Indiana University Health: charges and Medicare payments

Indiana University Health reported 6,193 Medicare inpatient stays across 201 DRGs in 2024. Across them it charged 4.95 times what it was paid — among the higher ratios in Indiana, number 22 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: 347 stays at an average charge of $86,208, 5% below the national average. It also billed 5,827 outpatient services, charging 10.68 times what Medicare paid.

1Medicare inpatient stays 6,193
2Charge ÷ paid, inpatient 4.95×
3Rank in IN (highest ratio = 1) 22 of 70
4CMS price-transparency actions 0

Average charge per stay at Indiana University Health, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 201 DRGs that can be compared with the national average, Indiana University Health charged more than the national average in 127 (63%). 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	347	$86,208	-5%	$22,027
291 Heart Failure and Shock with MCC	129	$68,429	+21%	$16,349
481 Hip and Femur Procedures except Major Joint with CC	91	$158,865	+58%	$22,065
853 Infectious and Parasitic Diseases with O.R. Procedures with...	88	$294,856	+29%	$60,036
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	82	$113,527	+14%	$22,878
177 Respiratory Infections and Inflammations with MCC	77	$69,602	-1%	$19,154
690 Kidney and Urinary Tract Infections without MCC	72	$36,100	-5%	$10,182
274 Percutaneous and Other Intracardiac Procedures without MCC	71	$153,559	-2%	$31,076
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	71	$75,258	+25%	$16,854
812 Red Blood Cell Disorders without MCC	70	$46,839	+6%	$11,382
698 Other Kidney and Urinary Tract Diagnoses with MCC	68	$64,111	-13%	$17,511
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	67	$44,800	+12%	$10,071
699 Other Kidney and Urinary Tract Diagnoses with CC	66	$51,179	+8%	$12,690
847 Chemotherapy without Acute Leukemia As Secondary Diagnosis...	66	$89,148	+32%	$17,536
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	66	$49,939	+2%	$13,013
025 Craniotomy and Endovascular Intracranial Procedures with MCC	64	$237,657	+3%	$46,102
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	64	$57,221	+3%	$12,253
193 Simple Pneumonia and Pleurisy with MCC	64	$56,276	-6%	$14,188
652 Kidney Transplant	62	$354,850	+5%	$35,076
552 Medical Back Problems without MCC	61	$45,816	-6%	$11,867
101 Seizures without MCC	60	$46,900	-4%	$10,753
330 Major Small and Large Bowel Procedures with CC	60	$119,629	+1%	$26,133
406 Pancreas, Liver and Shunt Procedures with CC	59	$154,243	-5%	$28,970
378 Gastrointestinal Hemorrhage with CC	58	$56,034	+15%	$12,320
683 Renal Failure with CC	58	$39,889	-2%	$10,727
286 Circulatory Disorders except AMI, with Cardiac...	57	$148,660	+32%	$27,090
312 Syncope and Collapse	57	$45,090	-1%	$10,794
394 Other Digestive System Diagnoses with CC	55	$58,904	+25%	$15,243
689 Kidney and Urinary Tract Infections with MCC	49	$53,074	+3%	$14,044
267 Endovascular Cardiac Valve Replacement and Supplement...	48	$200,455	-9%	$44,390
405 Pancreas, Liver and Shunt Procedures with MCC	47	$272,960	-5%	$59,476
445 Disorders of The Biliary Tract with CC	47	$56,327	-3%	$12,372
682 Renal Failure with MCC	47	$78,622	+19%	$18,337
314 Other Circulatory System Diagnoses with MCC	45	$129,413	+36%	$25,442
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	45	$238,197	+10%	$48,302
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	44	$62,046	+2%	$15,327
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	44	$46,692	+26%	$10,867
309 Cardiac Arrhythmia and Conduction Disorders with CC	42	$38,695	+7%	$9,211
657 Kidney and Ureter Procedures for Neoplasm with CC	42	$100,002	0%	$19,369
480 Hip and Femur Procedures except Major Joint with MCC	41	$201,389	+45%	$30,973
023 Craniotomy with Major Device Implant or Acute Complex Cns...	40	$282,171	0%	$54,776
190 Chronic Obstructive Pulmonary Disease with MCC	40	$46,016	-9%	$12,468
269 Aortic and Heart Assist Procedures except Pulsation Balloon...	40	$377,440	+96%	$54,899
329 Major Small and Large Bowel Procedures with MCC	40	$239,464	+11%	$52,018
377 Gastrointestinal Hemorrhage with MCC	40	$110,251	+29%	$21,577
393 Other Digestive System Diagnoses with MCC	40	$73,378	-4%	$18,412
467 Revision of Hip or Knee Replacement with CC	40	$225,580	+43%	$34,883
326 Stomach, Esophageal and Duodenal Procedures with MCC	39	$267,981	+12%	$56,971
083 Traumatic Stupor and Coma >1 Hour with CC	38	$77,107	+5%	$15,804
163 Major Chest Procedures with MCC	37	$193,903	-8%	$48,049
220 Cardiac Valve and Other Major Cardiothoracic Procedures...	36	$349,253	+27%	$63,960
603 Cellulitis without MCC	36	$47,484	+27%	$11,585
470 Major Hip and Knee Joint Replacement or Reattachment of...	35	$148,017	+59%	$18,488
057 Degenerative Nervous System Disorders without MCC	34	$45,747	-19%	$14,528
654 Major Bladder Procedures with CC	34	$156,038	+1%	$28,403
205 Other Respiratory System Diagnoses with MCC	33	$79,775	-10%	$19,873
870 Septicemia or Severe Sepsis with MV >96 Hours	33	$317,614	-2%	$75,122
092 Other Disorders of Nervous System with CC	32	$52,170	+1%	$12,188
300 Peripheral Vascular Disorders with CC	32	$47,021	-5%	$15,721
354 Hernia Procedures except Inguinal and Femoral with CC	32	$115,778	+31%	$18,174

Showing the 60 most frequent of 201 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 2 Urology and Related Services	741	$3,156	$623
Level 2 Excision/ Biopsy/ Incision and Drainage	437	$13,484	$1,470
Level 3 Urology and Related Services	317	$11,158	$1,837
Level 1 Endovascular Procedures	313	$41,958	$2,942
Level 2 Upper GI Procedures	250	$21,596	$1,734
Comprehensive Observation Services	248	$21,099	$2,431
Level 3 Excision/ Biopsy/ Incision and Drainage	226	$20,039	$2,580
Level 5 Urology and Related Services	226	$39,452	$4,698
Level 5 Musculoskeletal Procedures	210	$111,474	$11,779
Level 3 Vascular Procedures	196	$32,754	$2,869
Complex GI Procedures	194	$44,148	$5,151
Level 4 Airway Endoscopy	189	$23,629	$3,383
Level 4 Urology and Related Services	179	$27,179	$3,163
Level 3 Electrophysiologic Procedures	177	$228,750	$21,472
Level 3 Upper GI Procedures	167	$29,652	$3,473
Level 3 Endovascular Procedures	155	$102,132	$10,016
Level 1 Laparoscopy and Related Services	149	$49,863	$5,257
Level 2 Laparoscopy and Related Services	148	$75,124	$9,287
Level 4 Vascular Procedures	133	$50,959	$4,781
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	108	$22,002	$3,152
Level 5 ENT Procedures	98	$53,293	$5,162
Level 2 Endovascular Procedures	80	$64,014	$5,208
Level 3 Airway Endoscopy	72	$17,472	$1,546
Level 5 Airway Endoscopy	69	$46,785	$6,236
Level 4 ENT Procedures	67	$25,938	$2,867

Against the Indiana average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Indiana University Health charged $86,208 on average, 36% more than the Indiana average of $63,232, and was paid $22,027 against a state average of $15,368. For Heart Failure and Shock with MCC (DRG 291), Indiana University Health charged $68,429 on average, 68% more than the Indiana average of $40,842, and was paid $16,349 against a state average of $10,315. For Hip and Femur Procedures except Major Joint with CC (DRG 481), Indiana University Health charged $158,865 on average, 81% more than the Indiana average of $87,728, and was paid $22,065 against a state average of $16,468. For Infectious and Parasitic Diseases with O.R. Procedures with MCC (DRG 853), Indiana University Health charged $294,856 on average, 76% more than the Indiana average of $167,313, and was paid $60,036 against a state average of $38,663. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $3,156 was 31% below the state average of $4,596. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $13,484 was 25% above the state average of $10,786. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $11,158 was 21% below the state average of $14,051. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $41,958 was 31% above the state average of $32,147.

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.