Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization in Indiana
MS-DRG 220: Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
$260,694typical hospital bill
$44,109typical amount paid
$37,478–$63,960range paid across 6 hospitals
Indiana hospitals billed Medicare a typical $260,694 for this stay in 2024, about 5.9 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| St Vincent Heart Center | Carmel | 47 | $191,707 | $37,478 | |
| Franciscan Health Indianapolis | Indianapolis | 41 | $278,719 | $42,916 | |
| Community Hospital East | Indianapolis | 15 | $242,670 | $43,445 | |
| Elkhart General Hospital | Elkhart | 27 | $192,098 | $44,773 | |
| Baptist Health Floyd | New Albany | 12 | $304,358 | $46,965 | |
| Indiana University Health | Indianapolis | 36 | $349,253 | $63,960 |
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.