Indiana / Community Hospital

CMS certification 150125 · Munster, IN · 5 entries in CMS's price-transparency list

Community Hospital: charges and Medicare payments

Community Hospital reported 4,904 Medicare inpatient stays across 140 DRGs in 2024. Across them it charged 4.12 times what it was paid — mid-range in Indiana, number 35 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: 448 stays at an average charge of $39,625, 30% below the national average. It also billed 7,175 outpatient services, charging 7.14 times what Medicare paid.

1Medicare inpatient stays 4,904
2Charge ÷ paid, inpatient 4.12×
3Rank in IN (highest ratio = 1) 35 of 70
4CMS price-transparency actions 5

Average charge per stay at Community Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 140 DRGs that can be compared with the national average, Community Hospital charged more than the national average in 1 (1%). 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	448	$39,625	-30%	$9,314
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	283	$64,304	-29%	$14,919
177 Respiratory Infections and Inflammations with MCC	200	$47,987	-32%	$12,615
193 Simple Pneumonia and Pleurisy with MCC	117	$42,718	-29%	$9,943
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	104	$54,003	-46%	$14,610
683 Renal Failure with CC	95	$26,667	-34%	$6,993
274 Percutaneous and Other Intracardiac Procedures without MCC	94	$104,103	-34%	$23,497
689 Kidney and Urinary Tract Infections with MCC	87	$34,296	-33%	$8,516
690 Kidney and Urinary Tract Infections without MCC	83	$25,620	-32%	$6,305
552 Medical Back Problems without MCC	77	$30,348	-38%	$7,284
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	76	$45,926	-18%	$7,709
853 Infectious and Parasitic Diseases with O.R. Procedures with...	67	$111,110	-51%	$35,807
682 Renal Failure with MCC	66	$43,117	-35%	$10,311
190 Chronic Obstructive Pulmonary Disease with MCC	65	$34,980	-31%	$8,246
698 Other Kidney and Urinary Tract Diagnoses with MCC	64	$49,407	-33%	$12,375
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	63	$28,644	-29%	$5,959
266 Endovascular Cardiac Valve Replacement and Supplement...	62	$169,002	-41%	$43,721
378 Gastrointestinal Hemorrhage with CC	61	$36,717	-24%	$7,348
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	60	$27,747	-25%	$5,710
309 Cardiac Arrhythmia and Conduction Disorders with CC	58	$27,903	-23%	$6,357
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	53	$40,018	-34%	$9,777
312 Syncope and Collapse	51	$29,712	-35%	$6,353
377 Gastrointestinal Hemorrhage with MCC	51	$61,895	-28%	$12,906
603 Cellulitis without MCC	50	$24,527	-34%	$6,507
330 Major Small and Large Bowel Procedures with CC	48	$68,700	-42%	$18,146
481 Hip and Femur Procedures except Major Joint with CC	48	$62,465	-38%	$15,036
194 Simple Pneumonia and Pleurisy with CC	47	$27,581	-28%	$6,048
178 Respiratory Infections and Inflammations with CC	45	$28,545	-37%	$7,100
308 Cardiac Arrhythmia and Conduction Disorders with MCC	43	$35,385	-38%	$9,090
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	42	$38,884	-21%	$8,296
267 Endovascular Cardiac Valve Replacement and Supplement...	41	$158,327	-28%	$35,088
460 Spinal Fusion except Cervical without MCC	38	$116,761	-31%	$31,644
057 Degenerative Nervous System Disorders without MCC	37	$34,243	-40%	$9,499
286 Circulatory Disorders except AMI, with Cardiac...	37	$72,418	-35%	$20,200
271 Other Major Cardiovascular Procedures with CC	36	$159,686	-8%	$25,695
023 Craniotomy with Major Device Implant or Acute Complex Cns...	35	$166,593	-41%	$41,766
280 Acute Myocardial Infarction, Discharged Alive with MCC	35	$72,263	-5%	$13,220
638 Diabetes with CC	34	$26,958	-35%	$7,478
086 Traumatic Stupor and Coma <1 Hour with CC	33	$24,038	-65%	$9,854
189 Pulmonary Edema and Respiratory Failure	33	$38,400	-33%	$10,826
287 Circulatory Disorders except AMI, with Cardiac...	32	$56,668	-11%	$8,803
191 Chronic Obstructive Pulmonary Disease with CC	31	$30,762	-22%	$6,086
025 Craniotomy and Endovascular Intracranial Procedures with MCC	30	$115,991	-50%	$30,605
208 Respiratory System Diagnosis with Ventilator Support <=96...	30	$79,688	-41%	$20,058
305 Hypertension without MCC	30	$29,765	-26%	$5,588
699 Other Kidney and Urinary Tract Diagnoses with CC	30	$33,423	-30%	$7,292
035 Carotid Artery Stent Procedures with CC	29	$81,471	-28%	$16,548
270 Other Major Cardiovascular Procedures with MCC	29	$176,166	-32%	$37,654
602 Cellulitis with MCC	29	$34,931	-42%	$10,410
314 Other Circulatory System Diagnoses with MCC	28	$68,895	-27%	$19,431
202 Bronchitis and Asthma with CC/MCC	27	$35,469	-23%	$7,408
329 Major Small and Large Bowel Procedures with MCC	27	$109,905	-49%	$31,814
393 Other Digestive System Diagnoses with MCC	27	$43,031	-44%	$12,957
470 Major Hip and Knee Joint Replacement or Reattachment of...	27	$64,206	-31%	$16,000
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	27	$59,476	-42%	$15,030
264 Other Circulatory System O.R. Procedures	26	$71,774	-52%	$24,777
644 Endocrine Disorders with CC	26	$33,711	-30%	$7,583
389 Gastrointestinal Obstruction with CC	25	$25,521	-34%	$6,146
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	25	$46,179	-24%	$9,262
812 Red Blood Cell Disorders without MCC	24	$28,756	-35%	$6,664

Showing the 60 most frequent of 140 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	1,533	$19,566	$2,538
Level 1 Endovascular Procedures	607	$30,564	$3,048
Level 3 Vascular Procedures	483	$16,999	$2,973
Level 2 Upper GI Procedures	362	$11,736	$1,774
Level 3 Endovascular Procedures	319	$68,663	$10,310
Level 2 Excision/ Biopsy/ Incision and Drainage	302	$9,578	$1,513
Level 1 Intraocular Procedures	281	$13,940	$2,185
Level 5 Urology and Related Services	264	$25,452	$4,764
Level 3 Urology and Related Services	244	$14,307	$1,885
Level 5 Musculoskeletal Procedures	209	$49,984	$12,022
Level 4 Urology and Related Services	187	$18,877	$3,184
Level 4 Endovascular Procedures	166	$75,278	$16,095
Level 3 Electrophysiologic Procedures	153	$159,500	$22,143
Level 4 Musculoskeletal Procedures	133	$34,120	$6,486
Level 3 Extraocular, Repair, and Plastic Eye Procedures	132	$13,167	$2,198
Level 3 Excision/ Biopsy/ Incision and Drainage	122	$16,694	$2,637
Level 1 Laparoscopy and Related Services	111	$31,130	$5,275
Level 4 Vascular Procedures	104	$32,116	$4,970
Level 2 Endovascular Procedures	103	$39,740	$5,334
Level 1 Nerve Procedures	91	$12,763	$1,816
Level 2 Laparoscopy and Related Services	83	$45,637	$9,577
Level 5 Airway Endoscopy	72	$32,111	$6,437
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	71	$17,803	$3,217
Level 4 Airway Endoscopy	68	$21,380	$3,481
Level 2 Vascular Procedures	68	$8,693	$1,492

Against the Indiana average

For Heart Failure and Shock with MCC (DRG 291), Community Hospital charged $39,625 on average, 3% less than the Indiana average of $40,842, and was paid $9,314 against a state average of $10,315. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Community Hospital charged $64,304 on average, 2% more than the Indiana average of $63,232, and was paid $14,919 against a state average of $15,368. For Respiratory Infections and Inflammations with MCC (DRG 177), Community Hospital charged $47,987 on average, 7% less than the Indiana average of $51,549, and was paid $12,615 against a state average of $12,977. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Community Hospital charged $42,718 on average, 2% less than the Indiana average of $43,683, and was paid $9,943 against a state average of $10,631. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $19,566 was 6% above the state average of $18,399. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $30,564 was 5% below the state average of $32,147. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $16,999 was 24% below the state average of $22,260. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $11,736 was 10% below the state average of $13,048.

Price-transparency record

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

Warning Notice — 2025-02-12 (CMS case 3064)
CAP Request — 2025-05-14 (CMS case 3064)
Closure Notice — 2025-06-12 (CMS case 3064)
Warning Notice — 2026-01-28 (CMS case 6669)
Closure Notice — 2026-04-30 (CMS case 6669)

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.