facebook tracking Level 2 ICD and Similar Procedures cost in Indiana: 39 hospitals compared (APC 5232)

Level 2 ICD and Similar Procedures in Indiana

What 39 hospitals in Indiana charged and were paid for level 2 icd and similar procedures (APC 5232), from 2024 Medicare claims.

APC 5232 Outpatient 2024 Medicare data
Average charge $150,457 Hospital list price billed
Average allowed $29,813 Medicare's payment + patient's share
Medicare paid $28,180 Average per service
State rank #24 of 47 1 = lowest average payment

Hospitals in Indiana billed an average of $150,457 for level 2 icd and similar procedures, about 5.0 times the average medicare-allowed amount of $29,813. That payment is 4% below the U.S. average of $31,009.

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 $29,813Billed $150,457

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

Indiana hospitals: level 2 icd and similar 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
St Vincent Hospital & Health ServicesIndianapolis 56 $131,589 $29,435 $27,803
Community Hospital EastIndianapolis 53 $143,257 $29,887 $28,255
Parkview HospitalFort Wayne 46 $175,455 $30,289 $28,657
St Vincent Heart Center of Indiana LLCIndianapolis 45 $110,534 $29,627 $27,990
Deaconess Hospital INCEvansville 39 $94,400 $29,238 $27,606
Community HospitalMunster 37 $99,436 $30,045 $28,406
Lutheran Hospital of IndianaFort Wayne 35 $248,195 $29,706 $28,074
Union Hospital INCTerre Haute 35 $109,659 $29,627 $27,991
Floyd Memorial Hospital and Health ServicesNew Albany 31 $371,031 $29,238 $27,606
Clarian Health PartnersIndianapolis 31 $115,394 $29,887 $28,255
Franciscan Health IndianapolisIndianapolis 31 $161,945 $29,887 $28,255
St Mary's Medical Center of Evansville INCEvansville 23 $151,828 $29,238 $27,606
Bloomington HospitalBloomington 22 $107,702 $29,627 $27,995
Reid Hosp & Hlth Care ServicesRichmond 21 $100,225 $31,312 $29,680
St Mary Medical Center INCHobart 19 $110,093 $30,848 $29,216
Memorial Hospital of South BendSouth Bend 19 $110,155 $29,602 $27,970
Franciscan St Margaret Health - DyerDyer 18 $167,087 $30,848 $29,216
Community Hospital SouthIndianapolis 18 $119,261 $29,887 $28,255
Porter, Valparaiso HospitalValparaiso 16 $327,578 $29,259 $27,627
Franciscan St Anthony Health - Michigan CityMichigan City 14 $130,919 $29,238 $27,606
Ball Memorial Hospital INCMuncie 14 $127,271 $29,655 $28,023
Columbus Regional HospitalColumbus 12 $75,339 $30,178 $28,546
Franciscan St Anthony Health - Crown PointCrown Point 12 $110,749 $30,848 $29,216
La Porte Regional Health SystLa Porte 11 $237,683 $29,238 $27,606
Methodist Hospitals, INCGary – – – –
Howard Regional Health SystemKokomo – – – –
St Catherine Hospital INCEast Chicago – – – –
Saint Joseph Reg Medical CtrSouth Bend – – – –
Elkhart General HospitalElkhart – – – –
Eskenazi HealthIndianapolis – – – –
IU Health Goshen HospitalGoshen – – – –
Terre Haute Regional HospitalTerre Haute – – – –
Riverview HospitalNoblesville – – – –
Dearborn County HospitalLawrenceburg – – – –
Franciscan Health LafayetteLafayette – – – –
Memorial Hospital and Health Care CenterJasper – – – –
Indiana University Health West HospitalAvon – – – –
Pinnacle HospitalCrown Point – – – –
Indiana University Health Arnett HospitalLafayette – – – –
Advertisement

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.

Level 2 ICD and Similar Procedures in other states

Questions

How much does level 2 icd and similar procedures cost in Indiana?

In 2024 Medicare data, level 2 icd and similar procedures (APC 5232) at 39 hospitals in Indiana was billed at $150,457 on average, while the average medicare-allowed amount was $29,813, of which Medicare paid $28,180. 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.