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Healthcare Pricing Data: KOKOMO, IN

2 hospitals with public pricing data · 29 procedures reported to CMS

Hospitals

2

With CMS data

Procedures

29

DRG categories

Avg Charge-to-Medicare Ratio

5.0x

Across all procedures

vs National Average

-30%

Chargemaster rates

About This Data

KOKOMO, IN has 2 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 5.0x for the 29 procedures in this dataset.(Source: CMS IPPS Provider Summary)

The procedure with the highest average listed charges in KOKOMO is PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O (DRG 246), with an average chargemaster rate of $140,760 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
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC470$78,95126.8x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC871$52,72524.4x
GASTROINTESTINAL HEMORRHAGE WITH MCC377$49,32324.3x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC177$49,21524.2x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC280$48,68425.0x
PULMONARY EDEMA AND RESPIRATORY FAILURE189$45,16425.7x
SIMPLE PNEUMONIA AND PLEURISY WITH MCC193$43,28325.4x
RENAL FAILURE WITH MCC682$40,87124.4x
HEART FAILURE AND SHOCK WITH MCC291$37,34224.7x
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC190$34,12925.1x
GASTROINTESTINAL HEMORRHAGE WITH CC378$33,81425.6x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$33,57725.6x
KIDNEY AND URINARY TRACT INFECTIONS WITH MCC689$32,09224.6x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$29,14224.8x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC640$28,17923.6x
SIMPLE PNEUMONIA AND PLEURISY WITH CC194$27,47625.9x
CELLULITIS WITHOUT MCC603$26,86725.0x
RENAL FAILURE WITH CC683$25,88024.8x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC641$25,44125.6x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$25,26225.5x
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC690$23,05224.8x
PSYCHOSES885$22,66522.7x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$140,76017.5x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC853$129,22914.3x
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC698$50,94714.6x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC064$44,92113.8x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC308$30,15314.7x
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC191$29,21115.8x
SYNCOPE AND COLLAPSE312$27,07715.3x

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