Indiana / Ascension St Vincent Anderson
CMS certification 150088 · Anderson, IN
Ascension St Vincent Anderson: charges and Medicare payments
Ascension St Vincent Anderson reported 414 Medicare inpatient stays across 17 DRGs in 2024. Across them it charged 4.76 times what it was paid — mid-range in Indiana, number 24 of 70 hospitals with at least 100 stays (state median 4.08×, national 4.15×). Its most frequent stay was DRG 193, Simple Pneumonia and Pleurisy with MCC: 73 stays at an average charge of $64,725, 8% above the national average. It also billed 612 outpatient services, charging 9.57 times what Medicare paid.
- 1Medicare inpatient stays 414
- 2Charge ÷ paid, inpatient 4.76×
- 3Rank in IN (highest ratio = 1) 24 of 70
- 4CMS price-transparency actions 0
Inpatient stays
For the 17 DRGs that can be compared with the national average, Ascension St Vincent Anderson charged more than the national average in 3 (18%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 193 Simple Pneumonia and Pleurisy with MCC | 73 | $64,725 | +8% | $10,986 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 51 | $80,277 | -11% | $16,063 |
| 291 Heart Failure and Shock with MCC | 46 | $48,854 | -13% | $11,091 |
| 885 Psychoses | 37 | $20,661 | -53% | $10,824 |
| 177 Respiratory Infections and Inflammations with MCC | 27 | $77,560 | +10% | $12,752 |
| 689 Kidney and Urinary Tract Infections with MCC | 22 | $34,080 | -34% | $9,444 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 22 | $19,230 | -48% | $7,141 |
| 189 Pulmonary Edema and Respiratory Failure | 18 | $49,535 | -14% | $9,597 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 18 | $108,389 | +16% | $14,733 |
| 690 Kidney and Urinary Tract Infections without MCC | 15 | $29,187 | -23% | $6,792 |
| 683 Renal Failure with CC | 14 | $26,086 | -36% | $7,070 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 13 | $91,858 | -34% | $21,230 |
| 682 Renal Failure with MCC | 13 | $63,340 | -4% | $14,429 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 12 | $39,805 | -21% | $8,935 |
| 194 Simple Pneumonia and Pleurisy with CC | 11 | $31,157 | -19% | $7,166 |
| 603 Cellulitis without MCC | 11 | $29,873 | -20% | $7,419 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 11 | $45,083 | -8% | $8,445 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 145 | $14,721 | $2,105 |
| Level 5 Musculoskeletal Procedures | 105 | $95,556 | $11,872 |
| Comprehensive Observation Services | 62 | $19,454 | $2,472 |
| Level 4 Musculoskeletal Procedures | 43 | $60,059 | $6,462 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 37 | $12,194 | $1,465 |
| Level 4 Urology and Related Services | 34 | $21,762 | $3,149 |
| Level 5 Urology and Related Services | 26 | $24,822 | $4,674 |
| Level 3 Musculoskeletal Procedures | 25 | $26,393 | $2,924 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 20 | $27,373 | $2,567 |
| Level 3 Vascular Procedures | 18 | $33,304 | $2,879 |
| Level 2 Upper GI Procedures | 14 | $22,413 | $1,719 |
| Level 3 Urology and Related Services | 13 | $20,038 | $1,840 |
| Level 2 Musculoskeletal Procedures | 12 | $11,444 | $1,452 |
| Level 4 Airway Endoscopy | 12 | $23,412 | $3,382 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 12 | $22,055 | $3,125 |
| Level 1 Nerve Procedures | 12 | $11,453 | $1,744 |
| Level 6 Musculoskeletal Procedures | 11 | $108,760 | $16,797 |
| Level 1 Laparoscopy and Related Services | 11 | $44,514 | $5,212 |
Against the Indiana average
For Simple Pneumonia and Pleurisy with MCC (DRG 193), Ascension St Vincent Anderson charged $64,725 on average, 48% more than the Indiana average of $43,683, and was paid $10,986 against a state average of $10,631. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Ascension St Vincent Anderson charged $80,277 on average, 27% more than the Indiana average of $63,232, and was paid $16,063 against a state average of $15,368. For Heart Failure and Shock with MCC (DRG 291), Ascension St Vincent Anderson charged $48,854 on average, 20% more than the Indiana average of $40,842, and was paid $11,091 against a state average of $10,315. For Psychoses (DRG 885), Ascension St Vincent Anderson charged $20,661 on average, 37% less than the Indiana average of $32,829, and was paid $10,824 against a state average of $11,239. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $14,721 was 1% above the state average of $14,609. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $95,556 was 24% above the state average of $77,048. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $19,454 was 6% above the state average of $18,399. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $60,059 was 28% above the state average of $46,938.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.