facebook tracking Other digestive system diagnoses with complications cost in Indiana: 26 hospitals compared (DRG 394)

Other digestive system diagnoses with complications in Indiana

What 26 hospitals in Indiana charged and were paid for a Medicare hospital stay for other digestive system diagnoses with complications (DRG 394), from 2024 Medicare claims.

DRG 394 Inpatient 2024 Medicare data
Average charge $37,535 Hospital list price billed
Average payment $8,315 Medicare + patient + other payers
Medicare paid $6,571 Average per stay
State rank #13 of 46 1 = lowest average payment

Hospitals in Indiana billed an average of $37,535 for other digestive system diagnoses with complications, about 4.5 times the average total payment of $8,315. That payment is 13% below the U.S. average of $9,547.

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 $8,315Billed $37,535

About 22¢ was paid for every $1 hospitals in Indiana billed for this stay.

Indiana hospitals: other digestive system diagnoses 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 55 $58,904 $15,243 $10,399
Deaconess Hospital INCEvansville 46 $23,090 $7,145 $5,735
Parkview HospitalFort Wayne 43 $42,571 $7,510 $6,099
Franciscan Health IndianapolisIndianapolis 38 $36,115 $7,871 $6,275
St Vincent Hospital & Health ServicesIndianapolis 33 $48,443 $9,571 $6,849
Floyd Memorial Hospital and Health ServicesNew Albany 25 $39,212 $6,319 $5,186
Indiana University Health North HospitalCarmel 25 $31,933 $6,973 $6,124
Ball Memorial Hospital INCMuncie 24 $38,547 $7,524 $6,192
Community HospitalMunster 22 $29,130 $6,892 $5,897
Indiana University Health Arnett HospitalLafayette 22 $38,392 $7,365 $6,031
Community Hospital NorthIndianapolis 21 $35,211 $7,613 $6,570
Lutheran Hospital of IndianaFort Wayne 20 $46,215 $7,530 $6,474
Porter, Valparaiso HospitalValparaiso 19 $56,686 $6,511 $4,963
Saint Joseph Reg Medical CtrSouth Bend 18 $26,947 $8,247 $6,485
Union Hospital INCTerre Haute 17 $22,525 $7,469 $6,445
Reid Hosp & Hlth Care ServicesRichmond 16 $28,605 $7,833 $6,432
St Mary's Medical Center of Evansville INCEvansville 16 $35,573 $7,556 $6,639
Franciscan St Anthony Health - Michigan CityMichigan City 15 $37,437 $7,506 $6,853
Indiana University Health West HospitalAvon 15 $39,757 $7,021 $5,716
Memorial Hospital of South BendSouth Bend 14 $28,765 $7,476 $6,109
Franciscan Physicians Hospital LLCMunster 14 $27,266 $9,141 $5,266
Bloomington HospitalBloomington 13 $33,260 $7,242 $6,058
Columbus Regional HospitalColumbus 13 $21,763 $7,432 $5,969
St Mary Medical Center INCHobart 12 $36,999 $6,978 $6,126
Riverview HospitalNoblesville 12 $29,197 $7,997 $6,695
Franciscan St Margaret Health - DyerDyer 11 $32,028 $9,635 $8,491
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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.

Other digestive system diagnoses with complications in other states

Questions

How much does other digestive system diagnoses with complications cost in Indiana?

In 2024 Medicare data, a hospital stay for other digestive system diagnoses with complications (DRG 394) at 26 hospitals in Indiana was billed at $37,535 on average, while the average total payment was $8,315, of which Medicare paid $6,571. 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 4.5 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.