN$39,516
Memorial Hospital of South BendSouth Bend, IN$39,932
Community HospitalMunster, IN$41,766
Parkview HospitalFort Wayne, IN$46,324
St Vincent Hospital & Health ServicesIndianapolis, IN$49,162

Highest

Franciscan Health IndianapolisIndianapolis, IN$54,976
Clarian Health PartnersIndianapolis, IN$54,776
St Vincent Hospital & Health ServicesIndianapolis, IN$49,162
Parkview HospitalFort Wayne, IN$46,324
Community HospitalMunster, IN$41,766

Craniotomy with major device implant or acute complex CNS principal diagnosis with major complications o in other states

Questions

How much does craniotomy with major device implant or acute complex cns principal diagnosis with major complications o cost in Indiana?

In 2024 Medicare data, a hospital stay for craniotomy with major device implant or acute complex cns principal diagnosis with major complications o (DRG 023) at 7 hospitals in Indiana was billed at $216,793 on average, while the average total payment was $46,667, of which Medicare paid $41,436. 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.