Indiana / Daviess Community Hospital
CMS certification 150061 · Washington, IN · 5 entries in CMS's price-transparency list
Daviess Community Hospital: charges and Medicare payments
Daviess Community Hospital reported 130 Medicare inpatient stays across 7 DRGs in 2024. Across them it charged 2.27 times what it was paid — among the lower ratios in Indiana, number 66 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: 41 stays at an average charge of $29,527, 67% below the national average. It also billed 497 outpatient services, charging 5.38 times what Medicare paid.
- 1Medicare inpatient stays 130
- 2Charge ÷ paid, inpatient 2.27×
- 3Rank in IN (highest ratio = 1) 66 of 70
- 4CMS price-transparency actions 5
Inpatient stays
For the 7 DRGs that can be compared with the national average, Daviess Community Hospital charged more than the national average in 0 (0%). 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 | 41 | $29,527 | -67% | $15,681 |
| 193 Simple Pneumonia and Pleurisy with MCC | 21 | $26,253 | -56% | $11,252 |
| 194 Simple Pneumonia and Pleurisy with CC | 16 | $27,414 | -29% | $7,767 |
| 291 Heart Failure and Shock with MCC | 16 | $25,897 | -54% | $10,656 |
| 690 Kidney and Urinary Tract Infections without MCC | 13 | $17,647 | -53% | $7,873 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 12 | $24,745 | -50% | $8,762 |
| 689 Kidney and Urinary Tract Infections with MCC | 11 | $21,393 | -58% | $9,439 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 205 | $13,207 | $2,430 |
| Level 2 Urology and Related Services | 96 | $3,748 | $609 |
| Level 3 Urology and Related Services | 48 | $6,651 | $1,816 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 32 | $5,528 | $1,490 |
| Level 5 Urology and Related Services | 31 | $16,268 | $4,612 |
| Level 4 Urology and Related Services | 25 | $9,772 | $3,107 |
| Level 1 Laparoscopy and Related Services | 22 | $18,606 | $5,143 |
| Level 3 Vascular Procedures | 21 | $10,005 | $2,733 |
| Level 6 Urology and Related Services | 17 | $17,546 | $8,211 |
Against the Indiana average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Daviess Community Hospital charged $29,527 on average, 53% less than the Indiana average of $63,232, and was paid $15,681 against a state average of $15,368. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Daviess Community Hospital charged $26,253 on average, 40% less than the Indiana average of $43,683, and was paid $11,252 against a state average of $10,631. For Simple Pneumonia and Pleurisy with CC (DRG 194), Daviess Community Hospital charged $27,414 on average, 8% less than the Indiana average of $29,906, and was paid $7,767 against a state average of $6,907. For Heart Failure and Shock with MCC (DRG 291), Daviess Community Hospital charged $25,897 on average, 37% less than the Indiana average of $40,842, and was paid $10,656 against a state average of $10,315. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $13,207 was 28% below the state average of $18,399. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $3,748 was 18% below the state average of $4,596. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $6,651 was 53% below the state average of $14,051. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $5,528 was 49% below the state average of $10,786.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Daviess Community Hospital in Washington, IN, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-01-11 (CMS case 863)
- Closure Notice — 2023-04-24 (CMS case 863)
- Met Requirements — 2024-02-26 (CMS case 2285)
- Warning Notice — 2025-09-08 (CMS case 6518)
- Closure Notice — 2025-09-16 (CMS case 6518)
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.