64/100
#819 nationally
Indiana Regional Medical Center
835 Hospital Road, Indiana, PA 15701 · (724) 357-7000
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Indiana Regional Medical Center billed $3.74 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
- 3.7x
- volume-weighted across all its priced work
- Procedures priced
- 41
- inpatient and outpatient combined
- Rank in PA
- #31
- lower markup ranks higher
- CMS quality stars
- 2/5
- 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 72% of U.S. hospitals.
Better than 70% of U.S. hospitals.
Better than 65% of U.S. hospitals.
Better than 18% 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 |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
111 | $39,977 | $13,742 | -39% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
103 | $14,468 | $2,582 | -26% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
59 | $10,845 | $1,554 | +8% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
58 | $20,130 | $3,054 | +5% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
51 | $24,295 | $9,056 | -44% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
51 | $39,870 | $12,378 | -36% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
40 | $14,476 | $1,952 | +12% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
40 | $10,935 | $2,233 | -7% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
36 | $21,655 | $4,711 | -21% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
34 | $9,363 | $1,202 | -18% |
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 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$10,620 | $655 | +239% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$10,015 | $1,535 | +17% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$14,476 | $1,952 | +12% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$10,845 | $1,554 | +8% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$20,130 | $3,054 | +5% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
$24,033 | $3,652 | about average |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$10,849 | $1,540 | -3% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$10,935 | $2,233 | -7% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
$23,249 | $11,141 | -62% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
$19,560 | $7,554 | -50% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$23,999 | $9,529 | -48% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
$44,623 | $14,972 | -48% |
|
Fainting
MS-DRG 312 · Inpatient stay |
$20,466 | $6,364 | -44% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$24,295 | $9,056 | -44% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
$12,816 | $3,588 | -44% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$35,523 | $9,856 | -41% |
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.