Iu Health Bloomington Hospital: charges and Medicare payments

Iu Health Bloomington Hospital reported 2,156 Medicare inpatient stays across 68 DRGs in 2024. Across them it charged 5.62 times what it was paid — among the higher ratios in Indiana, number 12 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: 376 stays at an average charge of $67,546, 25% below the national average. It also billed 2,371 outpatient services, charging 11.06 times what Medicare paid.

1Medicare inpatient stays 2,156
2Charge ÷ paid, inpatient 5.62×
3Rank in IN (highest ratio = 1) 12 of 70
4CMS price-transparency actions 0

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

Inpatient stays

For the 68 DRGs that can be compared with the national average, Iu Health Bloomington Hospital charged more than the national average in 15 (22%). 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	376	$67,546	-25%	$13,995
291 Heart Failure and Shock with MCC	176	$42,916	-24%	$9,570
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	86	$44,088	-10%	$7,798
193 Simple Pneumonia and Pleurisy with MCC	82	$43,383	-27%	$9,862
274 Percutaneous and Other Intracardiac Procedures without MCC	75	$153,032	-2%	$24,376
853 Infectious and Parasitic Diseases with O.R. Procedures with...	56	$165,756	-28%	$33,869
481 Hip and Femur Procedures except Major Joint with CC	50	$103,927	+3%	$14,334
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	48	$53,858	-46%	$13,210
885 Psychoses	48	$67,759	+54%	$10,846
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	46	$46,870	-22%	$9,675
322 Percutaneous Cardiovascular Procedures with Intraluminal...	45	$119,665	+4%	$14,029
378 Gastrointestinal Hemorrhage with CC	44	$50,631	+4%	$7,376
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	44	$124,430	+22%	$15,842
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	39	$39,289	-29%	$7,742
177 Respiratory Infections and Inflammations with MCC	34	$44,936	-36%	$11,510
309 Cardiac Arrhythmia and Conduction Disorders with CC	34	$30,815	-15%	$5,775
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	32	$37,733	-6%	$6,016
690 Kidney and Urinary Tract Infections without MCC	32	$33,183	-12%	$6,170
683 Renal Failure with CC	31	$39,231	-4%	$6,979
190 Chronic Obstructive Pulmonary Disease with MCC	28	$44,315	-12%	$8,322
698 Other Kidney and Urinary Tract Diagnoses with MCC	27	$47,541	-35%	$11,146
312 Syncope and Collapse	24	$42,161	-7%	$6,604
266 Endovascular Cardiac Valve Replacement and Supplement...	23	$191,623	-33%	$46,723
377 Gastrointestinal Hemorrhage with MCC	23	$80,185	-6%	$12,408
689 Kidney and Urinary Tract Infections with MCC	23	$40,347	-21%	$7,882
329 Major Small and Large Bowel Procedures with MCC	22	$185,415	-14%	$31,947
194 Simple Pneumonia and Pleurisy with CC	21	$55,428	+44%	$7,152
603 Cellulitis without MCC	21	$41,477	+11%	$6,784
321 Percutaneous Cardiovascular Procedures with Intraluminal...	20	$143,940	-12%	$20,855
460 Spinal Fusion except Cervical without MCC	20	$266,873	+57%	$27,225
870 Septicemia or Severe Sepsis with MV >96 Hours	20	$229,827	-29%	$43,819
389 Gastrointestinal Obstruction with CC	19	$32,769	-16%	$6,240
280 Acute Myocardial Infarction, Discharged Alive with MCC	18	$69,023	-9%	$11,188
308 Cardiac Arrhythmia and Conduction Disorders with MCC	18	$47,550	-16%	$8,814
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	18	$187,583	-13%	$34,061
091 Other Disorders of Nervous System with MCC	17	$66,145	-20%	$12,243
281 Acute Myocardial Infarction, Discharged Alive with CC	17	$50,378	0%	$7,153
069 Transient Ischemia without Thrombolytic	16	$46,198	-8%	$6,129
208 Respiratory System Diagnosis with Ventilator Support <=96...	16	$101,333	-25%	$19,577
480 Hip and Femur Procedures except Major Joint with MCC	16	$135,008	-3%	$20,232
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	15	$57,870	-5%	$11,350
552 Medical Back Problems without MCC	15	$37,987	-22%	$7,064
304 Hypertension with MCC	14	$54,521	-5%	$8,623
314 Other Circulatory System Diagnoses with MCC	14	$87,866	-7%	$16,753
454 Combined Anterior and Posterior Spinal Fusion with CC	14	$343,483	+23%	$47,597
482 Hip and Femur Procedures except Major Joint without CC/MCC	14	$91,027	+17%	$11,965
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	14	$34,012	-8%	$5,949
854 Infectious and Parasitic Diseases with O.R. Procedures with...	14	$122,735	+25%	$17,982
390 Gastrointestinal Obstruction without CC/MCC	13	$24,800	-11%	$4,467
394 Other Digestive System Diagnoses with CC	13	$33,260	-29%	$7,242
638 Diabetes with CC	13	$50,893	+22%	$6,931
917 Poisoning and Toxic Effects of Drugs with MCC	13	$72,062	-4%	$12,668
057 Degenerative Nervous System Disorders without MCC	12	$99,303	+75%	$9,352
242 Permanent Cardiac Pacemaker Implant with MCC	12	$131,243	-18%	$23,853
267 Endovascular Cardiac Valve Replacement and Supplement...	12	$189,747	-14%	$35,127
330 Major Small and Large Bowel Procedures with CC	12	$148,964	+25%	$18,760
393 Other Digestive System Diagnoses with MCC	12	$59,165	-23%	$12,097
441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic...	12	$95,547	+11%	$12,970
551 Medical Back Problems with MCC	12	$62,603	-20%	$11,483
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	12	$36,626	-14%	$6,632

Showing the 60 most frequent of 68 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	255	$25,408	$2,465
Level 2 Upper GI Procedures	196	$20,933	$1,705
Level 1 Endovascular Procedures	158	$38,218	$2,935
Level 5 Musculoskeletal Procedures	145	$116,964	$11,803
Level 1 Laparoscopy and Related Services	139	$51,109	$5,182
Level 5 Urology and Related Services	124	$36,983	$4,674
Level 3 Electrophysiologic Procedures	121	$223,276	$21,398
Level 4 Urology and Related Services	121	$26,525	$3,149
Level 2 Urology and Related Services	111	$2,628	$617
Level 4 Musculoskeletal Procedures	101	$67,601	$6,462
Level 3 Vascular Procedures	97	$29,519	$2,879
Level 2 Excision/ Biopsy/ Incision and Drainage	68	$15,976	$1,447
Level 3 Excision/ Biopsy/ Incision and Drainage	64	$15,409	$2,567
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	56	$32,912	$3,036
Level 3 Urology and Related Services	51	$18,898	$1,840
Level 4 Airway Endoscopy	50	$30,824	$3,382
Level 6 Musculoskeletal Procedures	40	$152,332	$16,797
Level 3 Endovascular Procedures	39	$107,357	$9,929
Level 3 Pacemaker and Similar Procedures	39	$71,080	$9,638
Level 2 Vascular Procedures	38	$16,611	$1,447
Level 2 Breast/Lymphatic Surgery and Related Procedures	35	$50,387	$5,890
Level 4 Gynecologic Procedures	34	$27,638	$2,824
Level 2 Pacemaker and Similar Procedures	32	$40,413	$7,674
Level 3 Musculoskeletal Procedures	30	$31,052	$2,924
Level 1 Breast/Lymphatic Surgery and Related Procedures	27	$26,711	$3,443

Against the Indiana average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Iu Health Bloomington Hospital charged $67,546 on average, 7% more than the Indiana average of $63,232, and was paid $13,995 against a state average of $15,368. For Heart Failure and Shock with MCC (DRG 291), Iu Health Bloomington Hospital charged $42,916 on average, 5% more than the Indiana average of $40,842, and was paid $9,570 against a state average of $10,315. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Iu Health Bloomington Hospital charged $44,088 on average, 21% more than the Indiana average of $36,315, and was paid $7,798 against a state average of $8,681. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Iu Health Bloomington Hospital charged $43,383 on average, 1% less than the Indiana average of $43,683, and was paid $9,862 against a state average of $10,631. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $25,408 was 38% above the state average of $18,399. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $20,933 was 60% above the state average of $13,048. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $38,218 was 19% above the state average of $32,147. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $116,964 was 52% above the state average of $77,048.

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.