Indiana / Norton-King's Daughters' Health
CMS certification 150069 · Madison, IN · 2 entries in CMS's price-transparency list
Norton-King's Daughters' Health: charges and Medicare payments
Norton-King's Daughters' Health reported 464 Medicare inpatient stays across 18 DRGs in 2024. Across them it charged 2.98 times what it was paid — among the lower ratios in Indiana, number 55 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: 82 stays at an average charge of $46,620, 48% below the national average. It also billed 513 outpatient services, charging 6.4 times what Medicare paid.
- 1Medicare inpatient stays 464
- 2Charge ÷ paid, inpatient 2.98×
- 3Rank in IN (highest ratio = 1) 55 of 70
- 4CMS price-transparency actions 2
Inpatient stays
For the 18 DRGs that can be compared with the national average, Norton-King's Daughters' Health 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 | 82 | $46,620 | -48% | $15,895 |
| 193 Simple Pneumonia and Pleurisy with MCC | 57 | $29,974 | -50% | $10,833 |
| 291 Heart Failure and Shock with MCC | 51 | $31,258 | -45% | $10,626 |
| 177 Respiratory Infections and Inflammations with MCC | 38 | $51,704 | -27% | $14,199 |
| 683 Renal Failure with CC | 29 | $17,904 | -56% | $7,588 |
| 689 Kidney and Urinary Tract Infections with MCC | 24 | $21,810 | -58% | $9,665 |
| 682 Renal Failure with MCC | 23 | $36,863 | -44% | $12,059 |
| 690 Kidney and Urinary Tract Infections without MCC | 21 | $18,149 | -52% | $6,784 |
| 194 Simple Pneumonia and Pleurisy with CC | 17 | $22,531 | -41% | $7,447 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 16 | $22,675 | -44% | $6,860 |
| 603 Cellulitis without MCC | 16 | $25,261 | -32% | $7,510 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 15 | $28,518 | -42% | $8,561 |
| 189 Pulmonary Edema and Respiratory Failure | 14 | $29,538 | -49% | $10,159 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 14 | $42,609 | -42% | $14,512 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 13 | $25,376 | -50% | $9,208 |
| 481 Hip and Femur Procedures except Major Joint with CC | 12 | $62,664 | -38% | $16,804 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 11 | $33,633 | -44% | $11,035 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 11 | $16,788 | -55% | $7,176 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 148 | $11,697 | $2,557 |
| Level 5 Musculoskeletal Procedures | 77 | $66,978 | $12,404 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 48 | $6,558 | $1,548 |
| Level 3 Airway Endoscopy | 42 | $11,588 | $1,620 |
| Level 1 Laparoscopy and Related Services | 34 | $26,784 | $5,508 |
| Level 4 Musculoskeletal Procedures | 27 | $47,604 | $6,830 |
| Level 6 Musculoskeletal Procedures | 19 | $91,393 | $16,903 |
| Level 1 Nerve Procedures | 16 | $8,236 | $1,843 |
| Level 3 Musculoskeletal Procedures | 15 | $21,227 | $3,090 |
| Level 3 Vascular Procedures | 14 | $19,455 | $2,870 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 13 | $12,405 | $2,713 |
| Level 2 Musculoskeletal Procedures | 13 | $8,155 | $1,534 |
| Level 1 Intraocular Procedures | 13 | $8,987 | $2,225 |
| Level 2 Upper GI Procedures | 12 | $10,443 | $1,816 |
| Level 4 Airway Endoscopy | 11 | $13,619 | $3,575 |
| Level 3 Extraocular, Repair, and Plastic Eye Procedures | 11 | $13,658 | $2,231 |
Against the Indiana average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Norton-King's Daughters' Health charged $46,620 on average, 26% less than the Indiana average of $63,232, and was paid $15,895 against a state average of $15,368. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Norton-King's Daughters' Health charged $29,974 on average, 31% less than the Indiana average of $43,683, and was paid $10,833 against a state average of $10,631. For Heart Failure and Shock with MCC (DRG 291), Norton-King's Daughters' Health charged $31,258 on average, 23% less than the Indiana average of $40,842, and was paid $10,626 against a state average of $10,315. For Respiratory Infections and Inflammations with MCC (DRG 177), Norton-King's Daughters' Health charged $51,704 on average, 0% less than the Indiana average of $51,549, and was paid $14,199 against a state average of $12,977. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $11,697 was 36% below the state average of $18,399. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $66,978 was 13% below the state average of $77,048. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $6,558 was 39% below the state average of $10,786. For Level 3 Airway Endoscopy (outpatient APC 5153), its average charge of $11,588 was 18% below the state average of $14,057.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Norton-King's Daughters' Health in Madison, IN, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-02-06 (CMS case 1132)
- Closure Notice — 2023-05-10 (CMS case 1132)
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.