Indiana / Witham Health Services
CMS certification 150104 · Lebanon, IN · 4 entries in CMS's price-transparency list
Witham Health Services: charges and Medicare payments
Witham Health Services reported 270 Medicare inpatient stays across 13 DRGs in 2024. Across them it charged 3.03 times what it was paid — among the lower ratios in Indiana, number 54 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: 59 stays at an average charge of $43,050, 52% below the national average. It also billed 560 outpatient services, charging 7.32 times what Medicare paid.
- 1Medicare inpatient stays 270
- 2Charge ÷ paid, inpatient 3.03×
- 3Rank in IN (highest ratio = 1) 54 of 70
- 4CMS price-transparency actions 4
Inpatient stays
For the 13 DRGs that can be compared with the national average, Witham Health Services 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 | 59 | $43,050 | -52% | $15,996 |
| 291 Heart Failure and Shock with MCC | 27 | $26,678 | -53% | $10,876 |
| 177 Respiratory Infections and Inflammations with MCC | 25 | $39,265 | -44% | $13,957 |
| 193 Simple Pneumonia and Pleurisy with MCC | 21 | $45,436 | -24% | $11,234 |
| 189 Pulmonary Edema and Respiratory Failure | 20 | $29,239 | -49% | $10,731 |
| 194 Simple Pneumonia and Pleurisy with CC | 19 | $21,188 | -45% | $7,433 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 19 | $24,234 | -35% | $7,328 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 17 | $75,736 | -19% | $15,771 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 14 | $23,022 | -36% | $6,950 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 13 | $25,607 | -49% | $10,473 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 13 | $27,215 | -64% | $11,784 |
| 690 Kidney and Urinary Tract Infections without MCC | 12 | $25,952 | -31% | $7,432 |
| 603 Cellulitis without MCC | 11 | $26,372 | -29% | $8,151 |
Outpatient services
Against the Indiana average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Witham Health Services charged $43,050 on average, 32% less than the Indiana average of $63,232, and was paid $15,996 against a state average of $15,368. For Heart Failure and Shock with MCC (DRG 291), Witham Health Services charged $26,678 on average, 35% less than the Indiana average of $40,842, and was paid $10,876 against a state average of $10,315. For Respiratory Infections and Inflammations with MCC (DRG 177), Witham Health Services charged $39,265 on average, 24% less than the Indiana average of $51,549, and was paid $13,957 against a state average of $12,977. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Witham Health Services charged $45,436 on average, 4% more than the Indiana average of $43,683, and was paid $11,234 against a state average of $10,631. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $18,992 was 3% above the state average of $18,399. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,750 was 10% below the state average of $10,786. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $18,407 was 24% below the state average of $24,205. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $32,551 was 31% below the state average of $46,938.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Witham Health Services in Lebanon, IN, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-02-17 (CMS case 940)
- Closure Notice — 2023-05-26 (CMS case 940)
- Met Requirements — 2024-04-04 (CMS case 2365)
- Met Requirements — 2026-03-19 (CMS case 7318)
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.