IN CMS Medicare PUF 2023 Avg payment #20 of 56

Indiana procedure costs

150 hospitals · 3,112 Medicare providers · 4,262 procedure codes with Indiana locality adjustments.

The short answer

Indiana has 150 hospitals and 3,112 Medicare-billing providers across 4,262 procedure codes. The average Medicare payment per procedure is $250.97; the average submitted (billed) charge is $1,545.91.

Procedure codes
4,262
Providers per hospital
20.7
Billed-to-Medicare ratio
6.2x
Markup rank
#14 of 56

Source: CMS Medicare Physician & Other Practitioners, 2023.

About this dataset, nationwide

According to the Centers for Medicare & Medicaid Services (CMS), the 2023 Medicare Physician & Other Practitioners dataset records payments for 9,297 procedure codes billed across 5,426 hospitals in 56 states and territories; see our methodology for how each figure is sourced and computed.

150
Hospitals
3,112
Providers
$250.97
Avg Medicare Payment
$1,545.91
Avg Billed Charge

Indiana against every US state

Where the state's average Medicare payment per procedure falls, all 56 tracked jurisdictions

$251 higher than 64% of 56 states

$75–$100: 3 states (5%). Below this entry. $100–$125: 1 states (2%). Below this entry. $125–$150: 2 states (4%). Below this entry. $150–$175: 5 states (9%). Below this entry. $175–$200: 7 states (13%). Below this entry. $200–$225: 9 states (16%). Below this entry. $225–$250: 9 states (16%). Below this entry. $250–$275: 11 states (20%). This entry sits in this band. $275–$300: 4 states (7%). Above this entry. $300–$325: 4 states (7%). Above this entry. $325–$350: 1 states (2%). Above this entry. This state $75 $350 every US state, bucketed by value

Each bar is a $25-wide band; taller bars hold more states. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Physician & Other Practitioners, 2023

The priciest procedures in Indiana

Highest average Medicare payment per procedure billed in Indiana. Hover any bar for the exact figure; even these top procedures are billed well above what Medicare reimburses.

Top procedures by Medicare payment - Indiana

Sipuleucel-T, Minimum Of 50 …41464Procenta, Per 200 Mg7874Insertion Of Spinal Neurosti…7137Insertion Of Cochlear Device6111Cystourethroscopy, With Inse…5429Removal Of Plaque And Insert…4408Ambulance Service, Conventio…4303Heat Destruction Of Intraoss…3933
Top procedures by Medicare payment - Indiana-Average Medicare payment per procedure (CMS 2023)

Top Procedures by Volume

Procedure Medicare Services
Provision Of Covid-19 Test, Nonprescription Self-Administered And Self-Collected Use, Fda Approved, Authorized Or Cleared, One Test Count $11.66 3.0M
Established Patient Office Or Other Outpatient Visit, 30-39 Minutes $76.79 2.2M
Factor Viii (antihemophilic Factor, Recombinant) Per I.u., Not Otherwise Specified $1.06 1.9M
Ground Mileage, Per Statute Mile $7.48 1.8M
Established Patient Office Or Other Outpatient Visit, 20-29 Minutes $53.48 1.6M
Injection, Testosterone Cypionate, 1 Mg $0.02 1.3M
Injection, Denosumab, 1 Mg $18.12 1.1M
Injection, Onabotulinumtoxina, 1 Unit $4.80 1.1M
Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Administered Under The Direct Supervision Of A Physician, Not For Use When Drug Is Self Administered) $3.88 968.4K
Therapy Procedure Using Exercise To Develop Strength, Endurance, Range Of Motion, And Flexibility, Each 15 Minutes $16.73 943.9K
Injection, Tocilizumab, 1 Mg $4.60 905.5K
Injection, Ferumoxytol, For Treatment Of Iron Deficiency Anemia, 1 Mg (non-Esrd Use) $0.39 839.0K
Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, At Least 35 Minutes $57.67 825.0K
Injection, Romosozumab-Aqqg, 1 Mg $7.87 786.1K
Therapy Procedure Using Functional Activities $22.87 708.9K
Low Osmolar Contrast Material, 300-399 Mg/ml Iodine Concentration, Per Ml $0.11 697.9K
Injection, Pembrolizumab, 1 Mg $42.94 553.8K
Injection, Factor Ix (antihemophilic Factor, Recombinant) Per Iu, Not Otherwise Specified $1.20 536.5K
Injection, Faricimab-Svoa, 0.1 Mg $28.95 536.1K
Injection, Triamcinolone Acetonide, Not Otherwise Specified, 10 Mg $0.78 504.4K
Insertion Of Needle Into Vein For Collection Of Blood Sample $8.31 475.1K
Therapy Procedure To Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes $19.85 473.5K
Injection, Ferric Carboxymaltose, 1 Mg $0.87 471.0K
Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, At Least 50 Minutes $87.63 428.1K
Therapy Procedure Using Manual Technique, Each 15 Minutes $15.13 427.7K
Injection, Darbepoetin Alfa, 1 Microgram (non-Esrd Use) $2.34 424.1K
Injection, Iron Sucrose, 1 Mg $0.16 402.9K
Injection, Nivolumab, 1 Mg $22.73 397.3K
Subsequent Nursing Facility Care With Moderate Level Of Medical Decision Making, Per Day, If Using Time, At Least 30 Minutes $67.43 382.7K
Routine Electrocardiogram (ecg) Using At Least 12 Leads With Interpretation And Report Only $5.78 359.2K

Indiana Healthcare Cost Landscape

CMS lists 150 hospitals in Indiana across 95 cities. INDIANAPOLIS holds 15 (10%). The three densest cities together hold 17% of the state roster. Statewide that is 3,112 Medicare-billing providers, 20.7 per listed hospital.

85 hospitals carry a CMS overall star rating (12 five-star, 18 four-star, 43 three-star, 10 two-star, 2 one-star) ; five-star share among rated facilities is 14%. 65 hospitals in this extract have no published overall rating.

Facility-type mix: Acute Care Hospitals 82 (55%); Critical Access Hospitals 33 (22%); Psychiatric 33 (22%); Acute Care - Veterans Administration 2 (1%).

Among the 30 highest-volume procedure codes billed in Indiana, Drugs (Administered) leads with 11.9M services (44% of this top-volume slice) across 15 codes. Next is Office Visit at 14%.

Submitted charges average $1,545.91 against $250.97 Medicare payment (6.2x billed-to-Medicare). That ratio ranks #14 of 56 jurisdictions with both figures in this extract. Average Medicare payment itself is #20 of 56.

Volume leaders are not the high-payment codes. Provision Of Covid-19 Test, Nonprescription Self-Administered And Self-Collected Use, Fda Approved, Authorized Or Cleared, One Test Count is in the top volume slice but not the highest Medicare payments; Sipuleucel-T, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-Gm-Csf, Including Leukapheresis And All Other Preparatory Procedures, Per Infusion is in the high-payment set without matching volume rank.

These are CMS roster and claims aggregates for Indiana, not a quote for any patient, plan, or visit. See the methodology and CMS Medicare Provider Charge Data.

Where Indiana hospitals sit

City of the CMS hospital roster, not a travel or care recommendation. 95 distinct cities appear on 150 listed facilities.

City Hospitals Share of state roster
INDIANAPOLIS 15 10%
FORT WAYNE 7 5%
CARMEL 4 3%
CROWN POINT 4 3%
TERRE HAUTE 4 3%
BLOOMINGTON 3 2%
EVANSVILLE 3 2%
LAFAYETTE 3 2%

Nationwide states with similar hospital scale or Medicare payment

Two CMS-extract-derived peer sets for Indiana: nearest hospital inventory and nearest statewide average Medicare payment. Not clinical substitutes: registry-scale and payment neighborhoods only.

Similar CMS hospital count

Nearest states with ≥5 hospitals (150 here).

Similar average Medicare payment

Nearest states with published averages ($250.97 here).

Hospitals in Indiana

ADAMS MEMORIAL HOSPITAL
DECATUR · -
ASCENSION ST VINCENT ANDERSON
ANDERSON · ★★☆☆☆
ASCENSION ST VINCENT CARMEL
CARMEL · ★★★☆☆
ASCENSION ST VINCENT CLAY
BRAZIL · -
ASCENSION ST VINCENT EVANSVILLE
EVANSVILLE · ★★★☆☆
ASCENSION ST VINCENT FISHERS
FISHERS · -
ASCENSION ST VINCENT HOSPITAL
INDIANAPOLIS · ★★★☆☆
ASCENSION ST VINCENT JENNINGS
NORTH VERNON · -
ASCENSION ST VINCENT KOKOMO
KOKOMO · ★★★☆☆
ASCENSION ST VINCENT MERCY
ELWOOD · -
ASCENSION ST VINCENT RANDOLPH
WINCHESTER · -
ASCENSION ST VINCENT SALEM
SALEM · -
ASCENSION ST VINCENT WARRICK
BOONVILLE · -
ASCENSION ST VINCENT WILLIAMSPORT
WILLIAMSPORT · ★★★☆☆
ASSURANCE HEALTH PSYCHIATRIC HOSPITAL
INDIANAPOLIS · -
BAPTIST HEALTH FLOYD
NEW ALBANY · ★★★☆☆
BLOOMINGTON MEADOWS HOSPITAL
BLOOMINGTON · -
BLUFFTON REGIONAL MEDICAL CENTER
BLUFFTON · ★★★☆☆
BRENTWOOD MEADOWS LLC
NEWBURGH · -
BRIGHTWELL BEHAVIORAL HEALTH
CLARKSVILLE · -
CAMERON MEMORIAL COMMUNITY HOSPITAL INC
ANGOLA · ★★★☆☆
COLUMBUS REGIONAL HOSPITAL
COLUMBUS · ★★★★☆
COMMUNITY HOSPITAL
MUNSTER · ★★★☆☆
COMMUNITY HOSPITAL EAST
INDIANAPOLIS · ★★★☆☆
COMMUNITY HOSPITAL NORTH
INDIANAPOLIS · ★★★★☆
COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY
ANDERSON · ★★★★☆
COMMUNITY HOSPITAL OF BREMEN INC
BREMEN · -
COMMUNITY HOSPITAL SOUTH, INC.
INDIANAPOLIS · ★★★☆☆
COMMUNITY HOWARD REGIONAL HEALTH INC.
KOKOMO · ★★★★☆
DAVIESS COMMUNITY HOSPITAL
WASHINGTON · ★★★☆☆

View all 150 hospitals in Indiana →

How Indiana Compares Nationally

Indiana's average Medicare payment is #20 of 56 in this extract. Submitted-over-Medicare markup ranks #14 of 56 (6.2x). Hospital-count peers (nearest CMS roster size to 150): Georgia 148, Michigan 148, Wisconsin 142, Louisiana 161. Payment peers (nearest average Medicare payment to $250.97): Massachusetts $252.82, Washington $254.32, North Carolina $246.82, Missouri $255.25.

Those peer sets are registry neighborhoods, not clinical substitutes. Markup rank and payment rank can diverge: a jurisdiction can sit high on billed-to-Medicare while sitting mid-pack on payment, or the reverse. Figures remain CMS averages for Indiana, not an out-of-pocket quote.

Related registry pages

Indiana averages sit on two maps: Medicare payment and submitted-over-Medicare markup.

Figures here are Indiana CMS averages, not a quote for any patient, plan, or visit.

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure  · Verify with CMS →

Every figure on PlainProcedure is rendered directly from CMS Medicare Physician & Other Practitioners data, no number is typed in by an editor. This page draws directly on CMS Medicare Physician & Other Practitioners data, no figure is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, the data changelog, or report a data error.