facebook tracking Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications cost in Indiana: 20 hospitals compared (DRG 563)

Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications in Indiana

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.

DRG 563 Inpatient 2024 Medicare data
Average charge $37,618 Hospital list price billed
Average payment $9,861 Medicare + patient + other payers
Medicare paid $8,034 Average per stay
State rank #34 of 39 1 = lowest average payment

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.

Paid $9,861Billed $37,618

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:

Indiana hospitals: fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without 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
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
Advertisement

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

Highest

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

Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications in other states

Questions

How much does fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications cost in Indiana?

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.

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 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.