facebook tracking Pulmonary embolism without major complications cost in Indiana: 13 hospitals compared (DRG 176)

Pulmonary embolism without major complications in Indiana

What 13 hospitals in Indiana charged and were paid for a Medicare hospital stay for pulmonary embolism without major complications (DRG 176), from 2024 Medicare claims.

DRG 176 Inpatient 2024 Medicare data
Average charge $32,117 Hospital list price billed
Average payment $6,980 Medicare + patient + other payers
Medicare paid $5,140 Average per stay
State rank #7 of 39 1 = lowest average payment

Hospitals in Indiana billed an average of $32,117 for pulmonary embolism without major complications, about 4.6 times the average total payment of $6,980. That payment is 16% below the U.S. average of $8,294.

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 $6,980Billed $32,117

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 without 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 24 $26,370 $6,868 $5,598
Floyd Memorial Hospital and Health ServicesNew Albany 20 $55,720 $5,934 $4,314
Deaconess Hospital INCEvansville 20 $23,016 $6,658 $4,645
Clarian Health PartnersIndianapolis 19 $35,793 $9,783 $6,976
Elkhart General HospitalElkhart 18 $26,091 $7,319 $4,511
St Vincent Hospital & Health ServicesIndianapolis 15 $28,613 $7,966 $6,093
Memorial Hospital of South BendSouth Bend 13 $31,410 $6,850 $5,640
Ball Memorial Hospital INCMuncie 13 $34,509 $7,128 $5,456
Franciscan St Anthony Health - Crown PointCrown Point 12 $32,210 $6,130 $4,863
Union Hospital INCTerre Haute 11 $21,489 $6,451 $4,716
Porter, Valparaiso HospitalValparaiso 11 $46,062 $5,868 $4,533
St Mary's Medical Center of Evansville INCEvansville 11 $25,994 $6,107 $4,532
Community HospitalMunster 11 $27,283 $6,385 $4,075
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.

Highest

Clarian Health PartnersIndianapolis, IN$9,783
St Vincent Hospital & Health ServicesIndianapolis, IN$7,966
Elkhart General HospitalElkhart, IN$7,319
Ball Memorial Hospital INCMuncie, IN$7,128
Parkview HospitalFort Wayne, IN$6,868

Pulmonary embolism without major complications in other states

Questions

How much does pulmonary embolism without major complications cost in Indiana?

In 2024 Medicare data, a hospital stay for pulmonary embolism without major complications (DRG 176) at 13 hospitals in Indiana was billed at $32,117 on average, while the average total payment was $6,980, of which Medicare paid $5,140. 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 4.6 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.