facebook tracking Digestive malignancy with complications cost in Indiana: 4 hospitals compared (DRG 375)

Digestive malignancy with complications in Indiana

What 4 hospitals in Indiana charged and were paid for a Medicare hospital stay for digestive malignancy with complications (DRG 375), from 2024 Medicare claims.

DRG 375 Inpatient 2024 Medicare data
Average charge $40,436 Hospital list price billed
Average payment $9,538 Medicare + patient + other payers
Medicare paid $7,619 Average per stay
State rank #1 of 20 1 = lowest average payment

Hospitals in Indiana billed an average of $40,436 for digestive malignancy with complications, about 4.2 times the average total payment of $9,538. That payment is 27% below the U.S. average of $13,131.

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 $9,538Billed $40,436

About 24¢ 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: digestive malignancy 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
Parkview HospitalFort Wayne 12 $40,468 $9,512 $8,190
Deaconess Hospital INCEvansville 12 $36,896 $7,603 $6,401
St Vincent Hospital & Health ServicesIndianapolis 11 $50,146 $11,300 $8,999
Community HospitalMunster 11 $34,555 $9,916 $6,945
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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$7,603
Parkview HospitalFort Wayne, IN$9,512
Community HospitalMunster, IN$9,916
St Vincent Hospital & Health ServicesIndianapolis, IN$11,300

Highest

St Vincent Hospital & Health ServicesIndianapolis, IN$11,300
Community HospitalMunster, IN$9,916
Parkview HospitalFort Wayne, IN$9,512
Deaconess Hospital INCEvansville, IN$7,603

Digestive malignancy with complications in other states

Questions

How much does digestive malignancy with complications cost in Indiana?

In 2024 Medicare data, a hospital stay for digestive malignancy with complications (DRG 375) at 4 hospitals in Indiana was billed at $40,436 on average, while the average total payment was $9,538, of which Medicare paid $7,619. 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 4.2 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.