Indiana / Ascension St Vincent Kokomo
CMS certification 150010 · Kokomo, IN · 5 entries in CMS's price-transparency list
Ascension St Vincent Kokomo: charges and Medicare payments
Ascension St Vincent Kokomo reported 636 Medicare inpatient stays across 26 DRGs in 2024. Across them it charged 4.04 times what it was paid — mid-range in Indiana, number 36 of 70 hospitals with at least 100 stays (state median 4.08×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 82 stays at an average charge of $37,543, 33% below the national average. It also billed 364 outpatient services, charging 11.22 times what Medicare paid.
- 1Medicare inpatient stays 636
- 2Charge ÷ paid, inpatient 4.04×
- 3Rank in IN (highest ratio = 1) 36 of 70
- 4CMS price-transparency actions 5
Inpatient stays
For the 26 DRGs that can be compared with the national average, Ascension St Vincent Kokomo charged more than the national average in 1 (4%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 291 Heart Failure and Shock with MCC | 82 | $37,543 | -33% | $10,009 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 78 | $57,503 | -36% | $14,103 |
| 193 Simple Pneumonia and Pleurisy with MCC | 58 | $37,729 | -37% | $9,943 |
| 177 Respiratory Infections and Inflammations with MCC | 32 | $39,726 | -44% | $12,102 |
| 683 Renal Failure with CC | 29 | $30,995 | -24% | $7,071 |
| 682 Renal Failure with MCC | 24 | $37,633 | -43% | $11,342 |
| 069 Transient Ischemia without Thrombolytic | 23 | $24,683 | -51% | $6,897 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 22 | $47,332 | -36% | $12,057 |
| 378 Gastrointestinal Hemorrhage with CC | 21 | $34,895 | -28% | $7,688 |
| 189 Pulmonary Edema and Respiratory Failure | 20 | $39,448 | -31% | $10,131 |
| 689 Kidney and Urinary Tract Infections with MCC | 20 | $40,537 | -21% | $9,276 |
| 603 Cellulitis without MCC | 19 | $30,223 | -19% | $7,189 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 18 | $29,735 | -47% | $7,807 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 18 | $26,671 | -28% | $6,168 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 18 | $34,033 | -31% | $7,854 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 17 | $21,987 | -39% | $5,714 |
| 312 Syncope and Collapse | 17 | $30,190 | -34% | $7,026 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 16 | $51,602 | -32% | $11,793 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 16 | $29,384 | -51% | $9,620 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 15 | $61,855 | -38% | $13,286 |
| 481 Hip and Femur Procedures except Major Joint with CC | 14 | $67,086 | -33% | $16,549 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 12 | $32,817 | -35% | $8,389 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 12 | $44,200 | -22% | $9,478 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 12 | $23,259 | -42% | $6,393 |
| 690 Kidney and Urinary Tract Infections without MCC | 12 | $25,991 | -31% | $6,482 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 11 | $116,228 | +25% | $14,568 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 5 Musculoskeletal Procedures | 50 | $103,022 | $12,016 |
| Level 4 Musculoskeletal Procedures | 45 | $68,696 | $6,425 |
| Comprehensive Observation Services | 40 | $19,146 | $2,503 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 32 | $11,402 | $1,477 |
| Level 4 Urology and Related Services | 32 | $24,108 | $3,187 |
| Level 5 Urology and Related Services | 31 | $29,190 | $4,731 |
| Level 3 Musculoskeletal Procedures | 23 | $27,260 | $2,959 |
| Level 6 Urology and Related Services | 19 | $92,710 | $8,421 |
| Level 3 Vascular Procedures | 18 | $32,117 | $2,914 |
| Level 3 Urology and Related Services | 18 | $16,606 | $1,862 |
| Level 1 Laparoscopy and Related Services | 17 | $64,988 | $5,275 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 15 | $18,123 | $2,598 |
| Level 2 Musculoskeletal Procedures | 12 | $11,238 | $1,469 |
| Level 2 Vascular Procedures | 12 | $33,036 | $1,464 |
Against the Indiana average
For Heart Failure and Shock with MCC (DRG 291), Ascension St Vincent Kokomo charged $37,543 on average, 8% less than the Indiana average of $40,842, and was paid $10,009 against a state average of $10,315. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Ascension St Vincent Kokomo charged $57,503 on average, 9% less than the Indiana average of $63,232, and was paid $14,103 against a state average of $15,368. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Ascension St Vincent Kokomo charged $37,729 on average, 14% less than the Indiana average of $43,683, and was paid $9,943 against a state average of $10,631. For Respiratory Infections and Inflammations with MCC (DRG 177), Ascension St Vincent Kokomo charged $39,726 on average, 23% less than the Indiana average of $51,549, and was paid $12,102 against a state average of $12,977. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $103,022 was 34% above the state average of $77,048. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $68,696 was 46% above the state average of $46,938. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $19,146 was 4% above the state average of $18,399. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $11,402 was 6% above the state average of $10,786.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Ascension St Vincent Kokomo in Kokomo, IN, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2022-12-20 (CMS case 674)
- Closure Notice — 2023-04-18 (CMS case 674)
- Warning Notice — 2025-04-16 (CMS case 3807)
- Closure Notice — 2025-06-04 (CMS case 3807)
- Warning Notice — 2026-05-12 (CMS case 7745)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
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.