Franciscan Health Munster
FRANCISCAN HEALTH MUNSTER in Munster, IN charges 5.7x the Medicare reimbursement rate across 27 analyzed procedures, representing a significant markup for this nonprofit-private hospital.
Munster, IN 46321 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.
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Pricing grade
D
High
Avg markup vs Medicare
5.65x
Charge / Medicare rate
Max markup
9.21x
Worst procedure
Procedures analyzed
27
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $36,396 | $18,198 | — | 9.2x |
| SYNCOPE AND COLLAPSE | 312 | $42,109 | $21,054 | — | 9x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $81,444 | $40,722 | — | 7.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $61,312 | $30,656 | — | 6.7x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $35,541 | $17,771 | — | 6.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $46,579 | $23,289 | — | 6.3x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $84,412 | $42,206 | — | 6.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $36,343 | $18,171 | — | 6.2x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $79,528 | $39,764 | — | 6x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $28,433 | $14,217 | — | 6x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $29,538 | $14,769 | — | 5.9x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $69,582 | $34,791 | — | 5.9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $24,782 | $12,391 | — | 5.8x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $70,224 | $35,112 | — | 5.7x |
| RENAL FAILURE WITH CC | 683 | $28,250 | $14,125 | — | 5.6x |
| CELLULITIS WITHOUT MCC | 603 | $25,811 | $12,906 | — | 5.4x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $35,849 | $17,925 | — | 4.9x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $50,532 | $25,266 | — | 4.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $56,869 | $28,435 | — | 4.8x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $37,216 | $18,608 | — | 4.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $38,008 | $19,004 | — | 4.8x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $30,681 | $15,340 | — | 4.8x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $23,459 | $11,730 | — | 4.7x |
| RENAL FAILURE WITH MCC | 682 | $45,972 | $22,986 | — | 4.5x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $119,048 | $59,524 | — | 4.1x |
| COAGULATION DISORDERS | 813 | $37,568 | $18,784 | — | 3.8x |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | 441 | $38,865 | $19,433 | — | 3.2x |
How FRANCISCAN HEALTH MUNSTER compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use