Ungraded
#1,976 nationally
Bluffton Regional Medical Center
303 S Main St, Bluffton, IN 46714 · (260) 824-3210
Not enough published pricing to grade
For every $1 of care Medicare actually paid for here, Bluffton Regional Medical Center billed $6.31 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 6.3x
- volume-weighted across all its priced work
- Procedures priced
- 9
- inpatient and outpatient combined
- Rank in IN
- #57
- lower markup ranks higher
- CMS quality stars
- 4/5
- shown for context, not in the grade
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
105 | $25,196 | $2,020 | +114% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
41 | $26,263 | $2,402 | +35% |
|
Level 3 Extraocular, Repair, and Plastic Eye Procedures
APC 5503 · Hospital outpatient visit |
21 | $20,568 | $2,088 | +42% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
20 | $49,741 | $11,910 | +7% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
19 | $54,420 | $16,569 | -17% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
17 | $13,459 | $1,700 | +15% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
12 | $28,007 | $7,212 | -12% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
11 | $50,134 | $9,313 | +20% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
11 | $31,713 | $7,957 | -19% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$25,196 | $2,020 | +114% |
|
Level 3 Extraocular, Repair, and Plastic Eye Procedures
APC 5503 · Hospital outpatient visit |
$20,568 | $2,088 | +42% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$26,263 | $2,402 | +35% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$50,134 | $9,313 | +20% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$13,459 | $1,700 | +15% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$49,741 | $11,910 | +7% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
$28,007 | $7,212 | -12% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$54,420 | $16,569 | -17% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$31,713 | $7,957 | -19% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$54,420 | $16,569 | -17% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
$28,007 | $7,212 | -12% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$49,741 | $11,910 | +7% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$13,459 | $1,700 | +15% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$50,134 | $9,313 | +20% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$26,263 | $2,402 | +35% |
|
Level 3 Extraocular, Repair, and Plastic Eye Procedures
APC 5503 · Hospital outpatient visit |
$20,568 | $2,088 | +42% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.