Indiana / Community Hospital East

CMS certification 150074 · Indianapolis, IN · 4 entries in CMS's price-transparency list

Community Hospital East: charges and Medicare payments

Community Hospital East reported 2,339 Medicare inpatient stays across 73 DRGs in 2024. Across them it charged 4.31 times what it was paid — mid-range in Indiana, number 32 of 70 hospitals with at least 100 stays (state median 4.08×, national 4.15×). Its most frequent stay was DRG 885, Psychoses: 271 stays at an average charge of $25,189, 43% below the national average. It also billed 1,989 outpatient services, charging 9.22 times what Medicare paid.

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  1. 1Medicare inpatient stays 2,339
  2. 2Charge ÷ paid, inpatient 4.31×
  3. 3Rank in IN (highest ratio = 1) 32 of 70
  4. 4CMS price-transparency actions 4
DRG 885$25,189DRG 291$41,114DRG 274$113,779DRG 189$45,815DRG 871$72,777DRG 309$28,452DRG 267$162,841DRG 266$175,364DRG 322$130,402DRG 897$16,610
Average charge per stay at Community Hospital East, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 73 DRGs that can be compared with the national average, Community Hospital East charged more than the national average in 4 (5%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
885 Psychoses271$25,189-43%$11,806
291 Heart Failure and Shock with MCC176$41,114-27%$11,105
274 Percutaneous and Other Intracardiac Procedures without MCC154$113,779-27%$26,764
189 Pulmonary Edema and Respiratory Failure76$45,815-20%$10,491
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC76$72,777-19%$16,094
309 Cardiac Arrhythmia and Conduction Disorders with CC67$28,452-21%$6,858
267 Endovascular Cardiac Valve Replacement and Supplement...59$162,841-26%$39,376
266 Endovascular Cardiac Valve Replacement and Supplement...49$175,364-38%$48,544
322 Percutaneous Cardiovascular Procedures with Intraluminal...48$130,402+14%$19,537
897 Alcohol, Drug Abuse or Dependence without Rehabilitation...48$16,610-55%$7,724
236 Coronary Bypass without Cardiac Catheterization without MCC45$198,154-6%$38,226
378 Gastrointestinal Hemorrhage with CC40$45,598-6%$8,563
308 Cardiac Arrhythmia and Conduction Disorders with MCC38$41,369-27%$10,146
286 Circulatory Disorders except AMI, with Cardiac...35$93,751-16%$18,308
165 Major Chest Procedures without CC/MCC34$96,940-6%$16,698
177 Respiratory Infections and Inflammations with MCC34$59,675-15%$14,467
690 Kidney and Urinary Tract Infections without MCC34$26,590-30%$7,581
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...31$28,959-22%$7,095
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...30$41,633-25%$8,502
321 Percutaneous Cardiovascular Procedures with Intraluminal...30$171,871+5%$23,696
689 Kidney and Urinary Tract Infections with MCC30$34,868-32%$10,049
164 Major Chest Procedures with CC29$109,304-14%$21,360
269 Aortic and Heart Assist Procedures except Pulsation Balloon...29$169,999-12%$32,634
812 Red Blood Cell Disorders without MCC29$33,552-24%$8,257
190 Chronic Obstructive Pulmonary Disease with MCC28$35,228-30%$9,192
193 Simple Pneumonia and Pleurisy with MCC28$37,178-38%$10,950
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...28$44,825-26%$11,850
683 Renal Failure with CC28$27,430-33%$8,074
194 Simple Pneumonia and Pleurisy with CC27$32,419-16%$7,999
243 Permanent Cardiac Pacemaker Implant with CC27$89,440-19%$18,245
253 Other Vascular Procedures with CC24$96,453-27%$20,516
064 Intracranial Hemorrhage or Cerebral Infarction with MCC23$64,464-35%$16,147
242 Permanent Cardiac Pacemaker Implant with MCC21$115,098-28%$26,856
280 Acute Myocardial Infarction, Discharged Alive with MCC21$53,154-30%$13,348
682 Renal Failure with MCC21$39,350-40%$12,051
035 Carotid Artery Stent Procedures with CC20$79,647-30%$21,088
270 Other Major Cardiovascular Procedures with MCC20$163,068-37%$39,577
287 Circulatory Disorders except AMI, with Cardiac...20$57,421-10%$9,582
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC20$17,846-38%$5,370
039 Extracranial Procedures without CC/MCC19$46,963-26%$10,287
038 Extracranial Procedures with CC18$52,878-40%$13,630
252 Other Vascular Procedures with MCC18$96,672-43%$27,397
948 Signs and Symptoms without MCC18$25,996-32%$7,292
071 Other Cerebrovascular Disorders with CC17$37,811-25%$9,157
271 Other Major Cardiovascular Procedures with CC17$120,468-31%$30,514
603 Cellulitis without MCC17$24,849-33%$7,817
163 Major Chest Procedures with MCC16$149,402-29%$38,923
191 Chronic Obstructive Pulmonary Disease with CC16$34,681-12%$7,211
234 Coronary Bypass with Cardiac Catheterization or Open...16$296,446+10%$45,315
281 Acute Myocardial Infarction, Discharged Alive with CC16$40,348-20%$9,348
314 Other Circulatory System Diagnoses with MCC16$41,506-56%$16,016
208 Respiratory System Diagnosis with Ventilator Support <=96...15$97,348-28%$24,125
220 Cardiac Valve and Other Major Cardiothoracic Procedures...15$242,670-12%$43,445
235 Coronary Bypass without Cardiac Catheterization with MCC15$245,079-16%$46,486
470 Major Hip and Knee Joint Replacement or Reattachment of...15$84,941-9%$15,500
219 Cardiac Valve and Other Major Cardiothoracic Procedures...14$365,041-8%$70,142
377 Gastrointestinal Hemorrhage with MCC14$75,435-12%$16,470
552 Medical Back Problems without MCC14$27,346-44%$8,302
638 Diabetes with CC14$30,568-27%$7,495
070 Other Cerebrovascular Disorders with MCC13$64,283-15%$13,136

Showing the 60 most frequent of 73 DRGs.

Outpatient services

Against the Indiana average

For Psychoses (DRG 885), Community Hospital East charged $25,189 on average, 23% less than the Indiana average of $32,829, and was paid $11,806 against a state average of $11,239. For Heart Failure and Shock with MCC (DRG 291), Community Hospital East charged $41,114 on average, 1% more than the Indiana average of $40,842, and was paid $11,105 against a state average of $10,315. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Community Hospital East charged $113,779 on average, 18% less than the Indiana average of $138,034, and was paid $26,764 against a state average of $24,860. For Pulmonary Edema and Respiratory Failure (DRG 189), Community Hospital East charged $45,815 on average, 11% more than the Indiana average of $41,261, and was paid $10,491 against a state average of $10,352. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $205,968 was 16% above the state average of $177,300. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,408 was 22% below the state average of $10,786. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $38,769 was 21% above the state average of $32,147. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,247 was 6% below the state average of $18,399.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Community Hospital East in Indianapolis, IN, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

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.