Methodist Hospitals Inc
Methodist Hospitals Inc in Gary, Indiana charges 5.7x the Medicare reimbursement rate across 56 analyzed procedures, reflecting significant price variation in the local healthcare market.
Gary, IN 46402 · Acute Care Hospitals · CMS Rating: 1/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Pricing grade
D
High
Avg markup vs Medicare
5.69x
Charge / Medicare rate
Max markup
9.82x
Worst procedure
Procedures analyzed
56
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 |
|---|---|---|---|---|---|
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $41,551 | $20,775 | — | 9.8x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $38,521 | $19,260 | — | 8.3x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $108,922 | $54,461 | — | 8.1x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $74,664 | $37,332 | — | 8.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $53,996 | $26,998 | — | 8.1x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $42,209 | $21,104 | — | 7.7x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $52,875 | $26,437 | — | 7.5x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $103,151 | $51,576 | — | 7.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $193,523 | $96,761 | — | 7.3x |
| CHEST PAIN | 313 | $32,972 | $16,486 | — | 7.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $47,855 | $23,928 | — | 7.1x |
| DIABETES WITH CC | 638 | $38,896 | $19,448 | — | 6.8x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $73,291 | $36,645 | — | 6.6x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $32,465 | $16,233 | — | 6.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $20,594 | $10,297 | — | 6.5x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $168,594 | $84,297 | — | 6.3x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $50,889 | $25,444 | — | 6.3x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $41,714 | $20,857 | — | 6.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $84,229 | $42,114 | — | 6.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $39,094 | $19,547 | — | 6.1x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $32,227 | $16,113 | — | 6.1x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $55,922 | $27,961 | — | 6.1x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $106,761 | $53,381 | — | 6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $84,995 | $42,498 | — | 5.9x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $43,795 | $21,898 | — | 5.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $63,756 | $31,878 | — | 5.6x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $243,522 | $121,761 | — | 5.5x |
| RENAL FAILURE WITH CC | 683 | $33,045 | $16,523 | — | 5.5x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | 371 | $65,173 | $32,587 | — | 5.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $25,696 | $12,848 | — | 5.4x |
| RENAL FAILURE WITH MCC | 682 | $53,399 | $26,700 | — | 5.3x |
| SEIZURES WITH MCC | 100 | $75,720 | $37,860 | — | 5.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $28,138 | $14,069 | — | 5.2x |
| SYNCOPE AND COLLAPSE | 312 | $32,109 | $16,055 | — | 5.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $30,795 | $15,397 | — | 5.1x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $44,980 | $22,490 | — | 5.1x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $71,438 | $35,719 | — | 5x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $61,781 | $30,891 | — | 4.9x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $42,137 | $21,069 | — | 4.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $39,833 | $19,916 | — | 4.7x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $214,156 | $107,078 | — | 4.6x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WIT | 216 | $340,455 | $170,228 | — | 4.6x |
| DIABETES WITH MCC | 637 | $45,060 | $22,530 | — | 4.6x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $32,090 | $16,045 | — | 4.6x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $26,472 | $13,236 | — | 4.6x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $60,332 | $30,166 | — | 4.5x |
| HYPERTENSION WITH MCC | 304 | $33,804 | $16,902 | — | 4.5x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $35,018 | $17,509 | — | 4.4x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | 207 | $213,671 | $106,836 | — | 4.4x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $132,822 | $66,411 | — | 4.4x |
Showing 50 of 56 procedures
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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