facebook tracking Major chest procedures with complications cost in Indiana: 11 hospitals compared (DRG 164)

Major chest procedures with complications in Indiana

What 11 hospitals in Indiana charged and were paid for a Medicare hospital stay for major chest procedures with complications (DRG 164), from 2024 Medicare claims.

DRG 164 Inpatient 2024 Medicare data
Average charge $132,327 Hospital list price billed
Average payment $22,093 Medicare + patient + other payers
Medicare paid $17,368 Average per stay
State rank #14 of 41 1 = lowest average payment

Hospitals in Indiana billed an average of $132,327 for major chest procedures with complications, about 6.0 times the average total payment of $22,093. That payment is 13% below the U.S. average of $25,501.

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 $22,093Billed $132,327

About 17¢ was paid for every $1 hospitals in Indiana billed for this stay.

Indiana hospitals: major chest procedures with 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 30 $136,565 $26,601 $21,252
Community Hospital EastIndianapolis 29 $109,304 $21,360 $18,364
St Vincent Hospital & Health ServicesIndianapolis 21 $128,052 $23,465 $18,500
Franciscan Health IndianapolisIndianapolis 19 $176,375 $22,304 $15,616
Parkview HospitalFort Wayne 17 $143,923 $22,181 $16,917
Floyd Memorial Hospital and Health ServicesNew Albany 15 $196,081 $17,379 $14,012
Deaconess Hospital INCEvansville 14 $63,850 $20,179 $15,818
St Mary Medical Center INCHobart 12 $78,390 $21,019 $15,814
Lutheran Hospital of IndianaFort Wayne 11 $190,064 $25,584 $14,193
St Mary's Medical Center of Evansville INCEvansville 11 $139,845 $19,152 $17,925
Community HospitalMunster 11 $89,431 $18,097 $16,581
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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

Highest

Clarian Health PartnersIndianapolis, IN$26,601
Lutheran Hospital of IndianaFort Wayne, IN$25,584
St Vincent Hospital & Health ServicesIndianapolis, IN$23,465
Franciscan Health IndianapolisIndianapolis, IN$22,304
Parkview HospitalFort Wayne, IN$22,181

Major chest procedures with complications in other states

Questions

How much does major chest procedures with complications cost in Indiana?

In 2024 Medicare data, a hospital stay for major chest procedures with complications (DRG 164) at 11 hospitals in Indiana was billed at $132,327 on average, while the average total payment was $22,093, of which Medicare paid $17,368. 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.