Indiana / Community Howard Regional Health Inc
CMS certification 150007 · Kokomo, IN · 2 entries in CMS's price-transparency list
Community Howard Regional Health Inc: charges and Medicare payments
Community Howard Regional Health Inc reported 616 Medicare inpatient stays across 24 DRGs in 2024. Across them it charged 4.3 times what it was paid — mid-range in Indiana, number 33 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: 62 stays at an average charge of $45,729, 49% below the national average. It also billed 644 outpatient services, charging 10.53 times what Medicare paid.
- 1Medicare inpatient stays 616
- 2Charge ÷ paid, inpatient 4.3×
- 3Rank in IN (highest ratio = 1) 33 of 70
- 4CMS price-transparency actions 2
Inpatient stays
For the 24 DRGs that can be compared with the national average, Community Howard Regional Health Inc 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 |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 62 | $45,729 | -49% | $13,255 |
| 189 Pulmonary Edema and Respiratory Failure | 51 | $41,985 | -27% | $9,204 |
| 291 Heart Failure and Shock with MCC | 46 | $31,064 | -45% | $9,410 |
| 683 Renal Failure with CC | 39 | $22,093 | -46% | $6,799 |
| 193 Simple Pneumonia and Pleurisy with MCC | 38 | $36,621 | -39% | $9,726 |
| 885 Psychoses | 35 | $24,774 | -44% | $10,248 |
| 177 Respiratory Infections and Inflammations with MCC | 32 | $46,877 | -34% | $11,676 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 28 | $82,457 | -12% | $13,853 |
| 682 Renal Failure with MCC | 27 | $37,917 | -42% | $10,346 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 24 | $44,704 | -12% | $7,968 |
| 194 Simple Pneumonia and Pleurisy with CC | 22 | $28,951 | -25% | $6,294 |
| 378 Gastrointestinal Hemorrhage with CC | 21 | $30,268 | -38% | $7,397 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 21 | $23,603 | -36% | $5,860 |
| 690 Kidney and Urinary Tract Infections without MCC | 21 | $20,789 | -45% | $6,128 |
| 481 Hip and Femur Procedures except Major Joint with CC | 17 | $61,504 | -39% | $16,072 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 16 | $35,238 | -37% | $7,663 |
| 071 Other Cerebrovascular Disorders with CC | 16 | $33,705 | -33% | $7,683 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 16 | $49,197 | -35% | $9,912 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 16 | $90,875 | -19% | $16,418 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 14 | $97,870 | -4% | $15,476 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 14 | $38,951 | -35% | $8,844 |
| 689 Kidney and Urinary Tract Infections with MCC | 14 | $39,069 | -24% | $8,740 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 13 | $129,812 | +13% | $14,882 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 13 | $34,713 | -29% | $7,639 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 133 | $18,359 | $2,488 |
| Level 1 Endovascular Procedures | 102 | $41,239 | $2,923 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 73 | $8,769 | $1,466 |
| Level 5 Musculoskeletal Procedures | 45 | $83,867 | $11,324 |
| Level 3 Endovascular Procedures | 36 | $102,811 | $9,348 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 33 | $17,794 | $2,598 |
| Level 3 Vascular Procedures | 31 | $24,150 | $2,914 |
| Level 2 Upper GI Procedures | 29 | $6,716 | $1,692 |
| Level 3 Musculoskeletal Procedures | 25 | $19,966 | $2,865 |
| Level 2 Endovascular Procedures | 23 | $53,392 | $4,683 |
| Level 4 Urology and Related Services | 20 | $23,442 | $3,060 |
| Level 5 Urology and Related Services | 19 | $32,432 | $4,532 |
| Level 4 Musculoskeletal Procedures | 18 | $44,832 | $5,967 |
| Level 1 Laparoscopy and Related Services | 18 | $46,002 | $4,575 |
| Level 4 Endovascular Procedures | 15 | $113,467 | $15,999 |
| Level 6 Musculoskeletal Procedures | 13 | $97,016 | $15,823 |
| Level 2 Vascular Procedures | 11 | $15,928 | $1,464 |
Against the Indiana average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Community Howard Regional Health Inc charged $45,729 on average, 28% less than the Indiana average of $63,232, and was paid $13,255 against a state average of $15,368. For Pulmonary Edema and Respiratory Failure (DRG 189), Community Howard Regional Health Inc charged $41,985 on average, 2% more than the Indiana average of $41,261, and was paid $9,204 against a state average of $10,352. For Heart Failure and Shock with MCC (DRG 291), Community Howard Regional Health Inc charged $31,064 on average, 24% less than the Indiana average of $40,842, and was paid $9,410 against a state average of $10,315. For Renal Failure with CC (DRG 683), Community Howard Regional Health Inc charged $22,093 on average, 26% less than the Indiana average of $30,024, and was paid $6,799 against a state average of $7,448. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $18,359 was 0% below the state average of $18,399. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $41,239 was 28% above the state average of $32,147. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,769 was 19% below the state average of $10,786. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $83,867 was 9% above the state average of $77,048.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Community Howard Regional Health Inc 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 — 2026-05-05 (CMS case 7619)
- Closure Notice — 2026-05-21 (CMS case 7619)
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.