facebook tracking Implantation of Drug Infusion Device cost in Indiana: 15 hospitals compared (APC 5471)

Implantation of Drug Infusion Device in Indiana

What 15 hospitals in Indiana charged and were paid for implantation of drug infusion device (APC 5471), from 2024 Medicare claims.

APC 5471 Outpatient 2024 Medicare data
Average charge $76,278 Hospital list price billed
Average allowed $15,320 Medicare's payment + patient's share
Medicare paid $13,684 Average per service
State rank #13 of 32 1 = lowest average payment

Hospitals in Indiana billed an average of $76,278 for implantation of drug infusion device, about 5.0 times the average medicare-allowed amount of $15,320. That payment is 7% below the U.S. average of $16,462.

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 $15,320Billed $76,278

About 20¢ was paid for every $1 hospitals in Indiana billed for this service.

Indiana hospitals: implantation of drug infusion device

Every Indiana hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Reid Hosp & Hlth Care ServicesRichmond 16 $34,597 $15,069 $13,437
St Mary's Medical Center of Evansville INCEvansville 15 $75,172 $14,916 $13,284
Dupont Hospital LLCFort Wayne 12 $133,234 $16,161 $14,514
Methodist Hospitals, INCGary – – – –
Lutheran Hospital of IndianaFort Wayne – – – –
Elkhart General HospitalElkhart – – – –
Parkview HospitalFort Wayne – – – –
Floyd Memorial Hospital and Health ServicesNew Albany – – – –
Bloomington HospitalBloomington – – – –
Community Hospital EastIndianapolis – – – –
St Vincent Hospital & Health ServicesIndianapolis – – – –
Community Hospital of Anderson and Madison CountyAnderson – – – –
Franciscan Health IndianapolisIndianapolis – – – –
Community Hospital NorthIndianapolis – – – –
Unity Medical and Surgical HospitalMishawaka – – – –
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Lowest and highest allowed amounts in Indiana

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

St Mary's Medical Center of Evansville INCEvansville, IN$14,916
Reid Hosp & Hlth Care ServicesRichmond, IN$15,069
Dupont Hospital LLCFort Wayne, IN$16,161

Highest

Dupont Hospital LLCFort Wayne, IN$16,161
Reid Hosp & Hlth Care ServicesRichmond, IN$15,069
St Mary's Medical Center of Evansville INCEvansville, IN$14,916

Implantation of Drug Infusion Device in other states

Questions

How much does implantation of drug infusion device cost in Indiana?

In 2024 Medicare data, implantation of drug infusion device (APC 5471) at 15 hospitals in Indiana was billed at $76,278 on average, while the average medicare-allowed amount was $15,320, of which Medicare paid $13,684. 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 service in Indiana, average charges were 5.0 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.