facebook tracking Trauma to the skin, subcutaneous tissue and breast without major complications cost in Indiana: 5 hospitals compared (DRG 605)

Trauma to the skin, subcutaneous tissue and breast without major complications in Indiana

What 5 hospitals in Indiana charged and were paid for a Medicare hospital stay for trauma to the skin, subcutaneous tissue and breast without major complications (DRG 605), from 2024 Medicare claims.

DRG 605 Inpatient 2024 Medicare data
Average charge $38,400 Hospital list price billed
Average payment $8,252 Medicare + patient + other payers
Medicare paid $6,499 Average per stay
State rank #11 of 25 1 = lowest average payment

Hospitals in Indiana billed an average of $38,400 for trauma to the skin, subcutaneous tissue and breast without major complications, about 4.7 times the average total payment of $8,252. That payment is 12% below the U.S. average of $9,406.

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 $8,252Billed $38,400

About 21¢ 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: trauma to the skin, subcutaneous tissue and breast 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
St Vincent Hospital & Health ServicesIndianapolis 17 $47,503 $9,111 $7,015
Parkview HospitalFort Wayne 15 $21,671 $7,704 $6,330
Union Hospital INCTerre Haute 14 $23,373 $7,188 $6,002
Deaconess Hospital INCEvansville 14 $26,177 $6,964 $5,356
Clarian Health PartnersIndianapolis 11 $81,829 $10,666 $8,019
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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

Deaconess Hospital INCEvansville, IN$6,964
Union Hospital INCTerre Haute, IN$7,188
Parkview HospitalFort Wayne, IN$7,704
St Vincent Hospital & Health ServicesIndianapolis, IN$9,111
Clarian Health PartnersIndianapolis, IN$10,666

Highest

Clarian Health PartnersIndianapolis, IN$10,666
St Vincent Hospital & Health ServicesIndianapolis, IN$9,111
Parkview HospitalFort Wayne, IN$7,704
Union Hospital INCTerre Haute, IN$7,188
Deaconess Hospital INCEvansville, IN$6,964

Trauma to the skin, subcutaneous tissue and breast without major complications in other states

Questions

How much does trauma to the skin, subcutaneous tissue and breast without major complications cost in Indiana?

In 2024 Medicare data, a hospital stay for trauma to the skin, subcutaneous tissue and breast without major complications (DRG 605) at 5 hospitals in Indiana was billed at $38,400 on average, while the average total payment was $8,252, of which Medicare paid $6,499. 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 4.7 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.