Indiana / Community Hospital North

CMS certification 150169 · Indianapolis, IN · 3 entries in CMS's price-transparency list

Community Hospital North: charges and Medicare payments

Community Hospital North reported 1,977 Medicare inpatient stays across 71 DRGs in 2024. Across them it charged 4.44 times what it was paid — mid-range in Indiana, number 29 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: 114 stays at an average charge of $66,628, 26% below the national average. It also billed 1,739 outpatient services, charging 9.38 times what Medicare paid.

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  1. 1Medicare inpatient stays 1,977
  2. 2Charge ÷ paid, inpatient 4.44×
  3. 3Rank in IN (highest ratio = 1) 29 of 70
  4. 4CMS price-transparency actions 3
DRG 871$66,628DRG 291$44,629DRG 378$35,908DRG 177$45,868DRG 189$54,578DRG 690$28,513DRG 683$30,910DRG 689$34,100DRG 065$35,183DRG 193$48,253
Average charge per stay at Community Hospital North, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 71 DRGs that can be compared with the national average, Community Hospital North charged more than the national average in 5 (7%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC114$66,628-26%$15,264
291 Heart Failure and Shock with MCC91$44,629-21%$9,799
378 Gastrointestinal Hemorrhage with CC75$35,908-26%$7,993
177 Respiratory Infections and Inflammations with MCC73$45,868-35%$12,609
189 Pulmonary Edema and Respiratory Failure69$54,578-5%$10,180
690 Kidney and Urinary Tract Infections without MCC67$28,513-25%$6,640
683 Renal Failure with CC61$30,910-24%$7,376
689 Kidney and Urinary Tract Infections with MCC55$34,100-34%$9,066
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...50$35,183-37%$8,835
193 Simple Pneumonia and Pleurisy with MCC50$48,253-19%$10,655
194 Simple Pneumonia and Pleurisy with CC43$29,291-24%$6,643
330 Major Small and Large Bowel Procedures with CC42$90,442-24%$19,714
377 Gastrointestinal Hemorrhage with MCC42$57,563-33%$14,706
071 Other Cerebrovascular Disorders with CC41$33,795-33%$8,120
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...41$28,608-29%$6,318
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...41$27,072-27%$6,310
698 Other Kidney and Urinary Tract Diagnoses with MCC39$43,768-40%$12,187
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...35$37,239-38%$10,079
389 Gastrointestinal Obstruction with CC34$24,188-38%$6,516
682 Renal Failure with MCC34$46,104-30%$12,077
470 Major Hip and Knee Joint Replacement or Reattachment of...29$83,146-11%$14,076
948 Signs and Symptoms without MCC28$25,378-33%$6,790
064 Intracranial Hemorrhage or Cerebral Infarction with MCC27$49,175-51%$14,192
603 Cellulitis without MCC27$26,087-30%$7,154
178 Respiratory Infections and Inflammations with CC26$45,2520%$10,592
481 Hip and Femur Procedures except Major Joint with CC26$73,883-27%$15,675
638 Diabetes with CC24$42,155+1%$6,629
812 Red Blood Cell Disorders without MCC24$31,817-28%$7,232
699 Other Kidney and Urinary Tract Diagnoses with CC23$29,086-39%$7,957
190 Chronic Obstructive Pulmonary Disease with MCC22$28,951-43%$8,663
312 Syncope and Collapse22$31,214-31%$7,411
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...22$143,834-33%$34,504
394 Other Digestive System Diagnoses with CC21$35,211-25%$7,613
853 Infectious and Parasitic Diseases with O.R. Procedures with...21$160,442-30%$34,797
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...20$54,885-10%$9,943
660 Kidney and Ureter Procedures for Non-Neoplasm with CC20$48,181-29%$10,315
025 Craniotomy and Endovascular Intracranial Procedures with MCC19$169,951-27%$41,282
092 Other Disorders of Nervous System with CC19$35,131-32%$7,464
454 Combined Anterior and Posterior Spinal Fusion with CC19$211,414-24%$50,284
070 Other Cerebrovascular Disorders with MCC18$52,880-30%$14,844
329 Major Small and Large Bowel Procedures with MCC18$146,670-32%$33,102
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC18$39,652-19%$9,065
460 Spinal Fusion except Cervical without MCC17$173,054+2%$27,279
657 Kidney and Ureter Procedures for Neoplasm with CC17$98,949-1%$14,966
847 Chemotherapy without Acute Leukemia As Secondary Diagnosis...17$52,973-22%$13,186
100 Seizures with MCC16$51,481-45%$16,478
372 Major Gastrointestinal Disorders and Peritoneal Infections...16$51,568+9%$8,260
522 Hip Replacement with Principal Diagnosis of Hip Fracture...16$88,314-14%$17,270
552 Medical Back Problems without MCC16$23,585-52%$8,410
637 Diabetes with MCC16$44,910-32%$11,130
644 Endocrine Disorders with CC15$35,015-27%$8,134
207 Respiratory System Diagnosis with Ventilator Support >96...14$234,558-20%$50,838
467 Revision of Hip or Knee Replacement with CC14$116,648-26%$22,730
811 Red Blood Cell Disorders with MCC14$92,271+35%$10,874
208 Respiratory System Diagnosis with Ventilator Support <=96...13$111,135-18%$22,701
445 Disorders of The Biliary Tract with CC13$42,844-26%$9,541
066 Intracranial Hemorrhage or Cerebral Infarction without...12$29,986-29%$5,795
202 Bronchitis and Asthma with CC/MCC12$28,614-38%$7,570
300 Peripheral Vascular Disorders with CC12$37,961-23%$8,353
304 Hypertension with MCC12$48,681-15%$9,067

Showing the 60 most frequent of 71 DRGs.

Outpatient services

Against the Indiana average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Community Hospital North charged $66,628 on average, 5% more than the Indiana average of $63,232, and was paid $15,264 against a state average of $15,368. For Heart Failure and Shock with MCC (DRG 291), Community Hospital North charged $44,629 on average, 9% more than the Indiana average of $40,842, and was paid $9,799 against a state average of $10,315. For Gastrointestinal Hemorrhage with CC (DRG 378), Community Hospital North charged $35,908 on average, 10% less than the Indiana average of $39,876, and was paid $7,993 against a state average of $8,236. For Respiratory Infections and Inflammations with MCC (DRG 177), Community Hospital North charged $45,868 on average, 11% less than the Indiana average of $51,549, and was paid $12,609 against a state average of $12,977. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $12,376 was 5% below the state average of $13,048. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,780 was 19% below the state average of $10,786. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,124 was 7% below the state average of $18,399. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $84,245 was 9% above the state average of $77,048.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Community Hospital North 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.