facebook tracking Fractures of hip and pelvis without major complications cost in Indiana: 9 hospitals compared (DRG 536)

Fractures of hip and pelvis without major complications in Indiana

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.

DRG 536 Inpatient 2024 Medicare data
Average charge $27,308 Hospital list price billed
Average payment $6,332 Medicare + patient + other payers
Medicare paid $4,853 Average per stay
State rank #8 of 37 1 = lowest average payment

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.

Paid $6,332Billed $27,308

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:

Indiana hospitals: fractures of hip and pelvis 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
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
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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

Highest

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

Fractures of hip and pelvis without major complications in other states

Questions

How much does fractures of hip and pelvis without major complications cost in Indiana?

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.

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 4.3 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.