Ungraded
#1,297 nationally
Franciscan Health Orthopedic Hospital Carmel
10777 N Illinois St, Carmel, IN 46032 · (317) 528-5400
Not enough published pricing to grade
For every $1 of care Medicare actually paid for here, Franciscan Health Orthopedic Hospital Carmel billed $5.78 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
- 5.8x
- volume-weighted across all its priced work
- Procedures priced
- 9
- inpatient and outpatient combined
- Rank in IN
- #28
- lower markup ranks higher
- CMS quality stars
- Not rated
- 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 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
451 | $82,933 | $11,804 | +33% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
93 | $83,970 | $16,797 | about average |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
27 | $39,003 | $6,462 | about average |
|
Major Joint or Limb Reattachment Procedures of Upper Extremities
MS-DRG 483 · Inpatient stay |
16 | $78,412 | $16,416 | -24% |
|
Combined Anterior and Posterior Spinal Fusion without Complications/mcc
MS-DRG 455 · Inpatient stay |
16 | $152,874 | $38,975 | -14% |
|
Combined Anterior and Posterior Spinal Fusion with Complications
MS-DRG 454 · Inpatient stay |
15 | $169,658 | $56,431 | -24% |
|
Revision of Hip or Knee Replacement with Complications
MS-DRG 467 · Inpatient stay |
15 | $89,584 | $21,231 | -31% |
|
Revision of Hip or Knee Replacement without Complications/mcc
MS-DRG 468 · Inpatient stay |
13 | $87,552 | $17,169 | -19% |
|
Spinal Fusion Except Cervical without Major Complications
MS-DRG 460 · Inpatient stay |
12 | $147,473 | $40,488 | 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 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$82,933 | $11,804 | +33% |
|
Spinal Fusion Except Cervical without Major Complications
MS-DRG 460 · Inpatient stay |
$147,473 | $40,488 | about average |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$83,970 | $16,797 | about average |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$39,003 | $6,462 | about average |
|
Combined Anterior and Posterior Spinal Fusion without Complications/mcc
MS-DRG 455 · Inpatient stay |
$152,874 | $38,975 | -14% |
|
Revision of Hip or Knee Replacement without Complications/mcc
MS-DRG 468 · Inpatient stay |
$87,552 | $17,169 | -19% |
|
Combined Anterior and Posterior Spinal Fusion with Complications
MS-DRG 454 · Inpatient stay |
$169,658 | $56,431 | -24% |
|
Major Joint or Limb Reattachment Procedures of Upper Extremities
MS-DRG 483 · Inpatient stay |
$78,412 | $16,416 | -24% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Revision of Hip or Knee Replacement with Complications
MS-DRG 467 · Inpatient stay |
$89,584 | $21,231 | -31% |
|
Major Joint or Limb Reattachment Procedures of Upper Extremities
MS-DRG 483 · Inpatient stay |
$78,412 | $16,416 | -24% |
|
Combined Anterior and Posterior Spinal Fusion with Complications
MS-DRG 454 · Inpatient stay |
$169,658 | $56,431 | -24% |
|
Revision of Hip or Knee Replacement without Complications/mcc
MS-DRG 468 · Inpatient stay |
$87,552 | $17,169 | -19% |
|
Combined Anterior and Posterior Spinal Fusion without Complications/mcc
MS-DRG 455 · Inpatient stay |
$152,874 | $38,975 | -14% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$39,003 | $6,462 | about average |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$83,970 | $16,797 | about average |
|
Spinal Fusion Except Cervical without Major Complications
MS-DRG 460 · Inpatient stay |
$147,473 | $40,488 | about average |
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.