facebook tracking Hip and femur procedures except major joint with major complications cost in Indiana: 25 hospitals compared (DRG 480)

Hip and femur procedures except major joint with major complications in Indiana

What 25 hospitals in Indiana charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint with major complications (DRG 480), from 2024 Medicare claims.

DRG 480 Inpatient 2024 Medicare data
Average charge $117,271 Hospital list price billed
Average payment $22,617 Medicare + patient + other payers
Medicare paid $20,525 Average per stay
State rank #11 of 46 1 = lowest average payment

Hospitals in Indiana billed an average of $117,271 for hip and femur procedures except major joint with major complications, about 5.2 times the average total payment of $22,617. That payment is 14% below the U.S. average of $26,284.

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 $22,617Billed $117,271

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

Indiana hospitals: hip and femur procedures except major joint with 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 52 $71,888 $20,011 $18,350
Parkview HospitalFort Wayne 45 $104,718 $20,908 $19,685
Clarian Health PartnersIndianapolis 41 $201,389 $30,973 $25,745
St Vincent Hospital & Health ServicesIndianapolis 41 $113,829 $24,135 $21,452
Franciscan Health IndianapolisIndianapolis 35 $109,360 $20,940 $19,346
Union Hospital INCTerre Haute 32 $82,822 $21,467 $19,819
Reid Hosp & Hlth Care ServicesRichmond 30 $59,421 $24,091 $22,398
Columbus Regional HospitalColumbus 27 $65,900 $20,267 $18,767
Ball Memorial Hospital INCMuncie 25 $140,169 $23,135 $20,998
Community HospitalMunster 22 $91,045 $20,294 $19,260
Memorial Hospital of South BendSouth Bend 20 $141,094 $23,399 $21,708
Lutheran Hospital of IndianaFort Wayne 19 $265,514 $27,086 $25,454
Porter, Valparaiso HospitalValparaiso 19 $222,558 $20,821 $19,943
Indiana University Health Arnett HospitalLafayette 18 $134,051 $21,487 $19,951
Saint Joseph Reg Medical CtrSouth Bend 17 $84,920 $23,936 $19,412
Bloomington HospitalBloomington 16 $135,008 $20,232 $18,843
Floyd Memorial Hospital and Health ServicesNew Albany 15 $141,650 $19,562 $18,283
Franciscan Health LafayetteLafayette 15 $179,968 $24,567 $21,719
Memorial Hospital and Health Care CenterJasper 15 $64,296 $21,454 $19,707
Hendricks Regional HealthDanville 13 $80,413 $20,953 $19,334
Saint John's Health SystemAnderson 13 $91,858 $21,230 $19,680
Franciscan St Anthony Health - Crown PointCrown Point 13 $108,745 $22,772 $17,733
Good Samaritan HospitalVincennes 12 $55,341 $25,359 $22,742
Community Hospital SouthIndianapolis 11 $84,274 $20,729 $19,123
Indiana University Health West HospitalAvon 11 $145,366 $21,689 $20,502
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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

Floyd Memorial Hospital and Health ServicesNew Albany, IN$19,562
Deaconess Hospital INCEvansville, IN$20,011
Bloomington HospitalBloomington, IN$20,232
Columbus Regional HospitalColumbus, IN$20,267
Community HospitalMunster, IN$20,294

Highest

Clarian Health PartnersIndianapolis, IN$30,973
Lutheran Hospital of IndianaFort Wayne, IN$27,086
Good Samaritan HospitalVincennes, IN$25,359
Franciscan Health LafayetteLafayette, IN$24,567
St Vincent Hospital & Health ServicesIndianapolis, IN$24,135

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

Questions

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

In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint with major complications (DRG 480) at 25 hospitals in Indiana was billed at $117,271 on average, while the average total payment was $22,617, of which Medicare paid $20,525. 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 5.2 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.