Healthcare Pricing Data: CARMEL, IN
4 hospitals with public pricing data · 30 procedures reported to CMS
Hospitals
4
With CMS data
Procedures
30
DRG categories
Avg Charge-to-Medicare Ratio
6.0x
Across all procedures
vs National Average
-15%
Chargemaster rates
About This Data
CARMEL, IN has 4 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 6.0x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)
The procedure with the highest average listed charges in CARMEL is CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WIT (DRG 216), with an average chargemaster rate of $361,925 across reporting hospitals.
Important: Chargemaster rates are hospital list prices and are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage. Use this data as a starting point for understanding pricing in your area.
Procedure Pricing Data
| Procedure | DRG | Avg Listed Charge | Hospitals Reporting | Charge-to-Medicare Ratio |
|---|---|---|---|---|
| HEART FAILURE AND SHOCK WITH MCC | 291 | $47,440 | 3 | 6.2x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $202,431 | 2 | 8.0x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $93,238 | 2 | 6.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $67,609 | 2 | 5.4x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $65,614 | 2 | 5.7x |
| RENAL FAILURE WITH MCC | 682 | $53,309 | 2 | 5.8x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $52,600 | 2 | 6.8x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $51,943 | 2 | 4.7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $48,407 | 2 | 5.9x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $44,314 | 2 | 7.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $42,491 | 2 | 5.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $41,226 | 2 | 6.0x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $37,447 | 2 | 5.3x |
| RENAL FAILURE WITH CC | 683 | $35,324 | 2 | 7.0x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $33,848 | 2 | 5.8x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $28,011 | 2 | 6.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $26,795 | 2 | 5.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $26,149 | 2 | 6.8x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $24,373 | 2 | 5.1x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WIT | 216 | $361,925 | 1 | 5.8x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | 233 | $266,887 | 1 | 5.3x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 219 | $260,334 | 1 | 4.9x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | 266 | $257,896 | 1 | 6.1x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $242,844 | 1 | 5.8x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $223,721 | 1 | 5.5x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $217,395 | 1 | 7.0x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $205,007 | 1 | 6.2x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $203,087 | 1 | 6.3x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 220 | $189,609 | 1 | 5.6x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $177,945 | 1 | 6.0x |
Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.
Hospitals in CARMEL With Pricing Data
Have a bill from a CARMEL hospital?
Upload your bill and our system compares every line item against publicly available Medicare reimbursement data. Free comparison in 60 seconds.
Upload your bill — free comparisonData from CMS Inpatient Prospective Payment System (IPPS) Provider Summary. All data publicly available under federal law (45 CFR Part 180).
Listed chargemaster rates are not what most insured patients pay. This information is for educational purposes only. Read our methodology·Report a data error