Heart valve replacement through a catheter (TAVR), with major complications in Indiana
MS-DRG 266: Endovascular cardiac valve replacement and supplement procedures with mcc
$191,623typical hospital bill
$45,596typical amount paid
$41,951–$57,844range paid across 13 hospitals
Indiana hospitals billed Medicare a typical $191,623 for this stay in 2024, about 4.2 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 | |
|---|---|---|---|---|---|
| Northwest Health - Porter | Valparaiso | 25 | $309,532 | $41,951 | |
| Community Hospital | Munster | 62 | $169,002 | $43,721 | |
| Ascension St Vincent Evansville | Evansville | 68 | $154,172 | $44,121 | |
| Lutheran Hospital of Indiana | Fort Wayne | 31 | $355,317 | $44,564 | |
| Elkhart General Hospital | Elkhart | 11 | $228,771 | $44,917 | |
| Franciscan Health Indianapolis | Indianapolis | 27 | $188,666 | $45,291 | |
| Union Hospital Inc | Terre Haute | 17 | $157,198 | $45,596 | |
| Deaconess Hospital Inc | Evansville | 61 | $190,656 | $46,146 | |
| Indiana University Health Bloomington Hospital | Bloomington | 23 | $191,623 | $46,723 | |
| St Vincent Heart Center | Carmel | 40 | $294,393 | $47,651 | |
| Community Hospital East | Indianapolis | 49 | $175,364 | $48,544 | |
| Baptist Health Floyd | New Albany | 12 | $528,075 | $52,080 | |
| Indiana University Health | Indianapolis | 18 | $263,229 | $57,844 |
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.