62/100
#870 nationally
Goshen Hospital
200 High Park Ave, Goshen, IN 46526 · (574) 364-1000
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Goshen Hospital billed $4.59 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
- 4.6x
- volume-weighted across all its priced work
- Procedures priced
- 53
- inpatient and outpatient combined
- Rank in IN
- #20
- 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 59% of U.S. hospitals.
Better than 55% of U.S. hospitals.
Better than 64% of U.S. hospitals.
Better than 81% 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 |
411 | $15,224 | $2,490 | -22% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
123 | $27,083 | $2,979 | +7% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
120 | $11,929 | $1,739 | about average |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
118 | $8,903 | $1,481 | -12% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
84 | $37,985 | $10,201 | -13% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
67 | $55,806 | $11,899 | -11% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
56 | $40,243 | $14,805 | -38% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
56 | $27,885 | $5,177 | -21% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
52 | $14,693 | $2,898 | -23% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
50 | $65,871 | $10,001 | 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 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
$28,860 | $3,458 | +27% |
|
Level 5 Gynecologic Procedures
APC 5415 · Hospital outpatient visit |
$34,038 | $4,593 | +13% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
$33,993 | $6,648 | +11% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$27,083 | $2,979 | +7% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
$19,459 | $2,723 | +7% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$11,929 | $1,739 | about average |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
$65,871 | $10,001 | about average |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$26,725 | $4,659 | about average |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$24,963 | $10,058 | -49% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
$19,489 | $6,923 | -40% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$40,243 | $14,805 | -38% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
$53,218 | $16,006 | -38% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$18,701 | $6,872 | -37% |
|
Hip or Thigh Bone Surgery (uncomplicated)
MS-DRG 482 · Inpatient stay |
$44,262 | $14,302 | -35% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$13,489 | $3,157 | -35% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
$87,774 | $21,875 | -34% |
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.