Price vs. cost — where the margin lives

Commercial prices against each hospital’s estimated cost to deliver, built from the same federal cost reports (HCRIS) regulators use. Statewide, the median hospital prices commercial care at 2.3× its estimated cost.

Median price as a multiple of estimated cost 1× = price equals cost

By health system

Community Health Network5 hospitals
3.7×
Lutheran Health Network4 hospitals
3.4×
IU Health5 hospitals
3.3×
Beacon Health System2 hospitals
3.3×
Northwest Health3 hospitals
2.7×
Independent & other25 hospitals
2.3×
Franciscan Health9 hospitals
2.2×
Ascension St. Vincent5 hospitals
0.8×

By hospital (click headers to sort)

HospitalSystem Price / est. costProcedures
Hendricks Regional HealthHendricks Regional Health9.4×48
The Orthopaedic Hospital Of Lutheran Health NetworLutheran Health Network5.9×26
Community Howard Regional Health Inc.Community Health Network4.9×9
Kosciusko Community HospitalIndependent & other4.3×27
Community Hospital South.Community Health Network4.0×28
Unity Physicians HospitalIndependent & other3.9×7
Lutheran Hospital Of IndianaLutheran Health Network3.9×26
Community Hospital NorthCommunity Health Network3.7×28
Union Hospital IncUnion Health3.6×36
Indiana University Health Arnett HospitalIU Health3.6×28
Northwest Health-La PorteNorthwest Health3.5×31
Saint Joseph Regional Medical Center - PlymouthIndependent & other3.5×11
Community Hospital Of Anderson And Madison CountyCommunity Health Network3.5×29
Indiana University HealthIU Health3.4×28
Iu Health West HospitalIndependent & other3.4×28
Memorial Hospital Of South BendBeacon Health System3.3×19
Indiana University Health Ball Memorial HospitalIU Health3.3×28
Indiana University Health Bloomington HospitalIU Health3.3×28
Elkhart General HospitalBeacon Health System3.2×24
Indiana University Health North HospitalIU Health3.1×28
Community Hospital EastCommunity Health Network3.1×59
Franciscan Health IndianapolisFranciscan Health3.0×63
Franciscan Health LafayetteFranciscan Health3.0×60
Hancock Regional HospitalIndependent & other2.9×41
Dupont HospitalLutheran Health Network2.8×27
Franciscan Health MooresvilleFranciscan Health2.8×49
St Mary Medical Center IncIndependent & other2.8×45
Norton-King'S Daughters' HealthIndependent & other2.8×11
Northwest Health - PorterNorthwest Health2.7×24
Deaconess Hospital IncDeaconess Health System2.7×16
Reid HealthReid Health2.6×21
Community HospitalIndependent & other2.5×46
Witham Health ServicesIndependent & other2.4×49
Good Samaritan HospitalIndependent & other2.3×14
Orthoindy HospitalIndependent & other2.3×6
Monroe HospitalIndependent & other2.3×8
Johnson Memorial HospitalIndependent & other2.3×56
Baptist Health FloydBaptist Health2.3×44
Franciscan Health Michigan CityFranciscan Health2.3×61
Columbus Regional HospitalIndependent & other2.3×44
St Catherine Hospital IncIndependent & other2.3×40
Norton Clark HospitalIndependent & other2.2×15
Daviess Community HospitalIndependent & other2.2×32
Franciscan Health CrawfordsvilleFranciscan Health2.2×40
Bluffton Regional Medical CenterLutheran Health Network2.1×25
Franciscan Health Crown PointFranciscan Health2.1×62
Franciscan Health DyerFranciscan Health2.0×57
The Women'S HospitalIndependent & other2.0×6
Franciscan Health MunsterFranciscan Health1.9×53
Marion General HospitalIndependent & other1.9×20
Methodist Hospitals IncMethodist Hospitals1.8×50
Major HospitalIndependent & other1.7×33
Henry County Memorial HospitalIndependent & other1.5×27
Franciscan Health Orthopedic Hospital CarmelFranciscan Health1.4×18
Eskenazi HealthEskenazi Health1.4×27
FairbanksIndependent & other1.4×28
Saint Joseph Regional Medical CenterIndependent & other1.1×27
Ascension St Vincent EvansvilleAscension St. Vincent1.1×8
Goshen HospitalGoshen Health1.0×22
Northwest Health - StarkeNorthwest Health1.0×14
Pinnacle HospitalIndependent & other0.9×11
Physicians' Medical CenterIndependent & other0.9×17
St Vincent Heart CenterAscension St. Vincent0.8×6
Ascension St Vincent AndersonAscension St. Vincent0.8×7
Ascension St Vincent KokomoAscension St. Vincent0.7×6
Ascension St Vincent FishersAscension St. Vincent0.7×6
Cost estimates multiply published gross charges by each hospital’s operating cost-to-charge ratio from CMS cost reports — the standard MedPAC/NASHP method. They are estimates, not accounting truth: imaging and lab cells (where the hospital-level ratio is least precise) and data-flagged cells are excluded here, and hospitals with fewer than 5 usable cells are not shown. System attribution is name-based and approximate — corrections welcome at [email protected]. Department-level cost ratios are a planned upgrade. Method details on the methodology page.
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Rexroad Analytics · Data: hospital machine-readable files (45 CFR 180, schema v3.0) retrieved September 15–16, 2026; Medicare benchmarks from CMS claims data and fee schedules; cost estimates from FY2026 CMS cost-report ratios, labeled as estimates. Not medical, legal, or benefits advice. Full methodology → · The American Healthcare Conundrum →