46/100
#1,377 nationally
Community Hospital Of Anderson And Madison County
1515 N Madison Ave, Anderson, IN 46011 · (765) 298-4242
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Community Hospital Of Anderson And Madison County billed $5.18 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
- 5.2x
- volume-weighted across all its priced work
- Procedures priced
- 51
- inpatient and outpatient combined
- Rank in IN
- #37
- lower markup ranks higher
- CMS quality stars
- 3/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 53% of U.S. hospitals.
Better than 33% of U.S. hospitals.
Better than 50% of U.S. hospitals.
Better than 36% of U.S. hospitals.
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 |
117 | $15,472 | $2,064 | +32% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
113 | $8,796 | $1,454 | -13% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
99 | $33,484 | $9,446 | -23% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
80 | $47,236 | $14,018 | -28% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
62 | $11,167 | $1,650 | -5% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
48 | $14,423 | $2,879 | -25% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
47 | $27,929 | $9,659 | -40% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
45 | $41,184 | $2,855 | +63% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
42 | $46,641 | $6,339 | +17% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
41 | $35,290 | $5,116 | about average |
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 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$24,572 | $1,840 | +90% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$41,184 | $2,855 | +63% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$90,129 | $9,292 | +51% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$121,506 | $16,797 | +46% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$88,859 | $11,872 | +42% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
$55,711 | $5,890 | +41% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
$94,975 | $9,929 | +40% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$15,472 | $2,064 | +32% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
$30,394 | $11,260 | -47% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$27,929 | $9,659 | -40% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$34,788 | $12,442 | -37% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
$19,989 | $5,897 | -35% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$26,517 | $7,685 | -32% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
$20,839 | $5,633 | -32% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
$21,793 | $6,315 | -31% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$20,579 | $6,031 | -31% |
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.