Indiana / Johnson Memorial Hospital
CMS certification 150001 · Franklin, IN · 6 entries in CMS's price-transparency list
Johnson Memorial Hospital: charges and Medicare payments
Johnson Memorial Hospital reported 185 Medicare inpatient stays across 7 DRGs in 2024. Across them it charged 3.68 times what it was paid — mid-range in Indiana, number 42 of 70 hospitals with at least 100 stays (state median 4.08×, national 4.15×). Its most frequent stay was DRG 189, Pulmonary Edema and Respiratory Failure: 46 stays at an average charge of $30,695, 47% below the national average. It also billed 401 outpatient services, charging 8.67 times what Medicare paid.
- 1Medicare inpatient stays 185
- 2Charge ÷ paid, inpatient 3.68×
- 3Rank in IN (highest ratio = 1) 42 of 70
- 4CMS price-transparency actions 6
Inpatient stays
For the 7 DRGs that can be compared with the national average, Johnson Memorial Hospital 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 |
|---|---|---|---|---|
| 189 Pulmonary Edema and Respiratory Failure | 46 | $30,695 | -47% | $9,449 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 41 | $48,481 | -46% | $13,256 |
| 291 Heart Failure and Shock with MCC | 40 | $29,110 | -48% | $9,136 |
| 690 Kidney and Urinary Tract Infections without MCC | 19 | $32,926 | -13% | $6,044 |
| 193 Simple Pneumonia and Pleurisy with MCC | 15 | $37,076 | -38% | $9,778 |
| 689 Kidney and Urinary Tract Infections with MCC | 13 | $37,247 | -27% | $8,052 |
| 194 Simple Pneumonia and Pleurisy with CC | 11 | $30,323 | -21% | $6,582 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 87 | $16,320 | $2,387 |
| Level 4 Urology and Related Services | 46 | $28,244 | $3,006 |
| Level 5 Urology and Related Services | 37 | $36,867 | $4,674 |
| Level 3 Vascular Procedures | 36 | $16,983 | $2,879 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 31 | $7,530 | $1,389 |
| Level 4 Musculoskeletal Procedures | 27 | $40,749 | $6,462 |
| Level 1 Nerve Procedures | 26 | $10,463 | $1,744 |
| Level 3 Musculoskeletal Procedures | 20 | $21,028 | $2,807 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 18 | $17,599 | $2,567 |
| Level 1 Laparoscopy and Related Services | 18 | $33,119 | $4,981 |
| Level 5 Musculoskeletal Procedures | 16 | $76,839 | $11,872 |
| Level 2 Upper GI Procedures | 14 | $11,324 | $1,719 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 14 | $21,356 | $2,947 |
| Level 5 Airway Endoscopy | 11 | $38,483 | $6,182 |
Against the Indiana average
For Pulmonary Edema and Respiratory Failure (DRG 189), Johnson Memorial Hospital charged $30,695 on average, 26% less than the Indiana average of $41,261, and was paid $9,449 against a state average of $10,352. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Johnson Memorial Hospital charged $48,481 on average, 23% less than the Indiana average of $63,232, and was paid $13,256 against a state average of $15,368. For Heart Failure and Shock with MCC (DRG 291), Johnson Memorial Hospital charged $29,110 on average, 29% less than the Indiana average of $40,842, and was paid $9,136 against a state average of $10,315. For Kidney and Urinary Tract Infections without MCC (DRG 690), Johnson Memorial Hospital charged $32,926 on average, 19% more than the Indiana average of $27,724, and was paid $6,044 against a state average of $6,802. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $16,320 was 11% below the state average of $18,399. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $28,244 was 20% above the state average of $23,462. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $36,867 was 14% above the state average of $32,400. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $16,983 was 24% below the state average of $22,260.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Johnson Memorial Hospital in Franklin, IN, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-12-06 (CMS case 2110)
- Warning Notice — 2024-08-09 (CMS case 2330)
- CAP Request — 2024-11-13 (CMS case 2330)
- CAP Request — 2025-01-15 (CMS case 2330)
- Closure Notice — 2025-01-22 (CMS case 2330)
- Met Requirements — 2026-03-20 (CMS case 7325)
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.