facebook tracking Other disorders of nervous system with major complications cost in Indiana: 13 hospitals compared (DRG 091)

Other disorders of nervous system with major complications in Indiana

What 13 hospitals in Indiana charged and were paid for a Medicare hospital stay for other disorders of nervous system with major complications (DRG 091), from 2024 Medicare claims.

DRG 091 Inpatient 2024 Medicare data
Average charge $57,585 Hospital list price billed
Average payment $14,588 Medicare + patient + other payers
Medicare paid $12,370 Average per stay
State rank #5 of 39 1 = lowest average payment

Hospitals in Indiana billed an average of $57,585 for other disorders of nervous system with major complications, about 3.9 times the average total payment of $14,588. That payment is 21% below the U.S. average of $18,533.

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 $14,588Billed $57,585

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

Indiana hospitals: other disorders of nervous system 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
Clarian Health PartnersIndianapolis 26 $85,351 $20,669 $15,818
Deaconess Hospital INCEvansville 25 $49,786 $13,466 $10,764
Bloomington HospitalBloomington 17 $66,145 $12,243 $11,125
St Vincent Hospital & Health ServicesIndianapolis 16 $77,237 $14,810 $11,831
Ball Memorial Hospital INCMuncie 16 $47,385 $14,594 $12,914
Franciscan Health IndianapolisIndianapolis 16 $71,757 $14,829 $11,288
Community HospitalMunster 15 $45,086 $12,686 $11,783
Reid Hosp & Hlth Care ServicesRichmond 14 $31,180 $15,206 $12,862
Indiana University Health West HospitalAvon 13 $68,403 $12,357 $11,230
Union Hospital INCTerre Haute 12 $29,263 $12,165 $11,036
Clark Memorial HospitalJeffersonville 11 $50,073 $12,084 $10,882
Parkview HospitalFort Wayne 11 $49,121 $12,097 $11,065
Franciscan St Margaret Health - DyerDyer 11 $46,839 $17,793 $17,125
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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

Clark Memorial HospitalJeffersonville, IN$12,084
Parkview HospitalFort Wayne, IN$12,097
Union Hospital INCTerre Haute, IN$12,165
Bloomington HospitalBloomington, IN$12,243
Indiana University Health West HospitalAvon, IN$12,357

Highest

Clarian Health PartnersIndianapolis, IN$20,669
Franciscan St Margaret Health - DyerDyer, IN$17,793
Reid Hosp & Hlth Care ServicesRichmond, IN$15,206
Franciscan Health IndianapolisIndianapolis, IN$14,829
St Vincent Hospital & Health ServicesIndianapolis, IN$14,810

Other disorders of nervous system with major complications in other states

Questions

How much does other disorders of nervous system with major complications cost in Indiana?

In 2024 Medicare data, a hospital stay for other disorders of nervous system with major complications (DRG 091) at 13 hospitals in Indiana was billed at $57,585 on average, while the average total payment was $14,588, of which Medicare paid $12,370. 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 3.9 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.