Indiana / Franciscan Health Indianapolis
CMS certification 150162 · Indianapolis, IN · 3 entries in CMS's price-transparency list
Franciscan Health Indianapolis: charges and Medicare payments
Franciscan Health Indianapolis reported 4,553 Medicare inpatient stays across 125 DRGs in 2024. Across them it charged 5.26 times what it was paid — among the higher ratios in Indiana, number 14 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: 603 stays at an average charge of $86,394, 4% below the national average. It also billed 2,818 outpatient services, charging 10.21 times what Medicare paid.
- 1Medicare inpatient stays 4,553
- 2Charge ÷ paid, inpatient 5.26×
- 3Rank in IN (highest ratio = 1) 14 of 70
- 4CMS price-transparency actions 3
Inpatient stays
For the 125 DRGs that can be compared with the national average, Franciscan Health Indianapolis charged more than the national average in 27 (22%). 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 | 603 | $86,394 | -4% | $15,592 |
| 177 Respiratory Infections and Inflammations with MCC | 223 | $67,553 | -4% | $12,924 |
| 291 Heart Failure and Shock with MCC | 189 | $54,513 | -3% | $10,331 |
| 193 Simple Pneumonia and Pleurisy with MCC | 102 | $66,301 | +11% | $11,638 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 94 | $62,232 | -38% | $15,016 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 93 | $45,364 | -8% | $8,802 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 92 | $102,902 | -34% | $25,478 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 84 | $147,202 | -36% | $35,262 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 81 | $69,732 | -5% | $12,800 |
| 189 Pulmonary Edema and Respiratory Failure | 80 | $51,559 | -10% | $10,889 |
| 683 Renal Failure with CC | 77 | $35,534 | -13% | $7,353 |
| 690 Kidney and Urinary Tract Infections without MCC | 71 | $36,895 | -2% | $7,488 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 70 | $46,444 | -17% | $8,795 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 69 | $82,544 | +9% | $13,228 |
| 377 Gastrointestinal Hemorrhage with MCC | 68 | $68,283 | -20% | $14,023 |
| 682 Renal Failure with MCC | 66 | $47,115 | -29% | $11,691 |
| 378 Gastrointestinal Hemorrhage with CC | 65 | $47,858 | -1% | $8,461 |
| 689 Kidney and Urinary Tract Infections with MCC | 61 | $43,635 | -15% | $9,158 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 57 | $31,467 | -13% | $6,804 |
| 330 Major Small and Large Bowel Procedures with CC | 55 | $88,374 | -26% | $16,863 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 54 | $51,048 | -15% | $10,504 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 50 | $123,349 | +8% | $15,875 |
| 481 Hip and Femur Procedures except Major Joint with CC | 50 | $87,017 | -14% | $16,055 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 49 | $31,258 | -22% | $6,663 |
| 603 Cellulitis without MCC | 46 | $39,114 | +5% | $8,096 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 45 | $101,464 | -10% | $19,173 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 44 | $60,286 | +6% | $11,819 |
| 312 Syncope and Collapse | 44 | $40,922 | -10% | $7,321 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 44 | $36,261 | -2% | $6,786 |
| 220 Cardiac Valve and Other Major Cardiothoracic Procedures... | 41 | $278,719 | +1% | $42,916 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 40 | $162,609 | -1% | $28,086 |
| 329 Major Small and Large Bowel Procedures with MCC | 39 | $114,953 | -47% | $31,220 |
| 394 Other Digestive System Diagnoses with CC | 38 | $36,115 | -23% | $7,871 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 35 | $69,845 | +9% | $10,269 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 35 | $109,360 | -21% | $20,940 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 34 | $77,674 | -21% | $16,145 |
| 389 Gastrointestinal Obstruction with CC | 33 | $29,254 | -25% | $6,793 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 33 | $45,266 | -5% | $8,165 |
| 314 Other Circulatory System Diagnoses with MCC | 29 | $64,793 | -32% | $20,159 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 28 | $245,958 | -24% | $55,316 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 27 | $224,655 | +7% | $30,559 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 27 | $188,666 | -34% | $45,291 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 27 | $52,994 | -13% | $10,245 |
| 418 Laparoscopic Cholecystectomy without C.D.E. with CC | 27 | $69,367 | -26% | $12,693 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 27 | $211,698 | -2% | $32,136 |
| 163 Major Chest Procedures with MCC | 26 | $178,090 | -15% | $35,253 |
| 178 Respiratory Infections and Inflammations with CC | 26 | $39,903 | -12% | $7,946 |
| 253 Other Vascular Procedures with CC | 26 | $80,461 | -39% | $20,393 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 26 | $26,145 | -9% | $5,245 |
| 813 Coagulation Disorders | 26 | $66,348 | -17% | $12,085 |
| 242 Permanent Cardiac Pacemaker Implant with MCC | 25 | $203,443 | +27% | $30,503 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 25 | $72,071 | -16% | $14,850 |
| 180 Respiratory Neoplasms with MCC | 24 | $64,798 | -26% | $14,504 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 24 | $191,924 | -13% | $35,514 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 24 | $46,984 | -7% | $7,847 |
| 069 Transient Ischemia without Thrombolytic | 23 | $45,261 | -10% | $6,730 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 23 | $84,594 | -17% | $17,801 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 23 | $46,491 | -31% | $10,475 |
| 812 Red Blood Cell Disorders without MCC | 22 | $50,324 | +13% | $8,361 |
| 071 Other Cerebrovascular Disorders with CC | 21 | $35,942 | -29% | $8,195 |
Showing the 60 most frequent of 125 DRGs.
Outpatient services
Against the Indiana average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Franciscan Health Indianapolis charged $86,394 on average, 37% more than the Indiana average of $63,232, and was paid $15,592 against a state average of $15,368. For Respiratory Infections and Inflammations with MCC (DRG 177), Franciscan Health Indianapolis charged $67,553 on average, 31% more than the Indiana average of $51,549, and was paid $12,924 against a state average of $12,977. For Heart Failure and Shock with MCC (DRG 291), Franciscan Health Indianapolis charged $54,513 on average, 33% more than the Indiana average of $40,842, and was paid $10,331 against a state average of $10,315. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Franciscan Health Indianapolis charged $66,301 on average, 52% more than the Indiana average of $43,683, and was paid $11,638 against a state average of $10,631. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $42,138 was 31% above the state average of $32,147. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $25,389 was 38% above the state average of $18,399. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $12,751 was 18% above the state average of $10,786. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $22,790 was 2% above the state average of $22,260.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Franciscan Health Indianapolis in Indianapolis, IN, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-03-14 (CMS case 973)
- Warning Notice — 2024-11-15 (CMS case 2930)
- Closure Notice — 2025-02-19 (CMS case 2930)
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.