Indiana / Indiana University Health North Hospital
CMS certification 150161 · Carmel, IN · 3 entries in CMS's price-transparency list
Indiana University Health North Hospital: charges and Medicare payments
Indiana University Health North Hospital reported 1,039 Medicare inpatient stays across 42 DRGs in 2024. Across them it charged 5.04 times what it was paid — among the higher ratios in Indiana, number 17 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: 180 stays at an average charge of $65,768, 27% below the national average. It also billed 1,252 outpatient services, charging 10.7 times what Medicare paid.
- 1Medicare inpatient stays 1,039
- 2Charge ÷ paid, inpatient 5.04×
- 3Rank in IN (highest ratio = 1) 17 of 70
- 4CMS price-transparency actions 3
Inpatient stays
For the 42 DRGs that can be compared with the national average, Indiana University Health North Hospital charged more than the national average in 5 (12%). 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 | 180 | $65,768 | -27% | $14,202 |
| 291 Heart Failure and Shock with MCC | 101 | $42,257 | -25% | $9,360 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 42 | $35,230 | -28% | $7,537 |
| 177 Respiratory Infections and Inflammations with MCC | 39 | $46,512 | -34% | $11,286 |
| 193 Simple Pneumonia and Pleurisy with MCC | 37 | $46,029 | -23% | $9,451 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 35 | $30,713 | -24% | $5,880 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 31 | $41,207 | -26% | $7,997 |
| 330 Major Small and Large Bowel Procedures with CC | 30 | $98,775 | -17% | $17,215 |
| 389 Gastrointestinal Obstruction with CC | 28 | $32,706 | -16% | $6,287 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 27 | $60,286 | -18% | $12,708 |
| 394 Other Digestive System Diagnoses with CC | 25 | $31,933 | -32% | $6,973 |
| 812 Red Blood Cell Disorders without MCC | 25 | $38,887 | -12% | $6,826 |
| 378 Gastrointestinal Hemorrhage with CC | 23 | $44,228 | -9% | $7,195 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 21 | $135,265 | -41% | $34,615 |
| 481 Hip and Femur Procedures except Major Joint with CC | 20 | $113,518 | +13% | $14,712 |
| 683 Renal Failure with CC | 20 | $36,197 | -11% | $6,533 |
| 689 Kidney and Urinary Tract Infections with MCC | 20 | $49,912 | -3% | $8,162 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 15 | $36,606 | -44% | $9,525 |
| 189 Pulmonary Edema and Respiratory Failure | 15 | $48,379 | -16% | $9,024 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 15 | $33,172 | -8% | $5,818 |
| 329 Major Small and Large Bowel Procedures with MCC | 15 | $100,276 | -53% | $30,182 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 15 | $41,743 | -32% | $9,417 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 15 | $36,533 | -1% | $6,322 |
| 682 Renal Failure with MCC | 15 | $42,158 | -36% | $10,746 |
| 743 Uterine and Adnexa Procedures for Non-Malignancy without... | 15 | $54,756 | -22% | $8,470 |
| 141 Major Head and Neck Procedures with CC | 14 | $87,421 | -32% | $16,732 |
| 194 Simple Pneumonia and Pleurisy with CC | 14 | $33,464 | -13% | $6,006 |
| 312 Syncope and Collapse | 14 | $45,868 | +1% | $6,751 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 14 | $68,464 | -20% | $12,239 |
| 690 Kidney and Urinary Tract Infections without MCC | 14 | $28,781 | -24% | $6,094 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 13 | $54,427 | +8% | $8,119 |
| 460 Spinal Fusion except Cervical without MCC | 13 | $329,388 | +93% | $43,963 |
| 603 Cellulitis without MCC | 13 | $29,075 | -22% | $6,591 |
| 327 Stomach, Esophageal and Duodenal Procedures with CC | 12 | $81,092 | -36% | $17,500 |
| 377 Gastrointestinal Hemorrhage with MCC | 12 | $73,787 | -14% | $13,056 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 12 | $142,248 | +39% | $14,513 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 12 | $51,667 | -14% | $9,421 |
| 742 Uterine and Adnexa Procedures for Non-Malignancy with CC/MCC | 12 | $51,718 | -49% | $12,793 |
| 748 Female Reproductive System Reconstructive Procedures | 12 | $38,369 | -49% | $10,079 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 12 | $64,772 | -34% | $14,827 |
| 390 Gastrointestinal Obstruction without CC/MCC | 11 | $20,365 | -27% | $4,276 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 11 | $19,784 | -54% | $6,412 |
Outpatient services
Against the Indiana average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Indiana University Health North Hospital charged $65,768 on average, 4% more than the Indiana average of $63,232, and was paid $14,202 against a state average of $15,368. For Heart Failure and Shock with MCC (DRG 291), Indiana University Health North Hospital charged $42,257 on average, 3% more than the Indiana average of $40,842, and was paid $9,360 against a state average of $10,315. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Indiana University Health North Hospital charged $35,230 on average, 3% less than the Indiana average of $36,315, and was paid $7,537 against a state average of $8,681. For Respiratory Infections and Inflammations with MCC (DRG 177), Indiana University Health North Hospital charged $46,512 on average, 10% less than the Indiana average of $51,549, and was paid $11,286 against a state average of $12,977. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $44,815 was 38% above the state average of $32,400. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $13,450 was 25% above the state average of $10,786. For Level 2 Laparoscopy and Related Services (outpatient APC 5362), its average charge of $78,371 was 10% above the state average of $71,422. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $48,134 was 6% above the state average of $45,492.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Indiana University Health North Hospital in Carmel, IN, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-03-24 (CMS case 1201)
- Closure Notice — 2023-07-12 (CMS case 1201)
- Met Requirements — 2026-02-17 (CMS case 7039)
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.