facebook tracking Permanent cardiac pacemaker implant with major complications cost in Indiana: 14 hospitals compared (DRG 242)

Permanent cardiac pacemaker implant with major complications in Indiana

What 14 hospitals in Indiana charged and were paid for a Medicare hospital stay for permanent cardiac pacemaker implant with major complications (DRG 242), from 2024 Medicare claims.

DRG 242 Inpatient 2024 Medicare data
Average charge $131,805 Hospital list price billed
Average payment $26,581 Medicare + patient + other payers
Medicare paid $23,906 Average per stay
State rank #13 of 41 1 = lowest average payment

Hospitals in Indiana billed an average of $131,805 for permanent cardiac pacemaker implant with major complications, about 5.0 times the average total payment of $26,581. That payment is 13% below the U.S. average of $30,574.

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 $26,581Billed $131,805

About 20¢ was paid for every $1 hospitals in Indiana billed for this stay.

Indiana hospitals: permanent cardiac pacemaker implant 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
Deaconess Hospital INCEvansville 36 $91,416 $24,640 $21,901
St Vincent Heart Center of Indiana LLCIndianapolis 26 $148,927 $24,919 $23,728
Franciscan Health IndianapolisIndianapolis 25 $203,443 $30,503 $24,691
St Mary's Medical Center of Evansville INCEvansville 22 $129,871 $26,027 $23,561
Union Hospital INCTerre Haute 21 $114,206 $25,091 $23,634
Community Hospital EastIndianapolis 21 $115,098 $26,856 $25,804
St Vincent Hospital & Health ServicesIndianapolis 17 $156,376 $31,441 $28,175
Community HospitalMunster 14 $104,230 $24,502 $23,279
Franciscan Health LafayetteLafayette 13 $159,703 $27,612 $24,714
Franciscan St Anthony Health - Crown PointCrown Point 13 $111,954 $28,389 $18,958
Parkview HospitalFort Wayne 12 $119,908 $25,751 $24,549
Bloomington HospitalBloomington 12 $131,243 $23,853 $22,564
Lutheran Hospital of IndianaFort Wayne 11 $186,130 $25,325 $23,502
Reid Hosp & Hlth Care ServicesRichmond 11 $76,951 $28,298 $26,945
Advertisement

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

Bloomington HospitalBloomington, IN$23,853
Community HospitalMunster, IN$24,502
Deaconess Hospital INCEvansville, IN$24,640
St Vincent Heart Center of Indiana LLCIndianapolis, IN$24,919
Union Hospital INCTerre Haute, IN$25,091

Highest

Permanent cardiac pacemaker implant with major complications in other states

Questions

How much does permanent cardiac pacemaker implant with major complications cost in Indiana?

In 2024 Medicare data, a hospital stay for permanent cardiac pacemaker implant with major complications (DRG 242) at 14 hospitals in Indiana was billed at $131,805 on average, while the average total payment was $26,581, of which Medicare paid $23,906. 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 5.0 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.