facebook tracking Major bladder procedures without complications cost in Indiana: 1 hospitals compared (DRG 655)

Major bladder procedures without complications in Indiana

What 1 hospital in Indiana charged and were paid for a Medicare hospital stay for major bladder procedures without complications (DRG 655), from 2024 Medicare claims.

DRG 655 Inpatient 2024 Medicare data
Average charge $142,808 Hospital list price billed
Average payment $21,742 Medicare + patient + other payers
Medicare paid $17,971 Average per stay
Volume 14 Medicare hospital stays

Hospitals in Indiana billed an average of $142,808 for major bladder procedures without complications, about 6.6 times the average total payment of $21,742. That payment is 23% below the U.S. average of $28,226.

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 $21,742Billed $142,808

About 15¢ was paid for every $1 hospitals in Indiana billed for this stay.

Indiana hospitals: major bladder procedures 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 14 $142,808 $21,742 $17,971
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Major bladder procedures without complications in other states

Questions

How much does major bladder procedures without complications cost in Indiana?

In 2024 Medicare data, a hospital stay for major bladder procedures without complications (DRG 655) at 1 hospital in Indiana was billed at $142,808 on average, while the average total payment was $21,742, of which Medicare paid $17,971. 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 6.6 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.