Extensive operating room procedures unrelated to principal diagnosis with major complications in Indiana
What 17 hospitals in Indiana charged and were paid for a Medicare hospital stay for extensive operating room procedures unrelated to principal diagnosis with major complications (DRG 981), from 2024 Medicare claims.
Average charge
$175,537
Hospital list price billed
Average payment
$36,641
Medicare + patient + other payers
Medicare paid
$33,422
Average per stay
State rank
#8 of 42
1 = lowest average payment
Hospitals in Indiana billed an average of $175,537 for extensive operating room procedures unrelated to principal diagnosis with major complications, about 4.8 times the average total payment of $36,641. That payment is 22% below the U.S. average of $47,051.
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 $36,641Billed $175,537
About 21¢ was paid for every $1 hospitals in Indiana billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Indiana:
Indiana hospitals: extensive operating room procedures unrelated to principal diagnosis 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 |
|---|---|---|---|---|
| Clarian Health PartnersIndianapolis | 45 | $238,197 | $48,302 | $40,922 |
| Deaconess Hospital INCEvansville | 32 | $111,308 | $31,019 | $29,787 |
| St Vincent Hospital & Health ServicesIndianapolis | 29 | $249,410 | $44,806 | $39,521 |
| Franciscan Health IndianapolisIndianapolis | 27 | $211,698 | $32,136 | $30,786 |
| Lutheran Hospital of IndianaFort Wayne | 22 | $204,584 | $32,818 | $31,158 |
| Community Hospital NorthIndianapolis | 22 | $143,834 | $34,504 | $33,467 |
| Parkview HospitalFort Wayne | 21 | $137,905 | $33,316 | $32,426 |
| Franciscan Health LafayetteLafayette | 19 | $122,689 | $32,130 | $27,282 |
| Bloomington HospitalBloomington | 18 | $187,583 | $34,061 | $32,985 |
| Community HospitalMunster | 18 | $94,439 | $32,671 | $27,341 |
| Union Hospital INCTerre Haute | 16 | $110,390 | $32,862 | $31,253 |
| Floyd Memorial Hospital and Health ServicesNew Albany | 13 | $271,995 | $33,183 | $32,347 |
| Community Hospital EastIndianapolis | 13 | $113,866 | $35,980 | $34,654 |
| Community Hospital SouthIndianapolis | 13 | $151,503 | $33,485 | $32,425 |
| Franciscan St Anthony Health - Crown PointCrown Point | 12 | $166,385 | $40,137 | $32,507 |
| St Mary Medical Center INCHobart | 11 | $153,496 | $35,483 | $27,675 |
| Memorial Hospital of South BendSouth Bend | 11 | $218,032 | $43,044 | $42,206 |
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 | $31,019 |
|---|---|
| Franciscan Health LafayetteLafayette, IN | $32,130 |
| Franciscan Health IndianapolisIndianapolis, IN | $32,136 |
| Community HospitalMunster, IN | $32,671 |
| Lutheran Hospital of IndianaFort Wayne, IN | $32,818 |
Highest
| Clarian Health PartnersIndianapolis, IN | $48,302 |
|---|---|
| St Vincent Hospital & Health ServicesIndianapolis, IN | $44,806 |
| Memorial Hospital of South BendSouth Bend, IN | $43,044 |
| Franciscan St Anthony Health - Crown PointCrown Point, IN | $40,137 |
| Community Hospital EastIndianapolis, IN | $35,980 |
Extensive operating room procedures unrelated to principal diagnosis with major complications in other states
Questions
How much does extensive operating room procedures unrelated to principal diagnosis with major complications cost in Indiana?
In 2024 Medicare data, a hospital stay for extensive operating room procedures unrelated to principal diagnosis with major complications (DRG 981) at 17 hospitals in Indiana was billed at $175,537 on average, while the average total payment was $36,641, of which Medicare paid $33,422. 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.