Lower extremity and humerus procedures except hip, foot and femur without complications in Indiana
What 3 hospitals in Indiana charged and were paid for a Medicare hospital stay for lower extremity and humerus procedures except hip, foot and femur without complications (DRG 494), from 2024 Medicare claims.
Average charge
$106,845
Hospital list price billed
Average payment
$17,794
Medicare + patient + other payers
Medicare paid
$13,610
Average per stay
State rank
#8 of 13
1 = lowest average payment
Hospitals in Indiana billed an average of $106,845 for lower extremity and humerus procedures except hip, foot and femur without complications, about 6.0 times the average total payment of $17,794. That payment is 2% below the U.S. average of $18,176.
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 $17,794Billed $106,845
About 17¢ was paid for every $1 hospitals in Indiana billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Indiana:
Indiana hospitals: lower extremity and humerus procedures except hip, foot and femur without 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 |
|---|---|---|---|---|
| Clarian Health PartnersIndianapolis | 22 | $137,522 | $21,340 | $14,619 |
| St Vincent Hospital & Health ServicesIndianapolis | 14 | $103,602 | $15,534 | $13,272 |
| Deaconess Hospital INCEvansville | 11 | $49,620 | $13,577 | $12,021 |
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
| Deaconess Hospital INCEvansville, IN | $13,577 |
|---|---|
| St Vincent Hospital & Health ServicesIndianapolis, IN | $15,534 |
| Clarian Health PartnersIndianapolis, IN | $21,340 |
Highest
| Clarian Health PartnersIndianapolis, IN | $21,340 |
|---|---|
| St Vincent Hospital & Health ServicesIndianapolis, IN | $15,534 |
| Deaconess Hospital INCEvansville, IN | $13,577 |
Lower extremity and humerus procedures except hip, foot and femur without complications in other states
Questions
How much does lower extremity and humerus procedures except hip, foot and femur without complications cost in Indiana?
In 2024 Medicare data, a hospital stay for lower extremity and humerus procedures except hip, foot and femur without complications (DRG 494) at 3 hospitals in Indiana was billed at $106,845 on average, while the average total payment was $17,794, of which Medicare paid $13,610. 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 6.0 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.