Norton Clark Hospital: charges and Medicare payments

Norton Clark Hospital reported 1,168 Medicare inpatient stays across 39 DRGs in 2024. Across them it charged 4.99 times what it was paid — among the higher ratios in Indiana, number 19 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: 141 stays at an average charge of $64,650, 28% below the national average. It also billed 1,014 outpatient services, charging 8.94 times what Medicare paid.

1Medicare inpatient stays 1,168
2Charge ÷ paid, inpatient 4.99×
3Rank in IN (highest ratio = 1) 19 of 70
4CMS price-transparency actions 0

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

Inpatient stays

For the 39 DRGs that can be compared with the national average, Norton Clark Hospital charged more than the national average in 2 (5%). 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	141	$64,650	-28%	$13,783
291 Heart Failure and Shock with MCC	106	$54,077	-4%	$9,507
193 Simple Pneumonia and Pleurisy with MCC	86	$48,962	-18%	$9,719
885 Psychoses	70	$31,079	-29%	$10,112
190 Chronic Obstructive Pulmonary Disease with MCC	46	$59,816	+18%	$8,451
177 Respiratory Infections and Inflammations with MCC	45	$67,061	-5%	$12,161
312 Syncope and Collapse	33	$35,534	-22%	$6,568
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	33	$34,567	-14%	$5,953
683 Renal Failure with CC	33	$34,915	-14%	$6,744
690 Kidney and Urinary Tract Infections without MCC	33	$29,691	-21%	$6,040
378 Gastrointestinal Hemorrhage with CC	32	$40,480	-17%	$7,238
322 Percutaneous Cardiovascular Procedures with Intraluminal...	26	$91,327	-20%	$13,166
682 Renal Failure with MCC	25	$51,122	-22%	$10,805
689 Kidney and Urinary Tract Infections with MCC	25	$39,495	-23%	$8,457
698 Other Kidney and Urinary Tract Diagnoses with MCC	25	$47,460	-35%	$11,466
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	25	$37,277	-24%	$7,869
308 Cardiac Arrhythmia and Conduction Disorders with MCC	23	$37,990	-33%	$8,842
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	23	$27,846	-25%	$5,951
377 Gastrointestinal Hemorrhage with MCC	22	$56,062	-34%	$13,139
853 Infectious and Parasitic Diseases with O.R. Procedures with...	21	$128,916	-44%	$29,446
194 Simple Pneumonia and Pleurisy with CC	20	$42,523	+11%	$6,305
287 Circulatory Disorders except AMI, with Cardiac...	20	$52,032	-19%	$7,961
313 Chest Pain	20	$25,540	-36%	$5,568
321 Percutaneous Cardiovascular Procedures with Intraluminal...	20	$123,305	-25%	$20,819
309 Cardiac Arrhythmia and Conduction Disorders with CC	19	$32,154	-11%	$5,734
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	19	$22,282	-22%	$4,242
280 Acute Myocardial Infarction, Discharged Alive with MCC	17	$61,285	-19%	$10,170
286 Circulatory Disorders except AMI, with Cardiac...	17	$85,436	-24%	$14,608
189 Pulmonary Edema and Respiratory Failure	16	$49,057	-15%	$8,893
455 Combined Anterior and Posterior Spinal Fusion without CC/MCC	16	$137,145	-32%	$31,816
481 Hip and Femur Procedures except Major Joint with CC	16	$83,092	-18%	$20,958
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	13	$39,446	-29%	$7,615
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	13	$74,888	-27%	$14,129
101 Seizures without MCC	12	$24,230	-50%	$6,736
178 Respiratory Infections and Inflammations with CC	12	$26,672	-41%	$7,133
300 Peripheral Vascular Disorders with CC	12	$26,293	-47%	$7,380
091 Other Disorders of Nervous System with MCC	11	$50,073	-39%	$12,084
637 Diabetes with MCC	11	$46,972	-29%	$10,914
638 Diabetes with CC	11	$36,848	-12%	$6,690

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 5 Musculoskeletal Procedures	133	$66,522	$11,640
Level 4 Urology and Related Services	123	$37,431	$3,077
Comprehensive Observation Services	101	$24,592	$2,388
Level 2 Upper GI Procedures	86	$18,370	$1,696
Level 5 Urology and Related Services	82	$16,329	$4,567
Level 3 Vascular Procedures	60	$17,926	$2,841
Level 1 Laparoscopy and Related Services	55	$68,717	$5,143
Level 1 Endovascular Procedures	53	$30,690	$2,870
Level 2 Excision/ Biopsy/ Incision and Drainage	43	$11,190	$1,445
Level 2 Endovascular Procedures	30	$26,608	$5,095
Level 4 Musculoskeletal Procedures	24	$40,677	$6,287
Level 6 Musculoskeletal Procedures	24	$91,301	$16,577
Level 1 Nerve Procedures	23	$11,553	$1,661
Level 3 Endovascular Procedures	19	$62,855	$9,799
Level 2 Vascular Procedures	18	$9,385	$1,428
Level 3 Musculoskeletal Procedures	17	$22,008	$2,885
Level 3 Excision/ Biopsy/ Incision and Drainage	16	$15,798	$2,533
Level 3 Upper GI Procedures	16	$27,331	$3,307
Level 2 Musculoskeletal Procedures	15	$10,848	$1,375
Level 3 Airway Endoscopy	13	$13,818	$1,476
Level 3 Lower GI Procedures	13	$23,457	$2,502
Level 3 Urology and Related Services	13	$10,332	$1,816
Level 4 Gynecologic Procedures	13	$20,585	$2,787
Level 4 Vascular Procedures	12	$17,492	$4,898
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	12	$62,991	$3,084

Against the Indiana average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Norton Clark Hospital charged $64,650 on average, 2% more than the Indiana average of $63,232, and was paid $13,783 against a state average of $15,368. For Heart Failure and Shock with MCC (DRG 291), Norton Clark Hospital charged $54,077 on average, 32% more than the Indiana average of $40,842, and was paid $9,507 against a state average of $10,315. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Norton Clark Hospital charged $48,962 on average, 12% more than the Indiana average of $43,683, and was paid $9,719 against a state average of $10,631. For Psychoses (DRG 885), Norton Clark Hospital charged $31,079 on average, 5% less than the Indiana average of $32,829, and was paid $10,112 against a state average of $11,239. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $66,522 was 14% below the state average of $77,048. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $37,431 was 60% above the state average of $23,462. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $24,592 was 34% above the state average of $18,399. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $18,370 was 41% above the state average of $13,048.

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.