Indiana / Elkhart General Hospital
CMS certification 150018 · Elkhart, IN · 3 entries in CMS's price-transparency list
Elkhart General Hospital: charges and Medicare payments
Elkhart General Hospital reported 1,724 Medicare inpatient stays across 64 DRGs in 2024. Across them it charged 4.4 times what it was paid — mid-range in Indiana, number 30 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: 131 stays at an average charge of $65,959, 27% below the national average. It also billed 1,542 outpatient services, charging 7.36 times what Medicare paid.
- 1Medicare inpatient stays 1,724
- 2Charge ÷ paid, inpatient 4.4×
- 3Rank in IN (highest ratio = 1) 30 of 70
- 4CMS price-transparency actions 3
Inpatient stays
For the 64 DRGs that can be compared with the national average, Elkhart General 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 | 131 | $65,959 | -27% | $15,516 |
| 291 Heart Failure and Shock with MCC | 95 | $36,714 | -35% | $9,945 |
| 189 Pulmonary Edema and Respiratory Failure | 93 | $52,202 | -9% | $9,703 |
| 690 Kidney and Urinary Tract Infections without MCC | 65 | $25,160 | -33% | $6,493 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 49 | $30,014 | -46% | $7,761 |
| 194 Simple Pneumonia and Pleurisy with CC | 48 | $28,174 | -27% | $6,386 |
| 177 Respiratory Infections and Inflammations with MCC | 45 | $50,555 | -28% | $11,948 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 43 | $22,990 | -43% | $6,440 |
| 603 Cellulitis without MCC | 42 | $25,936 | -30% | $7,529 |
| 193 Simple Pneumonia and Pleurisy with MCC | 41 | $48,296 | -19% | $10,104 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 41 | $27,872 | -23% | $6,323 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 36 | $157,262 | 0% | $25,938 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 36 | $41,343 | -35% | $9,082 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 34 | $166,201 | -25% | $34,873 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 34 | $47,225 | -38% | $11,987 |
| 689 Kidney and Urinary Tract Infections with MCC | 32 | $34,379 | -33% | $8,718 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 31 | $33,103 | -33% | $8,279 |
| 378 Gastrointestinal Hemorrhage with CC | 30 | $47,378 | -2% | $7,974 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 28 | $21,625 | -42% | $6,089 |
| 682 Renal Failure with MCC | 28 | $42,343 | -36% | $11,035 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 27 | $55,071 | -45% | $15,728 |
| 220 Cardiac Valve and Other Major Cardiothoracic Procedures... | 27 | $192,098 | -30% | $44,773 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 26 | $31,541 | -48% | $9,678 |
| 312 Syncope and Collapse | 24 | $29,265 | -36% | $6,813 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 24 | $92,235 | -19% | $13,559 |
| 481 Hip and Femur Procedures except Major Joint with CC | 23 | $76,163 | -24% | $14,521 |
| 683 Renal Failure with CC | 23 | $30,513 | -25% | $6,990 |
| 069 Transient Ischemia without Thrombolytic | 22 | $24,287 | -52% | $6,291 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 22 | $36,651 | -28% | $8,398 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 22 | $29,310 | -26% | $6,707 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 22 | $143,461 | -32% | $29,404 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 22 | $43,745 | -23% | $9,168 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 21 | $38,473 | -24% | $6,973 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 21 | $82,017 | -20% | $15,633 |
| 377 Gastrointestinal Hemorrhage with MCC | 20 | $46,820 | -45% | $13,028 |
| 176 Pulmonary Embolism without MCC | 18 | $26,091 | -37% | $7,319 |
| 101 Seizures without MCC | 17 | $31,265 | -36% | $7,062 |
| 178 Respiratory Infections and Inflammations with CC | 17 | $33,497 | -26% | $7,429 |
| 202 Bronchitis and Asthma with CC/MCC | 17 | $25,634 | -44% | $7,651 |
| 552 Medical Back Problems without MCC | 17 | $26,045 | -47% | $7,220 |
| 812 Red Blood Cell Disorders without MCC | 17 | $23,546 | -47% | $6,984 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 16 | $20,608 | -28% | $4,997 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 16 | $141,613 | -38% | $42,271 |
| 948 Signs and Symptoms without MCC | 16 | $25,873 | -32% | $6,262 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 15 | $44,344 | -27% | $11,018 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 14 | $58,174 | -48% | $16,123 |
| 305 Hypertension without MCC | 14 | $21,915 | -45% | $5,946 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 14 | $134,818 | -18% | $20,925 |
| 038 Extracranial Procedures with CC | 13 | $39,639 | -55% | $11,991 |
| 071 Other Cerebrovascular Disorders with CC | 13 | $36,196 | -28% | $8,056 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 13 | $47,529 | -27% | $10,195 |
| 100 Seizures with MCC | 12 | $58,653 | -38% | $14,700 |
| 270 Other Major Cardiovascular Procedures with MCC | 12 | $126,576 | -51% | $36,080 |
| 439 Disorders of Pancreas except Malignancy with CC | 12 | $27,209 | -38% | $6,498 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 12 | $115,886 | -6% | $20,333 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 12 | $24,820 | -42% | $6,965 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 12 | $39,121 | -47% | $11,608 |
| 066 Intracranial Hemorrhage or Cerebral Infarction without... | 11 | $21,615 | -49% | $5,982 |
| 083 Traumatic Stupor and Coma >1 Hour with CC | 11 | $28,875 | -61% | $10,262 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 11 | $228,771 | -20% | $44,917 |
Showing the 60 most frequent of 64 DRGs.
Outpatient services
Against the Indiana average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Elkhart General Hospital charged $65,959 on average, 4% more than the Indiana average of $63,232, and was paid $15,516 against a state average of $15,368. For Heart Failure and Shock with MCC (DRG 291), Elkhart General Hospital charged $36,714 on average, 10% less than the Indiana average of $40,842, and was paid $9,945 against a state average of $10,315. For Pulmonary Edema and Respiratory Failure (DRG 189), Elkhart General Hospital charged $52,202 on average, 27% more than the Indiana average of $41,261, and was paid $9,703 against a state average of $10,352. For Kidney and Urinary Tract Infections without MCC (DRG 690), Elkhart General Hospital charged $25,160 on average, 9% less than the Indiana average of $27,724, and was paid $6,493 against a state average of $6,802. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $13,218 was 28% below the state average of $18,399. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,750 was 19% below the state average of $10,786. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $18,705 was 42% below the state average of $32,147. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $74,355 was 3% below the state average of $77,048.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Elkhart General Hospital in Elkhart, IN, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-12-07 (CMS case 2042)
- Closure Notice — 2024-03-26 (CMS case 2042)
- Met Requirements — 2026-06-23 (CMS case 8119)
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.