ECMO or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec in Indiana
What 5 hospitals in Indiana charged and were paid for a Medicare hospital stay for ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec (DRG 003), from 2024 Medicare claims.
Average charge
$762,365
Hospital list price billed
Average payment
$177,582
Medicare + patient + other payers
Medicare paid
$151,386
Average per stay
State rank
#7 of 29
1 = lowest average payment
Hospitals in Indiana billed an average of $762,365 for ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec, about 4.3 times the average total payment of $177,582. That payment is 28% below the U.S. average of $246,178.
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 $177,582Billed $762,365
About 23¢ was paid for every $1 hospitals in Indiana billed for this stay.
Indiana hospitals: ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec
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 | 29 | $842,330 | $220,238 | $181,539 |
| Deaconess Hospital INCEvansville | 18 | $536,549 | $143,133 | $137,317 |
| St Vincent Hospital & Health ServicesIndianapolis | 13 | $619,862 | $154,900 | $147,011 |
| Lutheran Hospital of IndianaFort Wayne | 12 | $1,056,933 | $174,516 | $118,548 |
| Franciscan Health IndianapolisIndianapolis | 11 | $768,127 | $151,651 | $135,906 |
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 | $143,133 |
|---|---|
| Franciscan Health IndianapolisIndianapolis, IN | $151,651 |
| St Vincent Hospital & Health ServicesIndianapolis, IN | $154,900 |
| Lutheran Hospital of IndianaFort Wayne, IN | $174,516 |
| Clarian Health PartnersIndianapolis, IN | $220,238 |
Highest
| Clarian Health PartnersIndianapolis, IN | $220,238 |
|---|---|
| Lutheran Hospital of IndianaFort Wayne, IN | $174,516 |
| St Vincent Hospital & Health ServicesIndianapolis, IN | $154,900 |
| Franciscan Health IndianapolisIndianapolis, IN | $151,651 |
| Deaconess Hospital INCEvansville, IN | $143,133 |
ECMO or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec in other states
Questions
How much does ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec cost in Indiana?
In 2024 Medicare data, a hospital stay for ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec (DRG 003) at 5 hospitals in Indiana was billed at $762,365 on average, while the average total payment was $177,582, of which Medicare paid $151,386. 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 4.3 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.