2/100
#2,599 nationally
Pinnacle Hospital
9301 Connecticut Dr, Crown Point, IN 46307 · (219) 756-2100
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Pinnacle Hospital billed $16.61 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
- 16.6x
- volume-weighted across all its priced work
- Procedures priced
- 15
- inpatient and outpatient combined
- Rank in IN
- #73
- lower markup ranks higher
- CMS quality stars
- Not rated
- 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 0% of U.S. hospitals.
Better than 5% of U.S. hospitals.
Better than 3% of U.S. hospitals.
Better than 0% 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 |
|---|---|---|---|---|
|
Combined Anterior and Posterior Spinal Fusion without Complications/mcc
MS-DRG 455 · Inpatient stay |
44 | $764,736 | $46,097 | +332% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
42 | $150,721 | $13,043 | +89% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
41 | $44,660 | $3,070 | +77% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
30 | $37,926 | $2,638 | +86% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
30 | $62,558 | $2,497 | +222% |
|
Cervical Spinal Fusion without Complications/mcc
MS-DRG 473 · Inpatient stay |
23 | $541,740 | $23,024 | +498% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
23 | $150,803 | $10,337 | +123% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
21 | $138,576 | $6,728 | +248% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
19 | $20,736 | $1,284 | +106% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
19 | $183,799 | $11,795 | +194% |
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 |
|---|---|---|---|
|
Cervical Spinal Fusion without Complications/mcc
MS-DRG 473 · Inpatient stay |
$541,740 | $23,024 | +498% |
|
Combined Anterior and Posterior Spinal Fusion without Complications/mcc
MS-DRG 455 · Inpatient stay |
$764,736 | $46,097 | +332% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$138,576 | $6,728 | +248% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$62,558 | $2,497 | +222% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$183,799 | $11,795 | +194% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$30,821 | $1,816 | +172% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$31,251 | $1,790 | +166% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$48,650 | $2,998 | +155% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$51,575 | $5,427 | +47% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$44,660 | $3,070 | +77% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$37,926 | $2,638 | +86% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
$150,721 | $13,043 | +89% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$20,736 | $1,284 | +106% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
$150,803 | $10,337 | +123% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
$242,526 | $16,457 | +154% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$48,650 | $2,998 | +155% |
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.