The Price of Medicare Procedures in Indiana



This table shows the 100 most frequently charged procedures/diagnosis in Indiana to the Inpatient Prospective Payment System (IPPS). This table will give a basic idea of the cost of medicare for hospital procedures. Hospitals determine what they bill according to a "chargemaster". The charge master serves as a price point for the beginning of negotiations between you and the health care provider.



ProcedureProvider StateTotal DischargesHospital Charge(s)Medicare Payment(s)Your Cost
Acute Myocardial Infarction Discharged Alive No Complications
 Indiana 416 $21417 $4899 $16518
Acute Myocardial Infarction Discharged Alive With Complications
 Indiana 966 $24585 $7435 $17150
Acute Myocardial Infarction Discharged Alive With Major Complications
 Indiana 1454 $34977 $11176 $23801
Alcohol Drug Abuse No Rehabilitation Therapy No Major Complications
 Indiana 481 $12986 $4318 $8668
Atherosclerosis No Major Complications
 Indiana 862 $11935 $3646 $8289
Back And Neck Proc Exc Spinal Fusion No Complications
 Indiana 641 $25753 $6600 $19153
Bronchitis And Asthma No Complications
 Indiana 274 $11003 $3992 $7011
Bronchitis And Asthma With Complications
 Indiana 647 $15733 $5739 $9994
Cardiac Arrhythmia And Conduction Disorders No Complications
 Indiana 3068 $11376 $3551 $7825
Cardiac Arrhythmia And Conduction Disorders With Complications
 Indiana 2696 $16028 $5254 $10774
Cardiac Arrhythmia And Conduction Disorders With Major Complications
 Indiana 1632 $24118 $7890 $16228
Cellulitis No Major Complications
 Indiana 3372 $16142 $5277 $10865
Cellulitis With Major Complications
 Indiana 407 $29758 $9213 $20545
Cervical Spinal Fusion No Complications
 Indiana 548 $54564 $13585 $40979
Chest Pain
 Indiana 3428 $13041 $3590 $9451
Chronic Obstructive Pulmonary Disease No Complications
 Indiana 3640 $13937 $4555 $9382
Chronic Obstructive Pulmonary Disease With Complications
 Indiana 4702 $18023 $6069 $11954
Chronic Obstructive Pulmonary Disease With Major Complications
 Indiana 4542 $22414 $7349 $15065
Circulatory Disorders Except Ami With Card Cath No Major Complications
 Indiana 3549 $27477 $6835 $20642
Circulatory Disorders Except Ami With Card Cath With Major Complications
 Indiana 571 $44083 $12980 $31103
Cranial And Peripheral Nerve Disorders No Major Complications
 Indiana 541 $20301 $5790 $14511
Degenerative Nervous System Disorders No Major Complications
 Indiana 833 $17801 $6062 $11739
Diabetes With Complications
 Indiana 1219 $16769 $5326 $11443
Disorders Of Pancreas Except Malignancy With Complications
 Indiana 440 $23436 $7255 $16181
Dysequilibrium
 Indiana 700 $14663 $4119 $10544
Esophagitis Gastroent And Misc Digest Disorders No Major Complications
 Indiana 6071 $16152 $4688 $11464
Esophagitis Gastroent And Misc Digest Disorders With Major Complications
 Indiana 1077 $25443 $8005 $17438
Extracranial Procedures No Complications
 Indiana 1078 $26888 $6598 $20290
Fractures Of Hip And Pelvis No Major Complications
 Indiana 446 $12756 $4222 $8534
Fx Sprn Strn And Disl Except Femur Hip Pelvis Thigh No Major Complications
 Indiana 387 $14019 $4523 $9496
Gi Hemorrhage No Complications
 Indiana 886 $14762 $4465 $10297
Gi Hemorrhage With Complications
 Indiana 3202 $20534 $6447 $14087
Gi Hemorrhage With Major Complications
 Indiana 1019 $36915 $11958 $24957
Gi Obstruction No Complications
 Indiana 655 $13881 $4187 $9694
Gi Obstruction With Complications
 Indiana 1193 $20024 $5885 $14139
Heart Failure And Shock No Complications
 Indiana 2517 $13057 $4285 $8772
Heart Failure And Shock With Complications
 Indiana 6248 $18988 $6328 $12660
Heart Failure And Shock With Major Complications
 Indiana 4763 $27136 $9320 $17816
Hip And Femur Procedures Except Major Joint No Complications
 Indiana 741 $33717 $9241 $24476
Hip And Femur Procedures Except Major Joint With Complications
 Indiana 1911 $41342 $11483 $29859
Hip And Femur Procedures Except Major Joint With Major Complications
 Indiana 465 $60121 $18768 $41353
Hypertension No Major Complications
 Indiana 590 $13162 $4063 $9099
Infectious And Parasitic Diseases Or Procedure With Major Complications
 Indiana 969 $103044 $37046 $65998
Intracranial Hemorrhage Or Cerebral Infarction No Complications
 Indiana 1561 $18350 $5188 $13162
Intracranial Hemorrhage Or Cerebral Infarction With Complications
 Indiana 2939 $23601 $7224 $16377
Intracranial Hemorrhage Or Cerebral Infarction With Major Complications
 Indiana 1535 $34658 $11956 $22702
Kidney And Urinary Tract Infections No Major Complications
 Indiana 5263 $15131 $4807 $10324
Kidney And Urinary Tract Infections With Major Complications
 Indiana 1713 $20744 $7300 $13444
Laparoscopic Cholecystectomy No Cde No Complications
 Indiana 328 $27307 $7152 $20155
Laparoscopic Cholecystectomy No Cde With Complications
 Indiana 419 $38567 $11292 $27275
Major Cardiovasc Procedures No Major Complications
 Indiana 952 $76077 $20736 $55341
Major Gastrointestinal Disorders And Peritoneal Infections With Complications
 Indiana 765 $23333 $7929 $15404
Major Joint Replacement Of Lower Extremity No Major Complications
 Indiana 11499 $46666 $13103 $33563
Major Joint Replacement Of Lower Extremity With Major Complications
 Indiana 436 $66686 $20882 $45804
Major Small And Large Bowel Procedures With Complications
 Indiana 1263 $55271 $16754 $38517
Major Small And Large Bowel Procedures With Major Complications
 Indiana 1001 $102319 $35074 $67245
Medical Back Problems No Major Complications
 Indiana 1605 $17507 $5148 $12359
Misc Disorders Of Metabolism Fluids Electrolytes No Major Complications
 Indiana 4316 $13734 $4316 $9418
Misc Disorders Of Metabolism Fluids Electrolytes With Major Complications
 Indiana 1480 $22280 $7582 $14698
Other Circulatory System Diagnoses With Complications
 Indiana 444 $21942 $6744 $15198
Other Circulatory System Diagnoses With Major Complications
 Indiana 1210 $38031 $12456 $25575
Other Digestive System Diagnoses With Complications
 Indiana 960 $21103 $6533 $14570
Other Kidney And Urinary Tract Diagnoses With Complications
 Indiana 575 $22176 $7282 $14894
Other Kidney And Urinary Tract Diagnoses With Major Complications
 Indiana 581 $31639 $10997 $20642
Other Vascular Procedures No Complications
 Indiana 1018 $38218 $10511 $27707
Other Vascular Procedures With Complications
 Indiana 983 $59276 $16535 $42741
Other Vascular Procedures With Major Complications
 Indiana 783 $72448 $22210 $50238
Perc Cardiovasc Proc No Coronary Artery Stent No Major Complications
 Indiana 697 $54038 $11950 $42088
Perc Cardiovasc Proc With Drug Eluting Stent No Major Complications
 Indiana 3220 $52978 $13064 $39914
Perc Cardiovasc Proc With Drug Eluting Stent With Major Complications
 Indiana 591 $77817 $21686 $56131
Perc Cardiovasc Proc With Nondrug Eluting Stent No Major Complications
 Indiana 1400 $46593 $11154 $35439
Peripheral Vascular Disorders No Complications
 Indiana 449 $13762 $4317 $9445
Peripheral Vascular Disorders With Complications
 Indiana 983 $19298 $6521 $12777
Permanent Cardiac Pacemaker Implant No Complications
 Indiana 761 $45748 $12783 $32965
Permanent Cardiac Pacemaker Implant With Complications
 Indiana 700 $55682 $16226 $39456
Poisoning And Toxic Effects Of Drugs No Major Complications
 Indiana 727 $12787 $4118 $8669
Poisoning And Toxic Effects Of Drugs With Major Complications
 Indiana 463 $26906 $9630 $17276
Psychoses
 Indiana 2341 $13945 $5878 $8067
Pulmonary Edema And Respiratory Failure
 Indiana 2979 $24837 $8083 $16754
Pulmonary Embolism No Major Complications
 Indiana 875 $21278 $6732 $14546
Red Blood Cell Disorders No Major Complications
 Indiana 2050 $16937 $5107 $11830
Red Blood Cell Disorders With Major Complications
 Indiana 537 $26339 $8316 $18023
Renal Failure No Complications
 Indiana 541 $13582 $4110 $9472
Renal Failure With Complications
 Indiana 3786 $19772 $6516 $13256
Renal Failure With Major Complications
 Indiana 2652 $30960 $10738 $20222
Respiratory Infections And Inflammations With Complications
 Indiana 1347 $26400 $8870 $17530
Respiratory Infections And Inflammations With Major Complications
 Indiana 1652 $37426 $12353 $25073
Respiratory System Diagnosis With Ventilator Support 96 Plus Hrs
 Indiana 726 $101226 $34572 $66654
Respiratory System Diagnosis With Ventilator Support Less 96 Hrs
 Indiana 1998 $46471 $14833 $31638
Seizures No Major Complications
 Indiana 1062 $15291 $5037 $10254
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs No Major Complications
 Indiana 2556 $21094 $7145 $13949
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs With Major Complications
 Indiana 7628 $35052 $12033 $23019
Septicemia Or Severe Sepsis With Mv 96 Plus Hrs
 Indiana 387 $126614 $42580 $84034
Signs And Symptoms No Major Complications
 Indiana 1241 $15957 $4421 $11536
Simple Pneumonia And Pleurisy No Complications
 Indiana 2272 $13716 $4408 $9308
Simple Pneumonia And Pleurisy With Complications
 Indiana 5585 $19830 $6291 $13539
Simple Pneumonia And Pleurisy With Major Complications
 Indiana 3658 $28495 $9085 $19410
Spinal Fusion Except Cervical No Major Complications
 Indiana 1741 $98873 $28332 $70541
Syncope And Collapse
 Indiana 3532 $15281 $4633 $10648
Transient Ischemia
 Indiana 1960 $16717 $4616 $12101


Source: CMS

As part of the Obama administration’s goal to make our healthcare more accountable, transparent and affordable the CMS.gov has released data from more then 3000 hospitals that receive payments for the 100 highest frequently billed charges under Medicare. For more information visit CMS.gov.

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