facebook tracking Pulmonary embolism with major complications or acute cor pulmonale cost in Indiana: 24 hospitals compared (DRG 175)

Pulmonary embolism with major complications or acute cor pulmonale in Indiana

What 24 hospitals in Indiana charged and were paid for a Medicare hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175), from 2024 Medicare claims.

DRG 175 Inpatient 2024 Medicare data
Average charge $50,700 Hospital list price billed
Average payment $11,376 Medicare + patient + other payers
Medicare paid $9,555 Average per stay
State rank #10 of 48 1 = lowest average payment

Hospitals in Indiana billed an average of $50,700 for pulmonary embolism with major complications or acute cor pulmonale, about 4.5 times the average total payment of $11,376. That payment is 16% below the U.S. average of $13,466.

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 $11,376Billed $50,700

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

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Indiana:

Indiana hospitals: pulmonary embolism with major complications or acute cor pulmonale

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 45 $37,255 $10,779 $9,446
Deaconess Hospital INCEvansville 35 $37,424 $9,910 $8,775
St Vincent Hospital & Health ServicesIndianapolis 32 $49,157 $13,825 $10,785
Franciscan St Anthony Health - Crown PointCrown Point 24 $44,232 $10,030 $8,805
Franciscan Health LafayetteLafayette 21 $61,648 $12,869 $8,402
Franciscan Health IndianapolisIndianapolis 21 $111,266 $9,997 $8,688
Clarian Health PartnersIndianapolis 20 $65,504 $15,992 $12,135
Memorial Hospital of South BendSouth Bend 20 $48,364 $10,765 $8,938
Community HospitalMunster 20 $45,909 $10,150 $8,513
Ball Memorial Hospital INCMuncie 19 $51,831 $11,581 $9,910
Union Hospital INCTerre Haute 17 $32,052 $11,066 $9,833
Reid Hosp & Hlth Care ServicesRichmond 17 $30,664 $11,576 $10,360
Lutheran Hospital of IndianaFort Wayne 16 $83,344 $11,292 $8,529
Indiana University Health North HospitalCarmel 15 $36,606 $9,525 $8,546
Indiana University Health Arnett HospitalLafayette 15 $55,072 $10,472 $9,377
St Mary's Medical Center of Evansville INCEvansville 14 $50,853 $10,517 $9,377
Elkhart General HospitalElkhart 13 $47,529 $10,195 $9,051
Columbus Regional HospitalColumbus 13 $29,823 $10,581 $8,175
Franciscan St Anthony Health - Michigan CityMichigan City 12 $64,835 $10,828 $9,604
St Mary Medical Center INCHobart 12 $51,491 $11,411 $8,272
Floyd Memorial Hospital and Health ServicesNew Albany 12 $52,197 $9,652 $8,805
Saint Joseph Reg Medical CtrSouth Bend 11 $38,494 $11,201 $9,781
Eskenazi HealthIndianapolis 11 $38,056 $20,427 $18,535
Porter, Valparaiso HospitalValparaiso 11 $74,812 $9,721 $8,977
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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

Eskenazi HealthIndianapolis, IN$20,427
Clarian Health PartnersIndianapolis, IN$15,992
St Vincent Hospital & Health ServicesIndianapolis, IN$13,825
Franciscan Health LafayetteLafayette, IN$12,869
Ball Memorial Hospital INCMuncie, IN$11,581

Pulmonary embolism with major complications or acute cor pulmonale in other states

Questions

How much does pulmonary embolism with major complications or acute cor pulmonale cost in Indiana?

In 2024 Medicare data, a hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175) at 24 hospitals in Indiana was billed at $50,700 on average, while the average total payment was $11,376, of which Medicare paid $9,555. 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.