Simple pneumonia and pleurisy with major complications in Indiana
What 70 hospitals in Indiana charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with major complications (DRG 193), from 2024 Medicare claims.
Average charge
$43,706
Hospital list price billed
Average payment
$10,628
Medicare + patient + other payers
Medicare paid
$8,888
Average per stay
State rank
#13 of 50
1 = lowest average payment
Hospitals in Indiana billed an average of $43,706 for simple pneumonia and pleurisy with major complications, about 4.1 times the average total payment of $10,628. That payment is 12% below the U.S. average of $12,020.
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 $10,628Billed $43,706
About 24¢ was paid for every $1 hospitals in Indiana billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Indiana:
Indiana hospitals: simple pneumonia and pleurisy 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 |
|---|---|---|---|---|
| Union Hospital INCTerre Haute | 195 | $36,193 | $10,234 | $8,873 |
| Deaconess Hospital INCEvansville | 167 | $33,924 | $9,631 | $7,855 |
| Floyd Memorial Hospital and Health ServicesNew Albany | 154 | $43,019 | $9,017 | $7,656 |
| Community HospitalMunster | 117 | $42,718 | $9,943 | $7,821 |
| Parkview HospitalFort Wayne | 113 | $40,580 | $10,273 | $8,898 |
| Franciscan St Anthony Health - Crown PointCrown Point | 104 | $42,649 | $10,005 | $8,050 |
| Franciscan Health IndianapolisIndianapolis | 102 | $66,301 | $11,638 | $8,780 |
| Indiana University Health Arnett HospitalLafayette | 102 | $40,093 | $10,470 | $8,419 |
| Porter, Valparaiso HospitalValparaiso | 101 | $81,660 | $9,364 | $7,637 |
| Reid Hosp & Hlth Care ServicesRichmond | 96 | $26,497 | $11,095 | $9,429 |
| Franciscan St Anthony Health - Michigan CityMichigan City | 88 | $55,194 | $10,588 | $8,036 |
| Ball Memorial Hospital INCMuncie | 87 | $45,487 | $10,738 | $9,093 |
| Clark Memorial HospitalJeffersonville | 86 | $48,962 | $9,719 | $8,545 |
| Bloomington HospitalBloomington | 82 | $43,383 | $9,862 | $8,412 |
| St Vincent Hospital & Health ServicesIndianapolis | 80 | $56,538 | $12,662 | $9,947 |
| Saint John's Health SystemAnderson | 73 | $64,725 | $10,986 | $9,905 |
| Methodist Hospitals, INCGary | 69 | $49,888 | $10,898 | $9,310 |
| St Mary's Medical Center of Evansville INCEvansville | 69 | $34,536 | $9,984 | $8,452 |
| Columbus Regional HospitalColumbus | 67 | $28,753 | $9,777 | $8,349 |
| Clarian Health PartnersIndianapolis | 64 | $56,276 | $14,188 | $10,490 |
| Indiana University Health West HospitalAvon | 64 | $56,807 | $9,786 | $8,716 |
| Lutheran Hospital of IndianaFort Wayne | 63 | $86,227 | $9,934 | $8,270 |
| Marion General HospitalMarion | 61 | $18,571 | $10,900 | $8,992 |
| La Porte Regional Health SystLa Porte | 60 | $54,886 | $9,388 | $8,219 |
| Saint Joseph Reg Medical CtrSouth Bend | 59 | $32,488 | $10,905 | $8,937 |
| St Joseph Hospital & Health Center INCKokomo | 58 | $37,729 | $9,943 | $8,697 |
| King's Daughters' Hospital and Health Services,TheMadison | 57 | $29,974 | $10,833 | $9,720 |
| Franciscan St Margaret Health - DyerDyer | 54 | $50,848 | $13,479 | $11,999 |
| Community Hospital SouthIndianapolis | 54 | $38,534 | $10,209 | $8,683 |
| Good Samaritan HospitalVincennes | 52 | $32,787 | $11,799 | $9,818 |
| Hendricks Regional HealthDanville | 51 | $31,038 | $10,057 | $8,673 |
| Franciscan Health LafayetteLafayette | 50 | $35,971 | $10,205 | $8,444 |
| Community Hospital NorthIndianapolis | 50 | $48,253 | $10,655 | $8,882 |
| Memorial Hospital and Health Care CenterJasper | 49 | $29,756 | $10,820 | $8,911 |
| IU Health Goshen HospitalGoshen | 48 | $31,373 | $10,129 | $8,843 |
| Terre Haute Regional HospitalTerre Haute | 48 | $65,123 | $9,880 | $8,349 |
| Community Hospital of Anderson and Madison CountyAnderson | 47 | $27,929 | $9,659 | $8,203 |
| Franciscan Physicians Hospital LLCMunster | 47 | $40,757 | $10,763 | $8,279 |
| St Mary Medical Center INCHobart | 45 | $40,095 | $11,098 | $7,694 |
| Major HospitalShelbyville | 44 | $34,982 | $12,451 | $9,992 |
| Riverview HospitalNoblesville | 42 | $55,654 | $11,088 | $9,477 |
| Elkhart General HospitalElkhart | 41 | $48,296 | $10,104 | $8,736 |
| St Francis Hospital MooresvilleMooresville | 40 | $42,629 | $12,552 | $10,638 |
| Howard Regional Health SystemKokomo | 38 | $36,621 | $9,726 | $8,027 |
| Indiana University Health North HospitalCarmel | 37 | $46,029 | $9,451 | $8,304 |
| Dearborn County HospitalLawrenceburg | 32 | $24,047 | $9,428 | $6,918 |
| St Vincent Carmel Hospital INCCarmel | 32 | $48,084 | $10,139 | $8,268 |
| Franciscan Health CrawfordsvilleCrawfordsville | 28 | $35,554 | $13,024 | $10,964 |
| Memorial Hospital of South BendSouth Bend | 28 | $52,833 | $10,835 | $8,511 |
| Community Hospital EastIndianapolis | 28 | $37,178 | $10,950 | $9,797 |
| Parkview Huntington HospitalHuntington | 27 | $26,654 | $12,582 | $11,193 |
| St Catherine Hospital INCEast Chicago | 23 | $49,823 | $10,709 | $9,720 |
| Hancock Regional HospitalGreenfield | 23 | $28,275 | $10,252 | $8,921 |
| Parkview Whitley HospitalColumbia City | 23 | $29,304 | $12,510 | $10,901 |
| Daviess Community HospitalWashington | 21 | $26,253 | $11,252 | $10,008 |
| Witham Health ServicesLebanon | 21 | $45,436 | $11,234 | $9,835 |
| Bluffton Regional Medical CenterBluffton | 20 | $49,741 | $11,910 | $10,767 |
| Saint Joseph's Regional Medical Center - PlymouthPlymouth | 19 | $28,880 | $11,777 | $10,403 |
| Eskenazi HealthIndianapolis | 18 | $46,383 | $17,916 | $16,108 |
| Parkview Noble HospitalKendallville | 18 | $26,240 | $13,512 | $12,063 |
| Kosciusko Community HospitalWarsaw | 17 | $68,267 | $9,505 | $8,355 |
| Monroe HospitalBloomington | 17 | $28,976 | $9,880 | $7,513 |
| Johnson Memorial HospitalFranklin | 15 | $37,076 | $9,778 | $8,366 |
| Henry County Memorial HospitalNew Castle | 14 | $37,200 | $11,992 | $10,827 |
| Memorial HospitalLogansport | 14 | $27,154 | $13,507 | $12,458 |
| Dekalb Memorial Hospital INCAuburn | 12 | $25,363 | $11,823 | $10,599 |
| St Joseph HospitalFort Wayne | 12 | $59,277 | $15,466 | $12,266 |
| Dupont Hospital LLCFort Wayne | 12 | $84,805 | $10,484 | $9,260 |
| Ascension St Vincent FishersFishers | 12 | $32,907 | $10,923 | $9,699 |
| Schneck Medical CenterSeymour | 11 | $31,372 | $12,869 | $10,320 |
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
| Floyd Memorial Hospital and Health ServicesNew Albany, IN | $9,017 |
|---|---|
| Porter, Valparaiso HospitalValparaiso, IN | $9,364 |
| La Porte Regional Health SystLa Porte, IN | $9,388 |
| Dearborn County HospitalLawrenceburg, IN | $9,428 |
| Indiana University Health North HospitalCarmel, IN | $9,451 |
Highest
| Eskenazi HealthIndianapolis, IN | $17,916 |
|---|---|
| St Joseph HospitalFort Wayne, IN | $15,466 |
| Clarian Health PartnersIndianapolis, IN | $14,188 |
| Parkview Noble HospitalKendallville, IN | $13,512 |
| Memorial HospitalLogansport, IN | $13,507 |
Simple pneumonia and pleurisy with major complications in other states
Questions
How much does simple pneumonia and pleurisy with major complications cost in Indiana?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with major complications (DRG 193) at 70 hospitals in Indiana was billed at $43,706 on average, while the average total payment was $10,628, of which Medicare paid $8,888. 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 4.1 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.