Level 1 Abdominal/Peritoneal/Biliary and Related Procedures in Indiana
What 74 hospitals in Indiana charged and were paid for level 1 abdominal/peritoneal/biliary and related procedures (APC 5341), from 2024 Medicare claims.
Average charge
$27,677
Hospital list price billed
Average allowed
$3,111
Medicare's payment + patient's share
Medicare paid
$2,471
Average per service
State rank
#24 of 49
1 = lowest average payment
Hospitals in Indiana billed an average of $27,677 for level 1 abdominal/peritoneal/biliary and related procedures, about 8.9 times the average medicare-allowed amount of $3,111. That payment is 6% below the U.S. average of $3,323.
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 $3,111Billed $27,677
About 11¢ was paid for every $1 hospitals in Indiana billed for this service.
Indiana hospitals: level 1 abdominal/peritoneal/biliary and related procedures
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 |
|---|---|---|---|---|
| Clarian Health PartnersIndianapolis | 108 | $22,002 | $3,152 | $2,509 |
| Deaconess Hospital INCEvansville | 99 | $17,376 | $3,084 | $2,456 |
| Community HospitalMunster | 71 | $17,803 | $3,217 | $2,556 |
| Memorial Hospital of South BendSouth Bend | 58 | $14,285 | $3,014 | $2,402 |
| Bloomington HospitalBloomington | 56 | $32,912 | $3,036 | $2,401 |
| Parkview HospitalFort Wayne | 53 | $33,795 | $3,117 | $2,471 |
| St Mary's Medical Center of Evansville INCEvansville | 49 | $35,519 | $3,084 | $2,457 |
| Franciscan Health IndianapolisIndianapolis | 47 | $21,099 | $3,152 | $2,506 |
| Indiana University Health Arnett HospitalLafayette | 47 | $28,002 | $3,084 | $2,449 |
| Hendricks Regional HealthDanville | 43 | $29,606 | $3,012 | $2,374 |
| Reid Hosp & Hlth Care ServicesRichmond | 43 | $20,831 | $3,180 | $2,509 |
| St Vincent Hospital & Health ServicesIndianapolis | 36 | $44,349 | $3,104 | $2,473 |
| Porter, Valparaiso HospitalValparaiso | 34 | $57,431 | $3,014 | $2,386 |
| Columbus Regional HospitalColumbus | 32 | $13,218 | $3,104 | $2,457 |
| Community Hospital NorthIndianapolis | 31 | $20,575 | $3,125 | $2,490 |
| Union Hospital INCTerre Haute | 30 | $24,790 | $3,125 | $2,490 |
| Community Hospital SouthIndianapolis | 30 | $25,174 | $3,152 | $2,512 |
| Franciscan St Anthony Health - Michigan CityMichigan City | 28 | $26,731 | $3,084 | $2,450 |
| Ball Memorial Hospital INCMuncie | 28 | $39,743 | $3,128 | $2,488 |
| Franciscan Health LafayetteLafayette | 27 | $50,465 | $3,084 | $2,449 |
| Indiana University Health West HospitalAvon | 26 | $34,644 | $3,125 | $2,490 |
| Saint Joseph Reg Medical CtrSouth Bend | 25 | $12,553 | $3,195 | $2,542 |
| Good Samaritan HospitalVincennes | 25 | $20,102 | $3,084 | $2,450 |
| Franciscan St Anthony Health - Crown PointCrown Point | 24 | $28,658 | $3,146 | $2,480 |
| IU Health Goshen HospitalGoshen | 23 | $18,021 | $3,195 | $2,545 |
| Lutheran Hospital of IndianaFort Wayne | 21 | $45,642 | $3,133 | $2,504 |
| Floyd Memorial Hospital and Health ServicesNew Albany | 21 | $41,177 | $3,084 | $2,457 |
| Community Hospital of Anderson and Madison CountyAnderson | 20 | $19,394 | $3,000 | $2,365 |
| St Mary Medical Center INCHobart | 18 | $20,873 | $3,254 | $2,592 |
| Franciscan St Margaret Health - DyerDyer | 16 | $25,034 | $3,254 | $2,588 |
| Methodist Hospitals, INCGary | 15 | $33,610 | $3,254 | $2,592 |
| Riverview HospitalNoblesville | 15 | $34,819 | $3,125 | $2,490 |
| Johnson Memorial HospitalFranklin | 14 | $21,356 | $2,947 | $2,312 |
| Witham Health ServicesLebanon | 14 | $23,656 | $3,125 | $2,490 |
| Memorial Hospital and Health Care CenterJasper | 14 | $20,103 | $3,084 | $2,457 |
| Schneck Medical CenterSeymour | 13 | $29,803 | $2,959 | $2,318 |
| Dearborn County HospitalLawrenceburg | 13 | $16,986 | $3,084 | $2,449 |
| Major HospitalShelbyville | 13 | $29,234 | $2,933 | $2,298 |
| Indiana University Health North HospitalCarmel | 13 | $20,636 | $3,118 | $2,484 |
| Clark Memorial HospitalJeffersonville | 12 | $62,991 | $3,084 | $2,457 |
| Elkhart General HospitalElkhart | 12 | $15,036 | $2,983 | $2,322 |
| Saint John's Health SystemAnderson | 12 | $22,055 | $3,125 | $2,490 |
| Dupont Hospital LLCFort Wayne | 12 | $45,472 | $3,141 | $2,503 |
| St Vincent Carmel Hospital INCCarmel | 12 | $56,134 | $3,125 | $2,474 |
| Marion General HospitalMarion | 11 | $52,744 | $3,347 | $2,667 |
| Eskenazi HealthIndianapolis | 11 | $24,185 | $3,125 | $2,490 |
| Henry County Memorial HospitalNew Castle | 11 | $12,101 | $3,125 | $2,490 |
| Ascension St Vincent FishersFishers | 11 | $80,937 | $3,125 | $2,473 |
| La Porte Regional Health SystLa Porte | – | – | – | – |
| Howard Regional Health SystemKokomo | – | – | – | – |
| St Catherine Hospital INCEast Chicago | – | – | – | – |
| St Joseph Hospital & Health Center INCKokomo | – | – | – | – |
| Franciscan Health CrawfordsvilleCrawfordsville | – | – | – | – |
| Hancock Regional HospitalGreenfield | – | – | – | – |
| Dekalb Memorial Hospital INCAuburn | – | – | – | – |
| Terre Haute Regional HospitalTerre Haute | – | – | – | – |
| St Joseph HospitalFort Wayne | – | – | – | – |
| St Francis Hospital MooresvilleMooresville | – | – | – | – |
| Daviess Community HospitalWashington | – | – | – | – |
| King's Daughters' Hospital and Health Services,TheMadison | – | – | – | – |
| Memorial HospitalLogansport | – | – | – | – |
| Community Hospital EastIndianapolis | – | – | – | – |
| Bluffton Regional Medical CenterBluffton | – | – | – | – |
| Saint Joseph's Regional Medical Center - PlymouthPlymouth | – | – | – | – |
| Parkview Huntington HospitalHuntington | – | – | – | – |
| Parkview Whitley HospitalColumbia City | – | – | – | – |
| Kosciusko Community HospitalWarsaw | – | – | – | – |
| Parkview Noble HospitalKendallville | – | – | – | – |
| Franciscan Physicians Hospital LLCMunster | – | – | – | – |
| Pinnacle HospitalCrown Point | – | – | – | – |
| Physicians' Medical Center LLCNew Albany | – | – | – | – |
| Unity Medical and Surgical HospitalMishawaka | – | – | – | – |
| Monroe HospitalBloomington | – | – | – | – |
| Franciscan Health Orthopedic Hospital CarmelCarmel | – | – | – | – |
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
| Major HospitalShelbyville, IN | $2,933 |
|---|---|
| Johnson Memorial HospitalFranklin, IN | $2,947 |
| Schneck Medical CenterSeymour, IN | $2,959 |
| Elkhart General HospitalElkhart, IN | $2,983 |
| Community Hospital of Anderson and Madison CountyAnderson, IN | $3,000 |
Highest
| Marion General HospitalMarion, IN | $3,347 |
|---|---|
| Franciscan St Margaret Health - DyerDyer, IN | $3,254 |
| Methodist Hospitals, INCGary, IN | $3,254 |
| St Mary Medical Center INCHobart, IN | $3,254 |
| Community HospitalMunster, IN | $3,217 |
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures in other states
Questions
How much does level 1 abdominal/peritoneal/biliary and related procedures cost in Indiana?
In 2024 Medicare data, level 1 abdominal/peritoneal/biliary and related procedures (APC 5341) at 74 hospitals in Indiana was billed at $27,677 on average, while the average medicare-allowed amount was $3,111, of which Medicare paid $2,471. 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 8.9 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.