facebook tracking Hip and femur procedures except major joint with complications cost in Indiana: 42 hospitals compared (DRG 481)

Hip and femur procedures except major joint with complications in Indiana

What 42 hospitals in Indiana charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint with complications (DRG 481), from 2024 Medicare claims.

DRG 481 Inpatient 2024 Medicare data
Average charge $88,329 Hospital list price billed
Average payment $16,495 Medicare + patient + other payers
Medicare paid $13,956 Average per stay
State rank #16 of 50 1 = lowest average payment

Hospitals in Indiana billed an average of $88,329 for hip and femur procedures except major joint with complications, about 5.4 times the average total payment of $16,495. That payment is 11% below the U.S. average of $18,473.

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 $16,495Billed $88,329

About 19¢ was paid for every $1 hospitals in Indiana billed for this stay.

Indiana hospitals: hip and femur procedures except major joint 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
Parkview HospitalFort Wayne 97 $80,605 $16,221 $13,582
Deaconess Hospital INCEvansville 93 $51,108 $14,016 $12,223
Clarian Health PartnersIndianapolis 91 $158,865 $22,065 $17,957
St Vincent Hospital & Health ServicesIndianapolis 86 $96,633 $18,754 $14,869
Bloomington HospitalBloomington 50 $103,927 $14,334 $12,955
Franciscan Health IndianapolisIndianapolis 50 $87,017 $16,055 $13,571
Community HospitalMunster 48 $62,465 $15,036 $12,755
Memorial Hospital of South BendSouth Bend 43 $90,824 $17,983 $13,221
Ball Memorial Hospital INCMuncie 43 $107,126 $16,583 $14,809
Porter, Valparaiso HospitalValparaiso 42 $149,178 $16,998 $12,563
Union Hospital INCTerre Haute 41 $69,028 $15,255 $13,594
Indiana University Health Arnett HospitalLafayette 41 $107,930 $15,265 $13,556
St Mary's Medical Center of Evansville INCEvansville 40 $83,821 $14,774 $13,555
Reid Hosp & Hlth Care ServicesRichmond 39 $51,425 $17,177 $15,637
Floyd Memorial Hospital and Health ServicesNew Albany 38 $99,945 $13,674 $11,964
Franciscan Health LafayetteLafayette 32 $109,075 $15,383 $13,223
Good Samaritan HospitalVincennes 28 $47,802 $18,039 $15,532
Franciscan St Anthony Health - Crown PointCrown Point 26 $79,395 $14,296 $12,832
The Orthopaedic Hospital of Lutheran Health NetworFort Wayne 26 $121,995 $17,137 $11,498
Community Hospital NorthIndianapolis 26 $73,883 $15,675 $14,254
Saint Joseph Reg Medical CtrSouth Bend 25 $63,567 $16,572 $13,259
Memorial Hospital and Health Care CenterJasper 24 $53,654 $16,838 $15,024
Elkhart General HospitalElkhart 23 $76,163 $14,521 $12,949
Franciscan St Anthony Health - Michigan CityMichigan City 22 $82,713 $14,921 $13,438
Hendricks Regional HealthDanville 21 $57,930 $14,869 $13,398
Columbus Regional HospitalColumbus 20 $59,737 $15,279 $13,790
Indiana University Health North HospitalCarmel 20 $113,518 $14,712 $13,162
Community Hospital SouthIndianapolis 19 $72,055 $15,396 $14,251
Community Hospital of Anderson and Madison CountyAnderson 18 $60,604 $15,230 $13,684
Howard Regional Health SystemKokomo 17 $61,504 $16,072 $12,437
Franciscan St Margaret Health - DyerDyer 17 $89,821 $21,045 $19,762
Clark Memorial HospitalJeffersonville 16 $83,092 $20,958 $12,046
Lutheran Hospital of IndianaFort Wayne 16 $158,546 $16,107 $13,025
St Mary Medical Center INCHobart 16 $60,627 $14,855 $13,605
Indiana University Health West HospitalAvon 15 $111,527 $14,289 $12,875
St Joseph Hospital & Health Center INCKokomo 14 $67,086 $16,549 $12,437
Schneck Medical CenterSeymour 13 $45,435 $18,480 $16,851
Community Hospital EastIndianapolis 13 $71,563 $17,079 $15,468
Dearborn County HospitalLawrenceburg 13 $48,012 $13,993 $10,359
Eskenazi HealthIndianapolis 12 $93,612 $26,457 $24,332
King's Daughters' Hospital and Health Services,TheMadison 12 $62,664 $16,804 $15,231
Methodist Hospitals, INCGary 11 $106,509 $14,530 $12,126
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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.

Highest

Eskenazi HealthIndianapolis, IN$26,457
Clarian Health PartnersIndianapolis, IN$22,065
Franciscan St Margaret Health - DyerDyer, IN$21,045
Clark Memorial HospitalJeffersonville, IN$20,958
St Vincent Hospital & Health ServicesIndianapolis, IN$18,754

Hip and femur procedures except major joint with complications in other states

Questions

How much does hip and femur procedures except major joint with complications cost in Indiana?

In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint with complications (DRG 481) at 42 hospitals in Indiana was billed at $88,329 on average, while the average total payment was $16,495, of which Medicare paid $13,956. 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 5.4 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.