Indiana / Methodist Hospitals Inc
CMS certification 150002 · Gary, IN
Methodist Hospitals Inc: charges and Medicare payments
Methodist Hospitals Inc reported 1,591 Medicare inpatient stays across 52 DRGs in 2024. Across them it charged 4.98 times what it was paid — among the higher ratios in Indiana, number 21 of 70 hospitals with at least 100 stays (state median 4.08×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 172 stays at an average charge of $38,600, 32% below the national average. It also billed 964 outpatient services, charging 10.51 times what Medicare paid.
- 1Medicare inpatient stays 1,591
- 2Charge ÷ paid, inpatient 4.98×
- 3Rank in IN (highest ratio = 1) 21 of 70
- 4CMS price-transparency actions 0
Inpatient stays
For the 52 DRGs that can be compared with the national average, Methodist Hospitals Inc charged more than the national average in 8 (15%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 291 Heart Failure and Shock with MCC | 172 | $38,600 | -32% | $9,751 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 155 | $89,489 | -1% | $15,321 |
| 193 Simple Pneumonia and Pleurisy with MCC | 69 | $49,888 | -17% | $10,898 |
| 690 Kidney and Urinary Tract Infections without MCC | 63 | $29,590 | -22% | $6,699 |
| 683 Renal Failure with CC | 53 | $37,663 | -7% | $7,275 |
| 177 Respiratory Infections and Inflammations with MCC | 48 | $59,178 | -16% | $12,411 |
| 682 Renal Failure with MCC | 48 | $52,991 | -20% | $11,491 |
| 812 Red Blood Cell Disorders without MCC | 41 | $24,640 | -44% | $7,260 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 40 | $55,196 | -1% | $10,472 |
| 689 Kidney and Urinary Tract Infections with MCC | 39 | $48,640 | -5% | $9,438 |
| 885 Psychoses | 39 | $21,944 | -50% | $10,988 |
| 189 Pulmonary Edema and Respiratory Failure | 38 | $50,244 | -13% | $10,120 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 33 | $42,380 | -16% | $9,011 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 31 | $99,824 | 0% | $15,579 |
| 638 Diabetes with CC | 31 | $38,597 | -7% | $6,828 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 30 | $33,590 | -9% | $6,602 |
| 312 Syncope and Collapse | 29 | $36,164 | -21% | $7,186 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 28 | $34,816 | -13% | $6,599 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 28 | $61,594 | +2% | $11,859 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 26 | $61,405 | -19% | $12,427 |
| 377 Gastrointestinal Hemorrhage with MCC | 26 | $77,868 | -9% | $14,263 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 26 | $295,891 | +29% | $48,746 |
| 194 Simple Pneumonia and Pleurisy with CC | 25 | $38,702 | +1% | $6,879 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 25 | $65,980 | -41% | $16,017 |
| 603 Cellulitis without MCC | 25 | $24,179 | -35% | $7,049 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 25 | $44,437 | -9% | $8,346 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 24 | $34,086 | -6% | $6,556 |
| 378 Gastrointestinal Hemorrhage with CC | 23 | $45,406 | -6% | $8,085 |
| 178 Respiratory Infections and Inflammations with CC | 22 | $38,451 | -15% | $7,944 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 22 | $111,437 | -29% | $25,171 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 21 | $52,020 | -19% | $9,370 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 20 | $43,677 | -41% | $11,961 |
| 101 Seizures without MCC | 18 | $37,439 | -23% | $7,637 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 17 | $33,016 | -17% | $7,092 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 16 | $94,643 | -30% | $17,881 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 16 | $42,255 | -25% | $9,702 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 16 | $187,427 | -42% | $47,698 |
| 811 Red Blood Cell Disorders with MCC | 15 | $62,244 | -9% | $11,431 |
| 069 Transient Ischemia without Thrombolytic | 14 | $41,742 | -17% | $6,828 |
| 100 Seizures with MCC | 14 | $66,594 | -29% | $15,550 |
| 314 Other Circulatory System Diagnoses with MCC | 13 | $105,092 | +11% | $14,435 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 13 | $108,152 | -6% | $13,990 |
| 684 Renal Failure without CC/MCC | 13 | $32,307 | +9% | $5,333 |
| 202 Bronchitis and Asthma with CC/MCC | 12 | $39,490 | -14% | $7,969 |
| 313 Chest Pain | 12 | $31,309 | -22% | $6,175 |
| 315 Other Circulatory System Diagnoses with CC | 11 | $25,871 | -46% | $7,485 |
| 433 Cirrhosis and Alcoholic Hepatitis with CC | 11 | $55,698 | +6% | $8,633 |
| 481 Hip and Femur Procedures except Major Joint with CC | 11 | $106,509 | +6% | $14,530 |
| 552 Medical Back Problems without MCC | 11 | $46,290 | -5% | $8,121 |
| 602 Cellulitis with MCC | 11 | $67,391 | +12% | $10,184 |
| 637 Diabetes with MCC | 11 | $43,008 | -35% | $11,610 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 11 | $25,506 | -46% | $8,376 |
Outpatient services
Against the Indiana average
For Heart Failure and Shock with MCC (DRG 291), Methodist Hospitals Inc charged $38,600 on average, 5% less than the Indiana average of $40,842, and was paid $9,751 against a state average of $10,315. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Methodist Hospitals Inc charged $89,489 on average, 42% more than the Indiana average of $63,232, and was paid $15,321 against a state average of $15,368. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Methodist Hospitals Inc charged $49,888 on average, 14% more than the Indiana average of $43,683, and was paid $10,898 against a state average of $10,631. For Kidney and Urinary Tract Infections without MCC (DRG 690), Methodist Hospitals Inc charged $29,590 on average, 7% more than the Indiana average of $27,724, and was paid $6,699 against a state average of $6,802. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $21,318 was 16% above the state average of $18,399. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $24,258 was 9% above the state average of $22,260. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $25,102 was 22% below the state average of $32,147. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $11,512 was 7% above the state average of $10,786.
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.