48/100
#1,315 nationally
Elkhart General Hospital
600 E Blvd, Elkhart, IN 46514 · (574) 294-2621
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Elkhart General Hospital billed $4.89 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
- 4.9x
- volume-weighted across all its priced work
- Procedures priced
- 95
- inpatient and outpatient combined
- Rank in IN
- #34
- lower markup ranks higher
- CMS quality stars
- 4/5
- 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 42% of U.S. hospitals.
Better than 49% of U.S. hospitals.
Better than 59% of U.S. hospitals.
Better than 40% 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 |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
333 | $13,218 | $2,504 | -32% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
205 | $8,750 | $1,490 | -13% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
174 | $18,705 | $3,001 | -26% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
131 | $65,959 | $15,516 | about average |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
95 | $36,714 | $9,945 | -15% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
93 | $52,202 | $9,703 | +8% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
79 | $74,355 | $12,137 | +19% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
69 | $24,781 | $5,083 | -29% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
65 | $25,160 | $6,493 | -16% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
63 | $67,612 | $10,150 | 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 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$25,167 | $1,479 | +193% |
|
Level 5 Neurostimulator and Related Procedures
APC 5465 · Hospital outpatient visit |
$176,355 | $28,591 | +56% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
$157,262 | $25,938 | +26% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
$120,036 | $16,159 | +26% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$103,023 | $15,536 | +24% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
$45,765 | $7,846 | +21% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
$158,834 | $21,875 | +20% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$74,355 | $12,137 | +19% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
$7,182 | $2,591 | -57% |
|
Traumatic Stupor and Coma >1 Hour with Complications
MS-DRG 083 · Inpatient stay |
$28,875 | $10,262 | -52% |
|
Other Major Cardiovascular Procedures with Major Complications
MS-DRG 270 · Inpatient stay |
$126,576 | $36,080 | -44% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$6,572 | $1,783 | -42% |
|
Transient Ischemia without Thrombolytic
MS-DRG 069 · Inpatient stay |
$24,287 | $6,291 | -41% |
|
Extracranial Procedures with Complications
MS-DRG 038 · Inpatient stay |
$39,639 | $11,991 | -41% |
|
Stroke (uncomplicated)
MS-DRG 066 · Inpatient stay |
$21,615 | $5,982 | -40% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$7,802 | $1,881 | -40% |
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.