Indiana / Marion General Hospital
CMS certification 150011 · Marion, IN · 3 entries in CMS's price-transparency list
Marion General Hospital: charges and Medicare payments
Marion General Hospital reported 592 Medicare inpatient stays across 18 DRGs in 2024. Across them it charged 1.94 times what it was paid — among the lower ratios in Indiana, number 69 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: 100 stays at an average charge of $27,954, 69% below the national average. It also billed 607 outpatient services, charging 7.54 times what Medicare paid.
- 1Medicare inpatient stays 592
- 2Charge ÷ paid, inpatient 1.94×
- 3Rank in IN (highest ratio = 1) 69 of 70
- 4CMS price-transparency actions 3
Inpatient stays
For the 18 DRGs that can be compared with the national average, Marion General 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 |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 100 | $27,954 | -69% | $14,922 |
| 291 Heart Failure and Shock with MCC | 77 | $20,061 | -64% | $10,092 |
| 193 Simple Pneumonia and Pleurisy with MCC | 61 | $18,571 | -69% | $10,900 |
| 189 Pulmonary Edema and Respiratory Failure | 59 | $19,367 | -66% | $10,004 |
| 177 Respiratory Infections and Inflammations with MCC | 40 | $22,633 | -68% | $12,940 |
| 689 Kidney and Urinary Tract Infections with MCC | 38 | $16,327 | -68% | $9,240 |
| 690 Kidney and Urinary Tract Infections without MCC | 30 | $16,277 | -57% | $6,781 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 26 | $16,411 | -59% | $7,097 |
| 603 Cellulitis without MCC | 23 | $14,276 | -62% | $7,518 |
| 194 Simple Pneumonia and Pleurisy with CC | 18 | $17,414 | -55% | $7,108 |
| 683 Renal Failure with CC | 17 | $16,265 | -60% | $7,362 |
| 682 Renal Failure with MCC | 16 | $22,948 | -65% | $11,832 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 16 | $17,959 | -63% | $8,587 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 15 | $17,885 | -65% | $8,920 |
| 312 Syncope and Collapse | 15 | $21,767 | -52% | $7,286 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 14 | $18,171 | -67% | $8,175 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 14 | $26,450 | -56% | $14,234 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 13 | $12,885 | -65% | $6,802 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 274 | $12,038 | $2,632 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 68 | $12,658 | $1,568 |
| Level 3 Urology and Related Services | 33 | $18,106 | $1,970 |
| Level 3 Vascular Procedures | 32 | $14,953 | $3,083 |
| Level 1 Endovascular Procedures | 24 | $19,769 | $3,157 |
| Level 1 Laparoscopy and Related Services | 20 | $48,868 | $5,582 |
| Level 5 Urology and Related Services | 20 | $32,847 | $5,005 |
| Level 4 Urology and Related Services | 19 | $30,279 | $3,372 |
| Level 2 Upper GI Procedures | 18 | $9,501 | $1,841 |
| Level 4 Musculoskeletal Procedures | 17 | $46,995 | $6,921 |
| Level 3 Musculoskeletal Procedures | 16 | $31,896 | $3,131 |
| Level 3 Pacemaker and Similar Procedures | 16 | $28,451 | $10,320 |
| Level 2 Vascular Procedures | 15 | $8,480 | $1,549 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 13 | $19,023 | $2,749 |
| Level 2 Musculoskeletal Procedures | 11 | $11,397 | $1,413 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 11 | $52,744 | $3,347 |
Against the Indiana average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Marion General Hospital charged $27,954 on average, 56% less than the Indiana average of $63,232, and was paid $14,922 against a state average of $15,368. For Heart Failure and Shock with MCC (DRG 291), Marion General Hospital charged $20,061 on average, 51% less than the Indiana average of $40,842, and was paid $10,092 against a state average of $10,315. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Marion General Hospital charged $18,571 on average, 57% less than the Indiana average of $43,683, and was paid $10,900 against a state average of $10,631. For Pulmonary Edema and Respiratory Failure (DRG 189), Marion General Hospital charged $19,367 on average, 53% less than the Indiana average of $41,261, and was paid $10,004 against a state average of $10,352. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $12,038 was 35% below the state average of $18,399. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $12,658 was 17% above the state average of $10,786. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $18,106 was 29% above the state average of $14,051. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $14,953 was 33% below the state average of $22,260.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Marion General Hospital in Marion, IN, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2026-02-23 (CMS case 7076)
- CAP Request — 2026-05-27 (CMS case 7076)
- Closure Notice — 2026-06-22 (CMS case 7076)
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.