Indiana / Franciscan Health Lafayette
CMS certification 150109 · Lafayette, IN
Franciscan Health Lafayette: charges and Medicare payments
Franciscan Health Lafayette reported 1,401 Medicare inpatient stays across 46 DRGs in 2024. Across them it charged 5.14 times what it was paid — among the higher ratios in Indiana, number 15 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: 257 stays at an average charge of $65,340, 28% below the national average. It also billed 1,811 outpatient services, charging 12.21 times what Medicare paid.
- 1Medicare inpatient stays 1,401
- 2Charge ÷ paid, inpatient 5.14×
- 3Rank in IN (highest ratio = 1) 15 of 70
- 4CMS price-transparency actions 0
Inpatient stays
For the 46 DRGs that can be compared with the national average, Franciscan Health Lafayette charged more than the national average in 12 (26%). 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 | 257 | $65,340 | -28% | $15,271 |
| 291 Heart Failure and Shock with MCC | 112 | $49,274 | -13% | $10,850 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 81 | $64,957 | -14% | $13,672 |
| 189 Pulmonary Edema and Respiratory Failure | 57 | $37,905 | -34% | $10,073 |
| 193 Simple Pneumonia and Pleurisy with MCC | 50 | $35,971 | -40% | $10,205 |
| 177 Respiratory Infections and Inflammations with MCC | 46 | $54,436 | -23% | $12,382 |
| 683 Renal Failure with CC | 44 | $35,555 | -13% | $7,730 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 42 | $36,791 | -25% | $9,050 |
| 378 Gastrointestinal Hemorrhage with CC | 36 | $43,439 | -11% | $8,291 |
| 481 Hip and Femur Procedures except Major Joint with CC | 32 | $109,075 | +8% | $15,383 |
| 682 Renal Failure with MCC | 32 | $63,540 | -4% | $12,680 |
| 377 Gastrointestinal Hemorrhage with MCC | 28 | $76,393 | -11% | $13,732 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 28 | $163,200 | -29% | $32,753 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 27 | $39,322 | -35% | $10,922 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 26 | $44,537 | -20% | $8,461 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 21 | $54,766 | -45% | $14,880 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 21 | $61,648 | -5% | $12,869 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 21 | $55,070 | +9% | $7,793 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 21 | $126,814 | +11% | $13,793 |
| 330 Major Small and Large Bowel Procedures with CC | 21 | $174,195 | +46% | $18,042 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 21 | $134,909 | +32% | $15,368 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 21 | $34,213 | -8% | $6,883 |
| 690 Kidney and Urinary Tract Infections without MCC | 20 | $37,020 | -2% | $7,336 |
| 312 Syncope and Collapse | 19 | $29,672 | -35% | $7,457 |
| 689 Kidney and Urinary Tract Infections with MCC | 19 | $38,312 | -25% | $10,141 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 19 | $122,689 | -43% | $32,130 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 18 | $290,043 | +43% | $41,098 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 17 | $36,219 | -10% | $7,198 |
| 252 Other Vascular Procedures with MCC | 16 | $123,523 | -28% | $25,355 |
| 389 Gastrointestinal Obstruction with CC | 16 | $37,907 | -3% | $7,314 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 16 | $84,164 | -14% | $15,615 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 16 | $215,741 | -33% | $49,140 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 15 | $99,007 | -11% | $17,487 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 15 | $32,971 | -9% | $6,565 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 15 | $179,968 | +30% | $24,567 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 14 | $142,959 | +53% | $14,192 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 14 | $60,427 | -18% | $13,028 |
| 242 Permanent Cardiac Pacemaker Implant with MCC | 13 | $159,703 | -1% | $27,612 |
| 884 Organic Disturbances and Intellectual Disability | 13 | $42,939 | -31% | $13,134 |
| 038 Extracranial Procedures with CC | 12 | $136,850 | +56% | $12,939 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 12 | $39,982 | -29% | $9,834 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 12 | $31,942 | -48% | $10,353 |
| 673 Other Kidney and Urinary Tract Procedures with MCC | 12 | $120,922 | -30% | $27,987 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 11 | $75,323 | +18% | $8,804 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 11 | $286,779 | +3% | $44,601 |
| 493 Lower Extremity and Humerus Procedures except Hip, Foot and... | 11 | $120,536 | +1% | $17,095 |
Outpatient services
Against the Indiana average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Franciscan Health Lafayette charged $65,340 on average, 3% more than the Indiana average of $63,232, and was paid $15,271 against a state average of $15,368. For Heart Failure and Shock with MCC (DRG 291), Franciscan Health Lafayette charged $49,274 on average, 21% more than the Indiana average of $40,842, and was paid $10,850 against a state average of $10,315. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Franciscan Health Lafayette charged $64,957 on average, 14% more than the Indiana average of $56,757, and was paid $13,672 against a state average of $12,726. For Pulmonary Edema and Respiratory Failure (DRG 189), Franciscan Health Lafayette charged $37,905 on average, 8% less than the Indiana average of $41,261, and was paid $10,073 against a state average of $10,352. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $120,550 was 56% above the state average of $77,048. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $21,875 was 19% above the state average of $18,399. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $25,561 was 15% above the state average of $22,260. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $13,541 was 26% above the state average of $10,786.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
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.