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Healthcare Pricing Data: INDIANAPOLIS, IN

9 hospitals with public pricing data · 30 procedures reported to CMS

Hospitals

9

With CMS data

Procedures

30

DRG categories

Avg Charge-to-Medicare Ratio

5.3x

Across all procedures

vs National Average

-4%

Chargemaster rates

About This Data

INDIANAPOLIS, IN has 9 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 5.3x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)

The procedure with the highest average listed charges in INDIANAPOLIS is COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC (DRG 454), with an average chargemaster rate of $227,848 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

ProcedureDRGAvg Listed ChargeHospitals ReportingCharge-to-Medicare Ratio
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC853$192,67775.0x
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS208$101,84675.1x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$93,58676.1x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC871$76,21375.1x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC177$54,18574.0x
RENAL FAILURE WITH MCC682$50,76074.5x
SIMPLE PNEUMONIA AND PLEURISY WITH MCC193$50,58575.3x
PULMONARY EDEMA AND RESPIRATORY FAILURE189$47,20775.1x
HEART FAILURE AND SHOCK WITH MCC291$46,54474.7x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC640$44,76474.7x
GASTROINTESTINAL HEMORRHAGE WITH CC378$43,92275.9x
NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC071$38,80675.1x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC641$34,08075.9x
RENAL FAILURE WITH CC683$32,79774.8x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$31,95575.6x
CELLULITIS WITHOUT MCC603$31,52075.1x
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC690$30,83475.1x
COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC454$227,84865.0x
EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC981$181,92665.3x
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC470$84,21466.3x
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC660$71,27567.3x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC064$70,60765.0x
NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC070$66,54665.2x
DIABETES WITH MCC637$51,02365.1x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$42,33066.2x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$41,68765.1x
SEIZURES WITHOUT MCC101$41,47566.0x
KIDNEY AND URINARY TRACT INFECTIONS WITH MCC689$39,69964.9x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC178$38,58065.0x
RED BLOOD CELL DISORDERS WITHOUT MCC812$38,33565.5x

Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.

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Data 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