facebook tracking Endovascular cardiac valve replacement and supplement procedures with major complications cost in Indiana: 13 hospitals compared (DRG 266)

Endovascular cardiac valve replacement and supplement procedures with major complications in Indiana

What 13 hospitals in Indiana charged and were paid for a Medicare hospital stay for endovascular cardiac valve replacement and supplement procedures with major complications (DRG 266), from 2024 Medicare claims.

DRG 266 Inpatient 2024 Medicare data
Average charge $219,546 Hospital list price billed
Average payment $46,112 Medicare + patient + other payers
Medicare paid $43,922 Average per stay
State rank #7 of 42 1 = lowest average payment

Hospitals in Indiana billed an average of $219,546 for endovascular cardiac valve replacement and supplement procedures with major complications, about 4.8 times the average total payment of $46,112. That payment is 19% below the U.S. average of $57,249.

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 $46,112Billed $219,546

About 21¢ 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: endovascular cardiac valve replacement and supplement procedures 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 Mary's Medical Center of Evansville INCEvansville 68 $154,172 $44,121 $42,937
Community HospitalMunster 62 $169,002 $43,721 $42,713
Deaconess Hospital INCEvansville 61 $190,656 $46,146 $43,876
Community Hospital EastIndianapolis 49 $175,364 $48,544 $47,325
St Vincent Heart Center of Indiana LLCIndianapolis 40 $294,393 $47,651 $42,176
Lutheran Hospital of IndianaFort Wayne 31 $355,317 $44,564 $43,728
Franciscan Health IndianapolisIndianapolis 27 $188,666 $45,291 $41,730
Porter, Valparaiso HospitalValparaiso 25 $309,532 $41,951 $41,526
Bloomington HospitalBloomington 23 $191,623 $46,723 $40,278
Clarian Health PartnersIndianapolis 18 $263,228 $57,844 $53,044
Union Hospital INCTerre Haute 17 $157,198 $45,596 $44,154
Floyd Memorial Hospital and Health ServicesNew Albany 12 $528,075 $52,080 $51,230
Elkhart General HospitalElkhart 11 $228,771 $44,917 $44,010
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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

Porter, Valparaiso HospitalValparaiso, IN$41,951
Community HospitalMunster, IN$43,721
St Mary's Medical Center of Evansville INCEvansville, IN$44,121
Lutheran Hospital of IndianaFort Wayne, IN$44,564
Elkhart General HospitalElkhart, IN$44,917

Highest

Clarian Health PartnersIndianapolis, IN$57,844
Floyd Memorial Hospital and Health ServicesNew Albany, IN$52,080
Community Hospital EastIndianapolis, IN$48,544
St Vincent Heart Center of Indiana LLCIndianapolis, IN$47,651
Bloomington HospitalBloomington, IN$46,723

Endovascular cardiac valve replacement and supplement procedures with major complications in other states

Questions

How much does endovascular cardiac valve replacement and supplement procedures with major complications cost in Indiana?

In 2024 Medicare data, a hospital stay for endovascular cardiac valve replacement and supplement procedures with major complications (DRG 266) at 13 hospitals in Indiana was billed at $219,546 on average, while the average total payment was $46,112, of which Medicare paid $43,922. 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 4.8 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.