What 20 hospitals in Indiana charged and were paid for a Medicare hospital stay for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications (DRG 563), from 2024 Medicare claims.
Hospitals in Indiana billed an average of $37,618 for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications, about 3.8 times the average total payment of $9,861. That payment is 13% above the U.S. average of $8,749.
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.
About 26¢ 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:
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 |
|---|---|---|---|---|
| Floyd Memorial Hospital and Health ServicesNew Albany | 25 | $32,157 | $6,015 | $4,027 |
| Clarian Health PartnersIndianapolis | 20 | $46,631 | $10,700 | $7,784 |
| Saint Joseph Reg Medical CtrSouth Bend | 19 | $28,116 | $7,853 | $5,955 |
| Ball Memorial Hospital INCMuncie | 19 | $26,528 | $7,757 | $5,853 |
| St Vincent Hospital & Health ServicesIndianapolis | 18 | $142,777 | $49,766 | $47,848 |
| Franciscan St Anthony Health - Michigan CityMichigan City | 17 | $34,834 | $7,313 | $4,945 |
| Community HospitalMunster | 16 | $28,956 | $7,007 | $4,904 |
| Parkview HospitalFort Wayne | 15 | $27,993 | $7,398 | $5,838 |
| Union Hospital INCTerre Haute | 14 | $24,222 | $7,014 | $5,581 |
| Memorial Hospital of South BendSouth Bend | 14 | $24,844 | $7,086 | $5,709 |
| Deaconess Hospital INCEvansville | 14 | $26,263 | $6,493 | $5,189 |
| Porter, Valparaiso HospitalValparaiso | 13 | $51,012 | $6,134 | $4,751 |
| Elkhart General HospitalElkhart | 12 | $24,820 | $6,965 | $5,598 |
| Bloomington HospitalBloomington | 12 | $36,626 | $6,632 | $5,080 |
| Lutheran Hospital of IndianaFort Wayne | 11 | $35,059 | $6,914 | $5,169 |
| Reid Hosp & Hlth Care ServicesRichmond | 11 | $19,852 | $6,799 | $5,632 |
| Franciscan St Anthony Health - Crown PointCrown Point | 11 | $37,078 | $8,017 | $4,779 |
| Community Hospital SouthIndianapolis | 11 | $29,158 | $7,163 | $5,901 |
| Indiana University Health North HospitalCarmel | 11 | $19,784 | $6,412 | $4,928 |
| Community Hospital NorthIndianapolis | 11 | $21,300 | $6,842 | $5,335 |
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.
| Floyd Memorial Hospital and Health ServicesNew Albany, IN | $6,015 |
|---|---|
| Porter, Valparaiso HospitalValparaiso, IN | $6,134 |
| Indiana University Health North HospitalCarmel, IN | $6,412 |
| Deaconess Hospital INCEvansville, IN | $6,493 |
| Bloomington HospitalBloomington, IN | $6,632 |
| St Vincent Hospital & Health ServicesIndianapolis, IN | $49,766 |
|---|---|
| Clarian Health PartnersIndianapolis, IN | $10,700 |
| Franciscan St Anthony Health - Crown PointCrown Point, IN | $8,017 |
| Saint Joseph Reg Medical CtrSouth Bend, IN | $7,853 |
| Ball Memorial Hospital INCMuncie, IN | $7,757 |
In 2024 Medicare data, a hospital stay for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications (DRG 563) at 20 hospitals in Indiana was billed at $37,618 on average, while the average total payment was $9,861, of which Medicare paid $8,034. Your own cost depends on your insurance, deductible and the hospital.
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 3.8 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.