facebook tracking Major hematological and immunological diagnoses except sickle cell crisis and coagulatio cost in Indiana: 3 hospitals compared (DRG 808)

Major hematological and immunological diagnoses except sickle cell crisis and coagulatio in Indiana

What 3 hospitals in Indiana charged and were paid for a Medicare hospital stay for major hematological and immunological diagnoses except sickle cell crisis and coagulatio (DRG 808), from 2024 Medicare claims.

DRG 808 Inpatient 2024 Medicare data
Average charge $80,347 Hospital list price billed
Average payment $20,073 Medicare + patient + other payers
Medicare paid $16,278 Average per stay
State rank #2 of 18 1 = lowest average payment

Hospitals in Indiana billed an average of $80,347 for major hematological and immunological diagnoses except sickle cell crisis and coagulatio, about 4.0 times the average total payment of $20,073. That payment is 28% below the U.S. average of $27,957.

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 $20,073Billed $80,347

About 25¢ was paid for every $1 hospitals in Indiana billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Indiana:

Indiana hospitals: major hematological and immunological diagnoses except sickle cell crisis and coagulatio

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
Deaconess Hospital INCEvansville 26 $61,375 $16,889 $15,354
Clarian Health PartnersIndianapolis 15 $140,217 $27,041 $21,385
Community HospitalMunster 15 $53,361 $18,623 $12,773
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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

Deaconess Hospital INCEvansville, IN$16,889
Community HospitalMunster, IN$18,623
Clarian Health PartnersIndianapolis, IN$27,041

Highest

Clarian Health PartnersIndianapolis, IN$27,041
Community HospitalMunster, IN$18,623
Deaconess Hospital INCEvansville, IN$16,889

Major hematological and immunological diagnoses except sickle cell crisis and coagulatio in other states

Questions

How much does major hematological and immunological diagnoses except sickle cell crisis and coagulatio cost in Indiana?

In 2024 Medicare data, a hospital stay for major hematological and immunological diagnoses except sickle cell crisis and coagulatio (DRG 808) at 3 hospitals in Indiana was billed at $80,347 on average, while the average total payment was $20,073, of which Medicare paid $16,278. 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 4.0 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.