Indiana / Riverview Health
CMS certification 150059 · Noblesville, IN
Riverview Health: charges and Medicare payments
Riverview Health reported 506 Medicare inpatient stays across 22 DRGs in 2024. Across them it charged 3.88 times what it was paid — mid-range in Indiana, number 38 of 70 hospitals with at least 100 stays (state median 4.08×, national 4.15×). Its most frequent stay was DRG 189, Pulmonary Edema and Respiratory Failure: 72 stays at an average charge of $45,234, 21% below the national average. It also billed 1,013 outpatient services, charging 7.81 times what Medicare paid.
- 1Medicare inpatient stays 506
- 2Charge ÷ paid, inpatient 3.88×
- 3Rank in IN (highest ratio = 1) 38 of 70
- 4CMS price-transparency actions 0
Inpatient stays
For the 22 DRGs that can be compared with the national average, Riverview 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 |
|---|---|---|---|---|
| 189 Pulmonary Edema and Respiratory Failure | 72 | $45,234 | -21% | $9,926 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 66 | $58,439 | -35% | $14,913 |
| 291 Heart Failure and Shock with MCC | 43 | $31,401 | -44% | $9,969 |
| 193 Simple Pneumonia and Pleurisy with MCC | 42 | $55,654 | -7% | $11,088 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 24 | $39,235 | -22% | $8,921 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 24 | $16,147 | -56% | $6,525 |
| 177 Respiratory Infections and Inflammations with MCC | 23 | $39,494 | -44% | $12,762 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 19 | $19,735 | -51% | $6,739 |
| 690 Kidney and Urinary Tract Infections without MCC | 18 | $19,486 | -48% | $6,694 |
| 603 Cellulitis without MCC | 17 | $19,855 | -47% | $7,261 |
| 683 Renal Failure with CC | 16 | $22,892 | -44% | $7,209 |
| 194 Simple Pneumonia and Pleurisy with CC | 15 | $24,576 | -36% | $7,094 |
| 389 Gastrointestinal Obstruction with CC | 15 | $21,741 | -44% | $6,661 |
| 689 Kidney and Urinary Tract Infections with MCC | 15 | $19,895 | -61% | $8,409 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 13 | $36,986 | -35% | $9,572 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 13 | $22,611 | -37% | $6,272 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 13 | $77,060 | -17% | $13,859 |
| 378 Gastrointestinal Hemorrhage with CC | 12 | $25,530 | -47% | $7,716 |
| 394 Other Digestive System Diagnoses with CC | 12 | $29,197 | -38% | $7,997 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 12 | $31,984 | -35% | $8,195 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 11 | $77,179 | -25% | $15,454 |
| 682 Renal Failure with MCC | 11 | $43,941 | -33% | $11,799 |
Outpatient services
Against the Indiana average
For Pulmonary Edema and Respiratory Failure (DRG 189), Riverview Health charged $45,234 on average, 10% more than the Indiana average of $41,261, and was paid $9,926 against a state average of $10,352. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Riverview Health charged $58,439 on average, 8% less than the Indiana average of $63,232, and was paid $14,913 against a state average of $15,368. For Heart Failure and Shock with MCC (DRG 291), Riverview Health charged $31,401 on average, 23% less than the Indiana average of $40,842, and was paid $9,969 against a state average of $10,315. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Riverview Health charged $55,654 on average, 27% more than the Indiana average of $43,683, and was paid $11,088 against a state average of $10,631. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $66,954 was 13% below the state average of $77,048. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $16,227 was 12% below the state average of $18,399. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $11,005 was 2% above the state average of $10,786. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $42,955 was 8% below the state average of $46,938.
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.