facebook tracking Major small and large bowel procedures without complications cost in Indiana: 13 hospitals compared (DRG 331)

Major small and large bowel procedures without complications in Indiana

What 13 hospitals in Indiana charged and were paid for a Medicare hospital stay for major small and large bowel procedures without complications (DRG 331), from 2024 Medicare claims.

DRG 331 Inpatient 2024 Medicare data
Average charge $74,403 Hospital list price billed
Average payment $14,297 Medicare + patient + other payers
Medicare paid $10,830 Average per stay
State rank #13 of 42 1 = lowest average payment

Hospitals in Indiana billed an average of $74,403 for major small and large bowel procedures without complications, about 5.2 times the average total payment of $14,297. That payment is 11% below the U.S. average of $16,035.

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 $14,297Billed $74,403

About 19¢ was paid for every $1 hospitals in Indiana billed for this stay.

Indiana hospitals: major small and large bowel 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
Deaconess Hospital INCEvansville 49 $46,751 $13,681 $9,936
Franciscan Health IndianapolisIndianapolis 25 $72,071 $14,850 $10,220
Parkview HospitalFort Wayne 24 $109,206 $15,219 $10,487
Clarian Health PartnersIndianapolis 24 $88,000 $17,521 $14,695
St Vincent Carmel Hospital INCCarmel 20 $83,494 $13,130 $10,148
St Mary's Medical Center of Evansville INCEvansville 19 $71,199 $13,657 $10,508
Floyd Memorial Hospital and Health ServicesNew Albany 18 $103,905 $11,336 $9,949
St Vincent Hospital & Health ServicesIndianapolis 18 $95,859 $15,970 $11,845
Community HospitalMunster 14 $55,654 $14,075 $8,907
Indiana University Health North HospitalCarmel 14 $68,464 $12,239 $10,840
Memorial Hospital of South BendSouth Bend 13 $44,296 $15,667 $9,722
St Francis Hospital MooresvilleMooresville 12 $75,283 $14,922 $13,424
Community Hospital NorthIndianapolis 11 $68,935 $12,667 $11,009
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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.

Highest

Clarian Health PartnersIndianapolis, IN$17,521
St Vincent Hospital & Health ServicesIndianapolis, IN$15,970
Memorial Hospital of South BendSouth Bend, IN$15,667
Parkview HospitalFort Wayne, IN$15,219
St Francis Hospital MooresvilleMooresville, IN$14,922

Major small and large bowel procedures without complications in other states

Questions

How much does major small and large bowel procedures without complications cost in Indiana?

In 2024 Medicare data, a hospital stay for major small and large bowel procedures without complications (DRG 331) at 13 hospitals in Indiana was billed at $74,403 on average, while the average total payment was $14,297, of which Medicare paid $10,830. 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 5.2 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.