Indiana / Community Hospital of Anderson and Madison County
CMS certification 150113 · Anderson, IN · 2 entries in CMS's price-transparency list
Community Hospital of Anderson and Madison County: charges and Medicare payments
Community Hospital of Anderson and Madison County reported 686 Medicare inpatient stays across 25 DRGs in 2024. Across them it charged 3.84 times what it was paid — mid-range in Indiana, number 39 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: 99 stays at an average charge of $33,484, 41% below the national average. It also billed 925 outpatient services, charging 9.29 times what Medicare paid.
- 1Medicare inpatient stays 686
- 2Charge ÷ paid, inpatient 3.84×
- 3Rank in IN (highest ratio = 1) 39 of 70
- 4CMS price-transparency actions 2
Inpatient stays
For the 25 DRGs that can be compared with the national average, Community Hospital of Anderson and Madison County charged more than the national average in 2 (8%). 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 | 99 | $33,484 | -41% | $9,446 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 80 | $47,236 | -48% | $14,018 |
| 193 Simple Pneumonia and Pleurisy with MCC | 47 | $27,929 | -53% | $9,659 |
| 177 Respiratory Infections and Inflammations with MCC | 40 | $34,788 | -51% | $12,442 |
| 189 Pulmonary Edema and Respiratory Failure | 35 | $36,374 | -37% | $8,992 |
| 690 Kidney and Urinary Tract Infections without MCC | 34 | $20,579 | -46% | $6,031 |
| 689 Kidney and Urinary Tract Infections with MCC | 24 | $29,940 | -42% | $8,442 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 23 | $30,949 | -39% | $8,758 |
| 378 Gastrointestinal Hemorrhage with CC | 23 | $30,535 | -37% | $7,899 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 22 | $34,604 | -38% | $7,536 |
| 194 Simple Pneumonia and Pleurisy with CC | 21 | $21,793 | -43% | $6,315 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 21 | $25,221 | -37% | $6,110 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 20 | $20,838 | -42% | $5,633 |
| 603 Cellulitis without MCC | 20 | $26,739 | -28% | $6,527 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 20 | $46,131 | -23% | $10,703 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 20 | $19,989 | -46% | $5,897 |
| 389 Gastrointestinal Obstruction with CC | 19 | $25,630 | -34% | $5,929 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 18 | $44,373 | -22% | $9,684 |
| 481 Hip and Femur Procedures except Major Joint with CC | 18 | $60,604 | -40% | $15,230 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 17 | $30,394 | -59% | $11,260 |
| 460 Spinal Fusion except Cervical without MCC | 15 | $182,936 | +7% | $28,872 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 15 | $26,517 | -46% | $7,685 |
| 948 Signs and Symptoms without MCC | 13 | $24,732 | -35% | $6,104 |
| 472 Cervical Spinal Fusion with CC | 11 | $149,498 | +5% | $22,757 |
| 683 Renal Failure with CC | 11 | $23,717 | -42% | $6,799 |
Outpatient services
Against the Indiana average
For Heart Failure and Shock with MCC (DRG 291), Community Hospital of Anderson and Madison County charged $33,484 on average, 18% less than the Indiana average of $40,842, and was paid $9,446 against a state average of $10,315. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Community Hospital of Anderson and Madison County charged $47,236 on average, 25% less than the Indiana average of $63,232, and was paid $14,018 against a state average of $15,368. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Community Hospital of Anderson and Madison County charged $27,929 on average, 36% less than the Indiana average of $43,683, and was paid $9,659 against a state average of $10,631. For Respiratory Infections and Inflammations with MCC (DRG 177), Community Hospital of Anderson and Madison County charged $34,788 on average, 33% less than the Indiana average of $51,549, and was paid $12,442 against a state average of $12,977. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $15,472 was 6% above the state average of $14,609. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,796 was 18% below the state average of $10,786. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $11,167 was 14% below the state average of $13,048. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $14,423 was 35% below the state average of $22,260.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Community Hospital of Anderson and Madison County in Anderson, IN, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2026-05-07 (CMS case 7551)
- Closure Notice — 2026-05-21 (CMS case 7551)
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.