Indiana / Reid Health
CMS certification 150048 · Richmond, IN
Reid Health: charges and Medicare payments
Reid Health reported 3,146 Medicare inpatient stays across 81 DRGs in 2024. Across them it charged 2.73 times what it was paid — among the lower ratios in Indiana, number 60 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: 467 stays at an average charge of $38,439, 57% below the national average. It also billed 3,761 outpatient services, charging 5.8 times what Medicare paid.
- 1Medicare inpatient stays 3,146
- 2Charge ÷ paid, inpatient 2.73×
- 3Rank in IN (highest ratio = 1) 60 of 70
- 4CMS price-transparency actions 0
Inpatient stays
For the 81 DRGs that can be compared with the national average, Reid 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 | 467 | $38,439 | -57% | $16,138 |
| 291 Heart Failure and Shock with MCC | 226 | $25,614 | -55% | $10,658 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 111 | $104,747 | -33% | $27,298 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 102 | $32,951 | -55% | $13,414 |
| 193 Simple Pneumonia and Pleurisy with MCC | 96 | $26,497 | -56% | $11,095 |
| 177 Respiratory Infections and Inflammations with MCC | 88 | $30,144 | -57% | $14,571 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 83 | $23,227 | -53% | $8,876 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 78 | $38,543 | -49% | $13,041 |
| 683 Renal Failure with CC | 78 | $19,182 | -53% | $7,375 |
| 884 Organic Disturbances and Intellectual Disability | 74 | $21,162 | -66% | $14,051 |
| 689 Kidney and Urinary Tract Infections with MCC | 59 | $20,772 | -60% | $9,699 |
| 189 Pulmonary Edema and Respiratory Failure | 58 | $33,782 | -41% | $10,051 |
| 378 Gastrointestinal Hemorrhage with CC | 54 | $27,540 | -43% | $8,586 |
| 682 Renal Failure with MCC | 54 | $32,514 | -51% | $12,785 |
| 690 Kidney and Urinary Tract Infections without MCC | 53 | $20,991 | -44% | $6,578 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 52 | $29,336 | -47% | $8,635 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 49 | $89,316 | -61% | $40,719 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 45 | $75,076 | -34% | $16,180 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 45 | $22,581 | -44% | $7,741 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 42 | $41,532 | -35% | $10,151 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 41 | $98,707 | -40% | $28,206 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 41 | $26,589 | -56% | $10,723 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 41 | $18,985 | -49% | $6,580 |
| 481 Hip and Femur Procedures except Major Joint with CC | 39 | $51,425 | -49% | $17,177 |
| 377 Gastrointestinal Hemorrhage with MCC | 37 | $37,883 | -56% | $17,299 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 35 | $40,624 | -59% | $15,508 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 33 | $16,877 | -53% | $6,191 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 32 | $26,424 | -48% | $9,654 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 32 | $30,700 | -39% | $7,580 |
| 552 Medical Back Problems without MCC | 32 | $22,488 | -54% | $8,031 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 30 | $59,421 | -57% | $24,091 |
| 885 Psychoses | 30 | $19,537 | -56% | $11,648 |
| 057 Degenerative Nervous System Disorders without MCC | 28 | $24,300 | -57% | $11,262 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 27 | $52,746 | -48% | $17,344 |
| 194 Simple Pneumonia and Pleurisy with CC | 25 | $20,946 | -45% | $6,849 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 25 | $49,120 | -56% | $18,966 |
| 312 Syncope and Collapse | 25 | $21,370 | -53% | $7,710 |
| 178 Respiratory Infections and Inflammations with CC | 24 | $23,193 | -49% | $9,049 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 24 | $65,997 | -29% | $15,564 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 23 | $31,721 | -44% | $11,570 |
| 389 Gastrointestinal Obstruction with CC | 22 | $23,629 | -39% | $9,393 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 22 | $21,716 | -54% | $8,423 |
| 603 Cellulitis without MCC | 20 | $20,996 | -44% | $7,440 |
| 813 Coagulation Disorders | 19 | $28,636 | -64% | $12,864 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 18 | $45,385 | -67% | $22,150 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 18 | $28,428 | -53% | $10,574 |
| 812 Red Blood Cell Disorders without MCC | 18 | $19,575 | -56% | $7,497 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 18 | $53,134 | -46% | $16,714 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 17 | $30,664 | -53% | $11,576 |
| 330 Major Small and Large Bowel Procedures with CC | 17 | $53,173 | -55% | $21,800 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 17 | $47,484 | -30% | $11,208 |
| 811 Red Blood Cell Disorders with MCC | 17 | $29,747 | -56% | $11,591 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 16 | $25,610 | -35% | $6,619 |
| 394 Other Digestive System Diagnoses with CC | 16 | $28,605 | -39% | $7,833 |
| 543 Pathological Fractures and Musculoskeletal and Connective... | 16 | $19,617 | -60% | $8,976 |
| 638 Diabetes with CC | 16 | $19,286 | -54% | $7,991 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 16 | $118,802 | -63% | $56,734 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 15 | $55,095 | -50% | $18,648 |
| 253 Other Vascular Procedures with CC | 15 | $67,498 | -49% | $28,570 |
| 467 Revision of Hip or Knee Replacement with CC | 15 | $82,626 | -48% | $28,154 |
Showing the 60 most frequent of 81 DRGs.
Outpatient services
Against the Indiana average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Reid Health charged $38,439 on average, 39% less than the Indiana average of $63,232, and was paid $16,138 against a state average of $15,368. For Heart Failure and Shock with MCC (DRG 291), Reid Health charged $25,614 on average, 37% less than the Indiana average of $40,842, and was paid $10,658 against a state average of $10,315. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Reid Health charged $104,747 on average, 24% less than the Indiana average of $138,034, and was paid $27,298 against a state average of $24,860. For Other Kidney and Urinary Tract Diagnoses with MCC (DRG 698), Reid Health charged $32,951 on average, 36% less than the Indiana average of $51,825, and was paid $13,414 against a state average of $12,854. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $11,608 was 37% below the state average of $18,399. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $30,190 was 6% below the state average of $32,147. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,159 was 24% below the state average of $10,786. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $5,569 was 57% below 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.