Indiana / Iu Health West Hospital
CMS certification 150158 · Avon, IN
Iu Health West Hospital: charges and Medicare payments
Iu Health West Hospital reported 1,333 Medicare inpatient stays across 47 DRGs in 2024. Across them it charged 5.81 times what it was paid — among the higher ratios in Indiana, number 10 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: 257 stays at an average charge of $71,828, 20% below the national average. It also billed 1,295 outpatient services, charging 11.52 times what Medicare paid.
- 1Medicare inpatient stays 1,333
- 2Charge ÷ paid, inpatient 5.81×
- 3Rank in IN (highest ratio = 1) 10 of 70
- 4CMS price-transparency actions 0
Inpatient stays
For the 47 DRGs that can be compared with the national average, Iu Health West Hospital charged more than the national average in 14 (30%). 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 | 257 | $71,828 | -20% | $14,036 |
| 291 Heart Failure and Shock with MCC | 144 | $49,930 | -11% | $9,336 |
| 193 Simple Pneumonia and Pleurisy with MCC | 64 | $56,807 | -5% | $9,786 |
| 177 Respiratory Infections and Inflammations with MCC | 37 | $52,932 | -25% | $11,839 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 35 | $32,517 | -19% | $6,305 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 34 | $66,695 | -9% | $11,974 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 33 | $42,634 | -16% | $8,146 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 33 | $44,875 | -21% | $8,729 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 31 | $37,369 | -24% | $7,662 |
| 378 Gastrointestinal Hemorrhage with CC | 30 | $44,036 | -9% | $7,823 |
| 689 Kidney and Urinary Tract Infections with MCC | 30 | $41,265 | -20% | $8,487 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 29 | $51,238 | -15% | $10,115 |
| 690 Kidney and Urinary Tract Infections without MCC | 28 | $33,987 | -10% | $6,383 |
| 683 Renal Failure with CC | 24 | $29,486 | -28% | $6,599 |
| 389 Gastrointestinal Obstruction with CC | 22 | $30,517 | -22% | $5,918 |
| 189 Pulmonary Edema and Respiratory Failure | 21 | $39,174 | -32% | $8,840 |
| 194 Simple Pneumonia and Pleurisy with CC | 21 | $31,388 | -18% | $6,205 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 21 | $31,017 | -14% | $5,637 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 21 | $137,228 | +20% | $14,584 |
| 377 Gastrointestinal Hemorrhage with MCC | 21 | $78,629 | -8% | $13,157 |
| 811 Red Blood Cell Disorders with MCC | 21 | $70,708 | +4% | $10,294 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 21 | $210,658 | -8% | $36,338 |
| 312 Syncope and Collapse | 20 | $31,275 | -31% | $6,404 |
| 812 Red Blood Cell Disorders without MCC | 20 | $45,296 | +2% | $6,784 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 19 | $120,557 | +7% | $16,255 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 17 | $129,983 | +39% | $14,508 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 17 | $120,292 | +18% | $14,685 |
| 603 Cellulitis without MCC | 17 | $37,372 | 0% | $6,587 |
| 394 Other Digestive System Diagnoses with CC | 15 | $39,757 | -16% | $7,021 |
| 481 Hip and Femur Procedures except Major Joint with CC | 15 | $111,527 | +11% | $14,289 |
| 638 Diabetes with CC | 15 | $32,495 | -22% | $6,732 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 14 | $190,900 | +17% | $21,885 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 14 | $53,422 | +44% | $5,906 |
| 682 Renal Failure with MCC | 14 | $66,089 | 0% | $10,440 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 13 | $59,368 | -41% | $12,988 |
| 091 Other Disorders of Nervous System with MCC | 13 | $68,403 | -17% | $12,357 |
| 092 Other Disorders of Nervous System with CC | 13 | $43,572 | -15% | $7,413 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 13 | $60,588 | -20% | $11,100 |
| 057 Degenerative Nervous System Disorders without MCC | 12 | $33,492 | -41% | $8,920 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 12 | $33,376 | -40% | $8,346 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 12 | $57,051 | +13% | $6,842 |
| 483 Major Joint or Limb Reattachment Procedures of Upper... | 12 | $173,030 | +37% | $17,762 |
| 521 Hip Replacement with Principal Diagnosis of Hip Fracture... | 12 | $173,182 | +28% | $23,452 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 12 | $70,652 | -28% | $13,656 |
| 948 Signs and Symptoms without MCC | 12 | $29,951 | -21% | $5,997 |
| 314 Other Circulatory System Diagnoses with MCC | 11 | $215,509 | +127% | $34,258 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 11 | $145,366 | +5% | $21,689 |
Outpatient services
Against the Indiana average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Iu Health West Hospital charged $71,828 on average, 14% more than the Indiana average of $63,232, and was paid $14,036 against a state average of $15,368. For Heart Failure and Shock with MCC (DRG 291), Iu Health West Hospital charged $49,930 on average, 22% more than the Indiana average of $40,842, and was paid $9,336 against a state average of $10,315. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Iu Health West Hospital charged $56,807 on average, 30% more than the Indiana average of $43,683, and was paid $9,786 against a state average of $10,631. For Respiratory Infections and Inflammations with MCC (DRG 177), Iu Health West Hospital charged $52,932 on average, 3% more than the Indiana average of $51,549, and was paid $11,839 against a state average of $12,977. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $19,461 was 6% above the state average of $18,399. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $111,273 was 44% above the state average of $77,048. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $38,801 was 20% above the state average of $32,400. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $25,290 was 8% above the state average of $23,462.
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.