Indiana / Goshen Hospital
CMS certification 150026 · Goshen, IN
Goshen Hospital: charges and Medicare payments
Goshen Hospital reported 622 Medicare inpatient stays across 28 DRGs in 2024. Across them it charged 3.58 times what it was paid — mid-range in Indiana, number 46 of 70 hospitals with at least 100 stays (state median 4.08×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 84 stays at an average charge of $37,985, 33% below the national average. It also billed 1,429 outpatient services, charging 7.04 times what Medicare paid.
- 1Medicare inpatient stays 622
- 2Charge ÷ paid, inpatient 3.58×
- 3Rank in IN (highest ratio = 1) 46 of 70
- 4CMS price-transparency actions 0
Inpatient stays
For the 28 DRGs that can be compared with the national average, Goshen 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 |
|---|---|---|---|---|
| 291 Heart Failure and Shock with MCC | 84 | $37,985 | -33% | $10,201 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 56 | $40,243 | -55% | $14,805 |
| 193 Simple Pneumonia and Pleurisy with MCC | 48 | $31,373 | -47% | $10,129 |
| 690 Kidney and Urinary Tract Infections without MCC | 42 | $18,701 | -51% | $6,872 |
| 177 Respiratory Infections and Inflammations with MCC | 38 | $48,069 | -32% | $12,883 |
| 194 Simple Pneumonia and Pleurisy with CC | 29 | $21,886 | -43% | $7,053 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 23 | $84,799 | -26% | $14,109 |
| 378 Gastrointestinal Hemorrhage with CC | 22 | $28,079 | -42% | $8,195 |
| 689 Kidney and Urinary Tract Infections with MCC | 21 | $30,613 | -40% | $9,187 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 20 | $84,085 | -25% | $21,339 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 20 | $19,489 | -51% | $6,923 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 19 | $27,485 | -44% | $8,604 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 16 | $33,993 | -6% | $6,648 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 16 | $96,456 | -41% | $23,557 |
| 603 Cellulitis without MCC | 16 | $22,634 | -39% | $7,448 |
| 178 Respiratory Infections and Inflammations with CC | 13 | $27,515 | -39% | $8,273 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 13 | $50,425 | -21% | $9,091 |
| 189 Pulmonary Edema and Respiratory Failure | 12 | $35,936 | -38% | $10,078 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 12 | $20,039 | -30% | $5,332 |
| 330 Major Small and Large Bowel Procedures with CC | 12 | $76,469 | -36% | $17,973 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 12 | $53,218 | -48% | $16,006 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 12 | $21,664 | -42% | $6,802 |
| 039 Extracranial Procedures without CC/MCC | 11 | $40,256 | -37% | $9,402 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 11 | $34,938 | -37% | $9,593 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 11 | $27,968 | -45% | $9,020 |
| 482 Hip and Femur Procedures except Major Joint without CC/MCC | 11 | $44,262 | -43% | $14,302 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 11 | $24,963 | -59% | $10,058 |
| 683 Renal Failure with CC | 11 | $27,870 | -32% | $8,164 |
Outpatient services
Against the Indiana average
For Heart Failure and Shock with MCC (DRG 291), Goshen Hospital charged $37,985 on average, 7% less than the Indiana average of $40,842, and was paid $10,201 against a state average of $10,315. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Goshen Hospital charged $40,243 on average, 36% less than the Indiana average of $63,232, and was paid $14,805 against a state average of $15,368. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Goshen Hospital charged $31,373 on average, 28% less than the Indiana average of $43,683, and was paid $10,129 against a state average of $10,631. For Kidney and Urinary Tract Infections without MCC (DRG 690), Goshen Hospital charged $18,701 on average, 33% less than the Indiana average of $27,724, and was paid $6,872 against a state average of $6,802. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $15,224 was 17% below the state average of $18,399. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $27,083 was 16% below the state average of $32,147. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $11,929 was 9% below the state average of $13,048. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,903 was 17% below 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.