facebook tracking Extracranial procedures with complications cost in Indiana: 6 hospitals compared (DRG 038)

Extracranial procedures with complications in Indiana

What 6 hospitals in Indiana charged and were paid for a Medicare hospital stay for extracranial procedures with complications (DRG 038), from 2024 Medicare claims.

DRG 038 Inpatient 2024 Medicare data
Average charge $64,574 Hospital list price billed
Average payment $13,658 Medicare + patient + other payers
Medicare paid $10,528 Average per stay
State rank #9 of 29 1 = lowest average payment

Hospitals in Indiana billed an average of $64,574 for extracranial procedures with complications, about 4.7 times the average total payment of $13,658. That payment is 8% below the U.S. average of $14,903.

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 $13,658Billed $64,574

About 21¢ was paid for every $1 hospitals in Indiana billed for this stay.

Indiana hospitals: extracranial procedures 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
Deaconess Hospital INCEvansville 20 $45,416 $13,662 $9,310
Community Hospital EastIndianapolis 18 $52,878 $13,630 $11,356
St Vincent Hospital & Health ServicesIndianapolis 18 $80,784 $15,152 $11,658
Elkhart General HospitalElkhart 13 $39,639 $11,991 $10,857
Franciscan St Anthony Health - Crown PointCrown Point 13 $46,013 $13,951 $8,946
Franciscan Health LafayetteLafayette 12 $136,850 $12,939 $10,980
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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

Elkhart General HospitalElkhart, IN$11,991
Franciscan Health LafayetteLafayette, IN$12,939
Community Hospital EastIndianapolis, IN$13,630
Deaconess Hospital INCEvansville, IN$13,662
Franciscan St Anthony Health - Crown PointCrown Point, IN$13,951

Highest

St Vincent Hospital & Health ServicesIndianapolis, IN$15,152
Franciscan St Anthony Health - Crown PointCrown Point, IN$13,951
Deaconess Hospital INCEvansville, IN$13,662
Community Hospital EastIndianapolis, IN$13,630
Franciscan Health LafayetteLafayette, IN$12,939

Extracranial procedures with complications in other states

Questions

How much does extracranial procedures with complications cost in Indiana?

In 2024 Medicare data, a hospital stay for extracranial procedures with complications (DRG 038) at 6 hospitals in Indiana was billed at $64,574 on average, while the average total payment was $13,658, of which Medicare paid $10,528. 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 4.7 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.