Indiana / Ascension St Vincent Carmel
CMS certification 150157 · Carmel, IN
Ascension St Vincent Carmel: charges and Medicare payments
Ascension St Vincent Carmel reported 475 Medicare inpatient stays across 21 DRGs in 2024. Across them it charged 5.53 times what it was paid — among the higher ratios in Indiana, number 13 of 70 hospitals with at least 100 stays (state median 4.08×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 60 stays at an average charge of $59,718, 34% below the national average. It also billed 669 outpatient services, charging 11.44 times what Medicare paid.
- 1Medicare inpatient stays 475
- 2Charge ÷ paid, inpatient 5.53×
- 3Rank in IN (highest ratio = 1) 13 of 70
- 4CMS price-transparency actions 0
Inpatient stays
For the 21 DRGs that can be compared with the national average, Ascension St Vincent Carmel charged more than the national average in 3 (14%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 60 | $59,718 | -34% | $13,598 |
| 291 Heart Failure and Shock with MCC | 49 | $52,510 | -7% | $9,049 |
| 378 Gastrointestinal Hemorrhage with CC | 33 | $37,605 | -23% | $7,497 |
| 460 Spinal Fusion except Cervical without MCC | 33 | $178,800 | +5% | $25,056 |
| 193 Simple Pneumonia and Pleurisy with MCC | 32 | $48,084 | -20% | $10,139 |
| 689 Kidney and Urinary Tract Infections with MCC | 29 | $34,159 | -33% | $9,255 |
| 177 Respiratory Infections and Inflammations with MCC | 21 | $50,759 | -28% | $11,667 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 20 | $83,494 | -3% | $13,130 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 20 | $29,276 | -21% | $6,004 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 19 | $29,068 | -28% | $6,214 |
| 690 Kidney and Urinary Tract Infections without MCC | 19 | $28,066 | -26% | $5,934 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 19 | $38,774 | -21% | $7,668 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 16 | $227,055 | +12% | $32,038 |
| 683 Renal Failure with CC | 16 | $29,329 | -28% | $6,827 |
| 330 Major Small and Large Bowel Procedures with CC | 15 | $98,433 | -17% | $18,113 |
| 621 O.R. Procedures for Obesity without CC/MCC | 14 | $90,976 | +22% | $10,921 |
| 189 Pulmonary Edema and Respiratory Failure | 13 | $36,320 | -37% | $10,333 |
| 327 Stomach, Esophageal and Duodenal Procedures with CC | 12 | $92,158 | -27% | $16,092 |
| 377 Gastrointestinal Hemorrhage with MCC | 12 | $78,784 | -8% | $14,646 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 12 | $67,401 | -8% | $11,605 |
| 194 Simple Pneumonia and Pleurisy with CC | 11 | $29,126 | -24% | $6,439 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 147 | $17,037 | $2,459 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 84 | $12,699 | $1,437 |
| Level 1 Laparoscopy and Related Services | 82 | $62,386 | $5,060 |
| Level 2 Upper GI Procedures | 78 | $15,036 | $1,704 |
| Level 4 Musculoskeletal Procedures | 48 | $64,215 | $6,355 |
| Level 2 Breast/Lymphatic Surgery and Related Procedures | 37 | $75,908 | $5,763 |
| Level 1 Breast/Lymphatic Surgery and Related Procedures | 34 | $52,459 | $3,362 |
| Level 2 Laparoscopy and Related Services | 33 | $72,003 | $9,293 |
| Level 5 Musculoskeletal Procedures | 26 | $118,843 | $11,872 |
| Level 6 Musculoskeletal Procedures | 20 | $122,294 | $16,797 |
| Level 2 Intraocular Procedures | 18 | $50,535 | $3,672 |
| Level 4 Gynecologic Procedures | 13 | $31,911 | $2,824 |
| Level 5 Neurostimulator and Related Procedures | 13 | $151,611 | $25,940 |
| Level 3 Musculoskeletal Procedures | 12 | $35,429 | $2,924 |
| Complex GI Procedures | 12 | $28,641 | $4,817 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 12 | $56,134 | $3,125 |
Against the Indiana average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Ascension St Vincent Carmel charged $59,718 on average, 6% less than the Indiana average of $63,232, and was paid $13,598 against a state average of $15,368. For Heart Failure and Shock with MCC (DRG 291), Ascension St Vincent Carmel charged $52,510 on average, 29% more than the Indiana average of $40,842, and was paid $9,049 against a state average of $10,315. For Gastrointestinal Hemorrhage with CC (DRG 378), Ascension St Vincent Carmel charged $37,605 on average, 6% less than the Indiana average of $39,876, and was paid $7,497 against a state average of $8,236. For Spinal Fusion except Cervical without MCC (DRG 460), Ascension St Vincent Carmel charged $178,800 on average, 27% less than the Indiana average of $245,306, and was paid $25,056 against a state average of $32,243. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,037 was 7% below the state average of $18,399. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $12,699 was 18% above the state average of $10,786. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $62,386 was 37% above the state average of $45,492. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $15,036 was 15% above the state average of $13,048.
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.