Indiana / Eskenazi Health
CMS certification 150024 · Indianapolis, IN · 4 entries in CMS's price-transparency list
Eskenazi Health: charges and Medicare payments
Eskenazi Health reported 584 Medicare inpatient stays across 25 DRGs in 2024. Across them it charged 2.96 times what it was paid — among the lower ratios in Indiana, number 56 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: 117 stays at an average charge of $78,695, 13% below the national average. It also billed 673 outpatient services, charging 10.41 times what Medicare paid.
- 1Medicare inpatient stays 584
- 2Charge ÷ paid, inpatient 2.96×
- 3Rank in IN (highest ratio = 1) 56 of 70
- 4CMS price-transparency actions 4
Inpatient stays
For the 25 DRGs that can be compared with the national average, Eskenazi Health 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 |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 117 | $78,695 | -13% | $25,186 |
| 291 Heart Failure and Shock with MCC | 68 | $50,677 | -10% | $18,566 |
| 189 Pulmonary Edema and Respiratory Failure | 47 | $51,528 | -10% | $17,193 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 33 | $38,779 | -36% | $18,990 |
| 812 Red Blood Cell Disorders without MCC | 32 | $25,364 | -43% | $15,688 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 21 | $192,040 | -16% | $54,952 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 19 | $118,117 | -13% | $32,895 |
| 193 Simple Pneumonia and Pleurisy with MCC | 18 | $46,383 | -22% | $17,916 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 17 | $42,133 | -24% | $14,881 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 17 | $63,901 | -16% | $19,884 |
| 682 Renal Failure with MCC | 17 | $45,696 | -31% | $21,043 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 16 | $27,260 | -26% | $14,369 |
| 177 Respiratory Infections and Inflammations with MCC | 14 | $62,275 | -12% | $19,887 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 14 | $37,096 | -8% | $14,918 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 14 | $375,112 | +16% | $88,851 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 14 | $33,293 | -32% | $16,443 |
| 603 Cellulitis without MCC | 13 | $31,364 | -16% | $14,897 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 12 | $76,059 | -24% | $25,615 |
| 092 Other Disorders of Nervous System with CC | 12 | $39,930 | -23% | $16,962 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 12 | $67,503 | +33% | $17,834 |
| 481 Hip and Femur Procedures except Major Joint with CC | 12 | $93,612 | -7% | $26,457 |
| 683 Renal Failure with CC | 12 | $33,678 | -17% | $15,972 |
| 071 Other Cerebrovascular Disorders with CC | 11 | $40,624 | -20% | $17,579 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 11 | $38,056 | -42% | $20,427 |
| 811 Red Blood Cell Disorders with MCC | 11 | $38,073 | -44% | $19,477 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 295 | $22,077 | $2,469 |
| Level 1 Intraocular Procedures | 86 | $16,043 | $2,105 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 50 | $12,136 | $1,441 |
| Level 2 Urology and Related Services | 50 | $3,151 | $617 |
| Level 3 Vascular Procedures | 30 | $25,630 | $2,831 |
| Level 3 Urology and Related Services | 26 | $14,307 | $1,840 |
| Level 2 Intraocular Procedures | 26 | $27,245 | $3,672 |
| Level 1 Endovascular Procedures | 20 | $33,163 | $2,948 |
| Level 5 Musculoskeletal Procedures | 17 | $74,248 | $11,872 |
| Level 5 Urology and Related Services | 14 | $37,086 | $4,674 |
| Level 4 Musculoskeletal Procedures | 13 | $54,928 | $6,066 |
| Level 2 Endovascular Procedures | 13 | $33,823 | $5,163 |
| Level 4 Vascular Procedures | 11 | $59,161 | $4,964 |
| Level 2 Upper GI Procedures | 11 | $10,987 | $1,719 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 11 | $24,185 | $3,125 |
Against the Indiana average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Eskenazi Health charged $78,695 on average, 24% more than the Indiana average of $63,232, and was paid $25,186 against a state average of $15,368. For Heart Failure and Shock with MCC (DRG 291), Eskenazi Health charged $50,677 on average, 24% more than the Indiana average of $40,842, and was paid $18,566 against a state average of $10,315. For Pulmonary Edema and Respiratory Failure (DRG 189), Eskenazi Health charged $51,528 on average, 25% more than the Indiana average of $41,261, and was paid $17,193 against a state average of $10,352. For Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC (DRG 640), Eskenazi Health charged $38,779 on average, 13% less than the Indiana average of $44,332, and was paid $18,990 against a state average of $10,914. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $22,077 was 20% above the state average of $18,399. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $16,043 was 10% above the state average of $14,609. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $12,136 was 13% above the state average of $10,786. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $3,151 was 31% below the state average of $4,596.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Eskenazi Health in Indianapolis, IN, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2025-04-11 (CMS case 3766)
- Closure Notice — 2025-05-15 (CMS case 3766)
- Warning Notice — 2026-06-01 (CMS case 7904)
- Closure Notice — 2026-06-12 (CMS case 7904)
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.