Indiana / Orthoindy Hospital
CMS certification 150160 · Indianapolis, IN · 2 entries in CMS's price-transparency list
Orthoindy Hospital: charges and Medicare payments
Orthoindy Hospital reported 321 Medicare inpatient stays across 9 DRGs in 2024. Across them it charged 3.34 times what it was paid — among the lower ratios in Indiana, number 50 of 70 hospitals with at least 100 stays (state median 4.08×, national 4.15×). Its most frequent stay was DRG 470, Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC: 142 stays at an average charge of $45,843, 51% below the national average. It also billed 2,163 outpatient services, charging 4.52 times what Medicare paid.
- 1Medicare inpatient stays 321
- 2Charge ÷ paid, inpatient 3.34×
- 3Rank in IN (highest ratio = 1) 50 of 70
- 4CMS price-transparency actions 2
Inpatient stays
For the 9 DRGs that can be compared with the national average, Orthoindy 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 |
|---|---|---|---|---|
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 142 | $45,843 | -51% | $12,814 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 46 | $92,866 | -54% | $30,638 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 44 | $67,270 | -46% | $17,805 |
| 460 Spinal Fusion except Cervical without MCC | 25 | $78,417 | -54% | $25,344 |
| 467 Revision of Hip or Knee Replacement with CC | 17 | $69,981 | -56% | $22,575 |
| 458 Spinal Fusion except Cervical with Spinal Curvature,... | 13 | $77,524 | -59% | $30,077 |
| 473 Cervical Spinal Fusion without CC/MCC | 12 | $72,015 | -37% | $16,269 |
| 483 Major Joint or Limb Reattachment Procedures of Upper... | 11 | $49,589 | -61% | $16,858 |
| 489 Knee Procedures without Principal Diagnosis of Infection... | 11 | $38,357 | -37% | $9,356 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 5 Musculoskeletal Procedures | 815 | $42,060 | $11,674 |
| Level 1 Nerve Procedures | 456 | $7,848 | $1,744 |
| Level 4 Musculoskeletal Procedures | 363 | $26,424 | $6,419 |
| Level 3 Musculoskeletal Procedures | 220 | $16,342 | $2,829 |
| Level 2 Musculoskeletal Procedures | 135 | $9,333 | $1,452 |
| Level 6 Musculoskeletal Procedures | 114 | $52,909 | $16,547 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 47 | $15,588 | $2,490 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 13 | $14,336 | $1,464 |
Against the Indiana average
For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Orthoindy Hospital charged $45,843 on average, 48% less than the Indiana average of $87,743, and was paid $12,814 against a state average of $14,506. For Combined Anterior and Posterior Spinal Fusion without CC/MCC (DRG 455), Orthoindy Hospital charged $92,866 on average, 64% less than the Indiana average of $258,994, and was paid $30,638 against a state average of $37,967. For Revision of Hip or Knee Replacement without CC/MCC (DRG 468), Orthoindy Hospital charged $67,270 on average, 43% less than the Indiana average of $118,179, and was paid $17,805 against a state average of $20,259. For Spinal Fusion except Cervical without MCC (DRG 460), Orthoindy Hospital charged $78,417 on average, 68% less than the Indiana average of $245,306, and was paid $25,344 against a state average of $32,243. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $42,060 was 45% below the state average of $77,048. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $7,848 was 43% below the state average of $13,717. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $26,424 was 44% below the state average of $46,938. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $16,342 was 32% below the state average of $24,205.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Orthoindy Hospital in Indianapolis, IN, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2026-02-06 (CMS case 6870)
- CAP Request — 2026-05-11 (CMS case 6870)
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.