Indiana / Franciscan Health Mooresville
CMS certification 150057 · Mooresville, IN · 1 entry in CMS's price-transparency list
Franciscan Health Mooresville: charges and Medicare payments
Franciscan Health Mooresville reported 373 Medicare inpatient stays across 13 DRGs in 2024. Across them it charged 3.66 times what it was paid — mid-range in Indiana, number 43 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: 73 stays at an average charge of $49,608, 45% below the national average. It also billed 410 outpatient services, charging 7.92 times what Medicare paid.
- 1Medicare inpatient stays 373
- 2Charge ÷ paid, inpatient 3.66×
- 3Rank in IN (highest ratio = 1) 43 of 70
- 4CMS price-transparency actions 1
Inpatient stays
For the 13 DRGs that can be compared with the national average, Franciscan Health Mooresville 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 | 73 | $49,608 | -45% | $16,970 |
| 291 Heart Failure and Shock with MCC | 42 | $41,055 | -27% | $11,917 |
| 193 Simple Pneumonia and Pleurisy with MCC | 40 | $42,629 | -29% | $12,552 |
| 189 Pulmonary Edema and Respiratory Failure | 30 | $33,597 | -42% | $12,935 |
| 467 Revision of Hip or Knee Replacement with CC | 30 | $112,211 | -29% | $27,033 |
| 177 Respiratory Infections and Inflammations with MCC | 27 | $42,596 | -40% | $14,350 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 26 | $104,378 | -16% | $22,493 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 26 | $80,896 | -13% | $16,753 |
| 330 Major Small and Large Bowel Procedures with CC | 21 | $90,986 | -24% | $21,621 |
| 690 Kidney and Urinary Tract Infections without MCC | 16 | $28,452 | -25% | $8,172 |
| 689 Kidney and Urinary Tract Infections with MCC | 15 | $40,348 | -21% | $11,155 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 15 | $30,739 | -37% | $10,462 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 12 | $75,283 | -12% | $14,922 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 5 Musculoskeletal Procedures | 284 | $77,888 | $11,800 |
| Comprehensive Observation Services | 86 | $21,675 | $2,472 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 28 | $12,803 | $1,464 |
| Level 2 Musculoskeletal Procedures | 12 | $18,671 | $1,452 |
Against the Indiana average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Franciscan Health Mooresville charged $49,608 on average, 22% less than the Indiana average of $63,232, and was paid $16,970 against a state average of $15,368. For Heart Failure and Shock with MCC (DRG 291), Franciscan Health Mooresville charged $41,055 on average, 1% more than the Indiana average of $40,842, and was paid $11,917 against a state average of $10,315. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Franciscan Health Mooresville charged $42,629 on average, 2% less than the Indiana average of $43,683, and was paid $12,552 against a state average of $10,631. For Pulmonary Edema and Respiratory Failure (DRG 189), Franciscan Health Mooresville charged $33,597 on average, 19% less than the Indiana average of $41,261, and was paid $12,935 against a state average of $10,352. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $77,888 was 1% above the state average of $77,048. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $21,675 was 18% above the state average of $18,399. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $12,803 was 19% above the state average of $10,786. For Level 2 Musculoskeletal Procedures (outpatient APC 5112), its average charge of $18,671 was 33% above the state average of $14,035.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Franciscan Health Mooresville in Mooresville, IN, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2026-02-12 (CMS case 7013)
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.