What 9 hospitals in Indiana charged and were paid for a Medicare hospital stay for fractures of hip and pelvis without major complications (DRG 536), from 2024 Medicare claims.
Hospitals in Indiana billed an average of $27,308 for fractures of hip and pelvis without major complications, about 4.3 times the average total payment of $6,332. That payment is 17% below the U.S. average of $7,596.
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 23¢ 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 |
|---|---|---|---|---|
| Deaconess Hospital INCEvansville | 16 | $21,316 | $5,952 | $4,720 |
| Memorial Hospital of South BendSouth Bend | 13 | $27,606 | $6,716 | $5,081 |
| Community HospitalMunster | 13 | $23,514 | $5,684 | $4,408 |
| Porter, Valparaiso HospitalValparaiso | 12 | $38,543 | $5,298 | $4,208 |
| St Mary's Medical Center of Evansville INCEvansville | 12 | $24,091 | $6,232 | $4,640 |
| Indiana University Health Arnett HospitalLafayette | 12 | $31,729 | $5,957 | $4,336 |
| Good Samaritan HospitalVincennes | 11 | $20,630 | $7,674 | $6,091 |
| St Vincent Hospital & Health ServicesIndianapolis | 11 | $39,078 | $7,372 | $5,467 |
| Community Hospital NorthIndianapolis | 11 | $21,491 | $6,462 | $4,950 |
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.
| Porter, Valparaiso HospitalValparaiso, IN | $5,298 |
|---|---|
| Community HospitalMunster, IN | $5,684 |
| Deaconess Hospital INCEvansville, IN | $5,952 |
| Indiana University Health Arnett HospitalLafayette, IN | $5,957 |
| St Mary's Medical Center of Evansville INCEvansville, IN | $6,232 |
| Good Samaritan HospitalVincennes, IN | $7,674 |
|---|---|
| St Vincent Hospital & Health ServicesIndianapolis, IN | $7,372 |
| Memorial Hospital of South BendSouth Bend, IN | $6,716 |
| Community Hospital NorthIndianapolis, IN | $6,462 |
| St Mary's Medical Center of Evansville INCEvansville, IN | $6,232 |
In 2024 Medicare data, a hospital stay for fractures of hip and pelvis without major complications (DRG 536) at 9 hospitals in Indiana was billed at $27,308 on average, while the average total payment was $6,332, of which Medicare paid $4,853. 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 4.3 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.