facebook tracking Hip replacement with principal diagnosis of hip fracture without major complications cost in Indiana: 34 hospitals compared (DRG 522)

Hip replacement with principal diagnosis of hip fracture without major complications in Indiana

What 34 hospitals in Indiana charged and were paid for a Medicare hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522), from 2024 Medicare claims.

DRG 522 Inpatient 2024 Medicare data
Average charge $93,186 Hospital list price billed
Average payment $16,267 Medicare + patient + other payers
Medicare paid $13,936 Average per stay
State rank #12 of 50 1 = lowest average payment

Hospitals in Indiana billed an average of $93,186 for hip replacement with principal diagnosis of hip fracture without major complications, about 5.7 times the average total payment of $16,267. That payment is 11% below the U.S. average of $18,301.

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 $16,267Billed $93,186

About 17¢ 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: hip replacement with principal diagnosis of hip fracture 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
Parkview HospitalFort Wayne 56 $79,405 $15,607 $14,226
Bloomington HospitalBloomington 44 $124,430 $15,842 $13,193
Deaconess Hospital INCEvansville 43 $51,871 $14,937 $12,785
St Vincent Hospital & Health ServicesIndianapolis 37 $97,937 $18,377 $15,850
Floyd Memorial Hospital and Health ServicesNew Albany 36 $121,101 $14,113 $12,814
Union Hospital INCTerre Haute 33 $85,294 $15,964 $14,331
Ball Memorial Hospital INCMuncie 29 $118,612 $17,150 $15,209
St Mary's Medical Center of Evansville INCEvansville 29 $105,712 $15,899 $14,474
Reid Hosp & Hlth Care ServicesRichmond 27 $52,746 $17,344 $15,649
Community HospitalMunster 27 $59,476 $15,030 $13,715
Saint Joseph Reg Medical CtrSouth Bend 25 $79,223 $17,667 $13,678
Memorial Hospital of South BendSouth Bend 25 $82,533 $16,167 $13,277
Franciscan Health IndianapolisIndianapolis 23 $84,594 $17,801 $12,768
Clarian Health PartnersIndianapolis 22 $149,684 $24,874 $16,666
Elkhart General HospitalElkhart 21 $82,017 $15,633 $14,299
Franciscan Health LafayetteLafayette 21 $134,909 $15,368 $13,088
Memorial Hospital and Health Care CenterJasper 21 $56,561 $17,838 $14,594
Hendricks Regional HealthDanville 19 $64,209 $16,822 $13,619
Porter, Valparaiso HospitalValparaiso 19 $173,355 $14,249 $12,702
The Orthopaedic Hospital of Lutheran Health NetworFort Wayne 19 $149,866 $13,683 $12,198
St Mary Medical Center INCHobart 18 $53,293 $14,757 $13,278
Good Samaritan HospitalVincennes 17 $59,702 $18,066 $15,748
Indiana University Health West HospitalAvon 17 $120,292 $14,685 $13,341
Community Hospital NorthIndianapolis 16 $88,314 $17,270 $13,194
Franciscan St Anthony Health - Michigan CityMichigan City 15 $100,537 $15,170 $13,755
Howard Regional Health SystemKokomo 14 $97,870 $15,476 $14,310
Clark Memorial HospitalJeffersonville 13 $74,888 $14,129 $13,115
Community Hospital EastIndianapolis 13 $93,792 $17,007 $15,513
Columbus Regional HospitalColumbus 13 $60,419 $17,815 $13,246
Franciscan St Anthony Health - Crown PointCrown Point 13 $82,668 $16,615 $12,460
Indiana University Health Arnett HospitalLafayette 13 $123,283 $15,664 $13,833
IU Health Goshen HospitalGoshen 12 $53,218 $16,006 $14,478
Indiana University Health North HospitalCarmel 12 $142,248 $14,513 $13,153
Riverview HospitalNoblesville 11 $77,179 $15,454 $14,080
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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

Clarian Health PartnersIndianapolis, IN$24,874
St Vincent Hospital & Health ServicesIndianapolis, IN$18,377
Good Samaritan HospitalVincennes, IN$18,066
Memorial Hospital and Health Care CenterJasper, IN$17,838
Columbus Regional HospitalColumbus, IN$17,815

Hip replacement with principal diagnosis of hip fracture without major complications in other states

Questions

How much does hip replacement with principal diagnosis of hip fracture without major complications cost in Indiana?

In 2024 Medicare data, a hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522) at 34 hospitals in Indiana was billed at $93,186 on average, while the average total payment was $16,267, of which Medicare paid $13,936. 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 5.7 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.