Pennsylvania / Indiana Regional Medical Center
CMS certification 390173 · Indiana, PA · 1 entry in CMS's price-transparency list
Indiana Regional Medical Center: charges and Medicare payments
Indiana Regional Medical Center reported 406 Medicare inpatient stays across 17 DRGs in 2024. Across them it charged 2.98 times what it was paid — among the lower ratios in Pennsylvania, number 99 of 117 hospitals with at least 100 stays (state median 4.27×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 111 stays at an average charge of $39,977, 56% below the national average. It also billed 709 outpatient services, charging 5.96 times what Medicare paid.
- 1Medicare inpatient stays 406
- 2Charge ÷ paid, inpatient 2.98×
- 3Rank in PA (highest ratio = 1) 99 of 117
- 4CMS price-transparency actions 1
Inpatient stays
For the 17 DRGs that can be compared with the national average, Indiana Regional Medical Center 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 | 111 | $39,977 | -56% | $13,742 |
| 291 Heart Failure and Shock with MCC | 51 | $24,295 | -57% | $9,056 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 27 | $25,816 | -47% | $7,864 |
| 193 Simple Pneumonia and Pleurisy with MCC | 21 | $23,999 | -60% | $9,529 |
| 690 Kidney and Urinary Tract Infections without MCC | 20 | $19,956 | -47% | $6,550 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 18 | $27,542 | -51% | $7,938 |
| 689 Kidney and Urinary Tract Infections with MCC | 17 | $28,039 | -45% | $8,453 |
| 177 Respiratory Infections and Inflammations with MCC | 16 | $36,490 | -48% | $11,978 |
| 378 Gastrointestinal Hemorrhage with CC | 16 | $26,944 | -45% | $7,224 |
| 603 Cellulitis without MCC | 15 | $23,499 | -37% | $6,478 |
| 682 Renal Failure with MCC | 15 | $36,765 | -44% | $11,337 |
| 683 Renal Failure with CC | 15 | $24,618 | -40% | $6,639 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 13 | $23,249 | -69% | $11,141 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 13 | $18,221 | -50% | $5,557 |
| 312 Syncope and Collapse | 13 | $20,466 | -55% | $6,364 |
| 552 Medical Back Problems without MCC | 13 | $19,560 | -60% | $7,554 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 12 | $44,623 | -56% | $14,972 |
Outpatient services
Against the Pennsylvania average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Indiana Regional Medical Center charged $39,977 on average, 55% less than the Pennsylvania average of $88,167, and was paid $13,742 against a state average of $16,881. For Heart Failure and Shock with MCC (DRG 291), Indiana Regional Medical Center charged $24,295 on average, 58% less than the Pennsylvania average of $57,362, and was paid $9,056 against a state average of $11,112. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Indiana Regional Medical Center charged $25,816 on average, 48% less than the Pennsylvania average of $49,758, and was paid $7,864 against a state average of $9,077. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Indiana Regional Medical Center charged $23,999 on average, 60% less than the Pennsylvania average of $59,404, and was paid $9,529 against a state average of $11,319. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $14,468 was 33% below the state average of $21,732. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $10,845 was 21% below the state average of $13,651. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $20,130 was 12% below the state average of $22,799. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $39,870 was 37% below the state average of $63,627.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Indiana Regional Medical Center in Indiana, PA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-04-22 (CMS case 3983)
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.