Malignant breast disorders with major complications in Indiana
What 1 hospital in Indiana charged and were paid for a Medicare hospital stay for malignant breast disorders with major complications (DRG 597), from 2024 Medicare claims.
Average charge
$57,042
Hospital list price billed
Average payment
$12,902
Medicare + patient + other payers
Medicare paid
$12,074
Average per stay
Volume
12
Medicare hospital stays
Hospitals in Indiana billed an average of $57,042 for malignant breast disorders with major complications, about 4.4 times the average total payment of $12,902. That payment is 28% below the U.S. average of $17,972.
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 $12,902Billed $57,042
About 23¢ was paid for every $1 hospitals in Indiana billed for this stay.
Indiana hospitals: malignant breast disorders with major 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 |
|---|---|---|---|---|
| Parkview HospitalFort Wayne | 12 | $57,042 | $12,902 | $12,074 |
Malignant breast disorders with major complications in other states
Questions
How much does malignant breast disorders with major complications cost in Indiana?
In 2024 Medicare data, a hospital stay for malignant breast disorders with major complications (DRG 597) at 1 hospital in Indiana was billed at $57,042 on average, while the average total payment was $12,902, of which Medicare paid $12,074. 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 4.4 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.