69/100
#679 nationally
Monroe Hospital
4011 S Monroe Medical Park Blvd, Bloomington, IN 47403 · (812) 825-1111
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Monroe Hospital billed $2.76 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
- 2.8x
- volume-weighted across all its priced work
- Procedures priced
- 11
- inpatient and outpatient combined
- Rank in IN
- #10
- 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 82% of U.S. hospitals.
Better than 44% of U.S. hospitals.
Better than 78% of U.S. hospitals.
Better than 58% 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 |
61 | $36,339 | $14,085 | -44% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
44 | $26,487 | $12,010 | -52% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
33 | $24,090 | $9,577 | -45% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
21 | $15,006 | $2,885 | -26% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
21 | $20,250 | $2,440 | +4% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
18 | $20,509 | $8,615 | -50% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
18 | $9,901 | $1,445 | about average |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
17 | $28,976 | $9,880 | -38% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
15 | $26,578 | $9,049 | -45% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
13 | $18,153 | $9,781 | -63% |
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 |
|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$20,250 | $2,440 | +4% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$9,901 | $1,445 | about average |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$18,160 | $2,841 | -5% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$15,006 | $2,885 | -26% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$28,976 | $9,880 | -38% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$36,339 | $14,085 | -44% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$24,090 | $9,577 | -45% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$26,578 | $9,049 | -45% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$18,153 | $9,781 | -63% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$26,487 | $12,010 | -52% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
$20,509 | $8,615 | -50% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$26,578 | $9,049 | -45% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$24,090 | $9,577 | -45% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$36,339 | $14,085 | -44% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$28,976 | $9,880 | -38% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$15,006 | $2,885 | -26% |
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.