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WITHAM HEALTH SERVICES

Lebanon, IN · CCN 150104 · Rates published

6,528 distinct procedures filed
20 distinct payers
263,732 rate rows
2026-03-31 last MRF observed

257,270 of 263,732 rate rows are consumer-grade (97.5%)

6,462 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 5,390
exceeds 10× this hospital's gross charge — excluded from medians 786
per-diem day rate — not a per-procedure price 120
exceeds 3× this hospital's gross charge for a DRG stay — excluded 104
percent-of-charges filed in the dollar field — excluded from medians 46
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 16
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Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbWithamHospital&type=CDMWithoutLabel
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-18
Content fingerprint a4aa1cf5e47ca9f6… · 58,393,859 bytes · first seen 2026-05-07

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
3
MS_DRG
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 19 $55,296.98 $346,119.34 $179,372.82 nat. median
$199,832

0.9× median
870
MS_DRG
Septicemia Or Severe Sepsis With Mv >96 Hours 19 $52,905.13 $194,389.95 $100,519.76 nat. median
$65,958

1.5× median
207
MS_DRG
Respiratory System Diagnosis With Ventilator Support >96 Hours 19 $49,253.25 $226,529.07 $93,581.19 nat. median
$62,218

1.5× median
463
MS_DRG
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 19 $41,810.51 $138,541.98 $82,889.03 nat. median
$51,984

1.6× median
11
MS_DRG
Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 19 $41,747.43 $190,969.00 $79,320.12 nat. median
$52,447

1.5× median
33264
HCPCS
Removal And Replacement Of Multiple Lead Defibrillator 19 $33,209.70 $264,497.63 $78,291.30 nat. median
$31,464

outlier · 2.5×
33249
HCPCS
Insertion Of Implantable Defibrillator System 19 $33,209.70 $264,497.63 $78,291.30 nat. median
$31,420

outlier · 2.5×
270
MS_DRG
Other Major Cardiovascular Procedures With Mcc 19 $40,386.49 $180,987.35 $76,734.34 nat. median
$50,808

1.5× median
228
MS_DRG
Other Cardiothoracic Procedures With Mcc 19 $36,846.25 $122,092.58 $71,951.08 nat. median
$50,071

1.4× median
239
MS_DRG
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 19 $37,672.27 $196,439.10 $71,577.32 nat. median
$47,513

1.5× median
981
MS_DRG
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 19 $35,912.54 $129,060.54 $68,233.83 nat. median
$45,808

1.5× median
329
MS_DRG
Major Small And Large Bowel Procedures With Mcc 19 $35,183.08 $167,660.53 $66,847.86 nat. median
$44,514

1.5× median
163
MS_DRG
Major Chest Procedures With Mcc 19 $26,910.24 $89,168.90 $65,179.76 nat. median
$44,914

1.5× median
853
MS_DRG
Infectious And Parasitic Diseases With O.r. Procedures With Mcc 19 $19,695.66 $80,533.75 $62,515.01 nat. median
$47,707

1.3× median
4
MS_DRG
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 17 $17,821.27 $182,963.14 $62,160.00 nat. median
$132,706

outlier · 0.5×
33263
HCPCS
Removal And Replacement Of Dual Lead Defibrillator 19 $23,533.90 $185,175.38 $54,811.91 nat. median
$23,228

outlier · 2.4×
33262
HCPCS
Removal And Replacement Of Single Lead Defibrillator 19 $23,533.90 $185,175.38 $54,811.91 nat. median
$23,104

outlier · 2.4×
492
MS_DRG
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 19 $20,843.95 $69,067.85 $53,396.85 nat. median
$35,279

1.5× median
956
MS_DRG
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 19 $19,921.54 $66,011.38 $51,419.39 nat. median
$37,383

1.4× median
673
MS_DRG
Other Kidney And Urinary Tract Procedures With Mcc 19 $16,116.12 $68,515.49 $51,153.38 nat. median
$39,775

1.3× median
876
MS_DRG
O.r. Procedures With Principal Diagnosis Of Mental Illness 19 $18,191.98 $63,024.92 $51,051.46 nat. median
$33,858

1.5× median
94
MS_DRG
Bacterial And Tuberculous Infections Of Nervous System With Mcc 19 $19,614.87 $64,995.20 $50,627.84 nat. median
$34,805

1.5× median
987
MS_DRG
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 19 $20,697.81 $68,583.59 $49,859.94 nat. median
$33,338

1.5× median
36906
HCPCS
Removal And/or Dissolving Of Blood Clot In Hemodialysis Circuit And Balloon Dila… 19 $19,395.10 $166,687.50 $49,339.50 nat. median
$18,468

outlier · 2.7×
264
MS_DRG
Other Circulatory System O.r. Procedures 19 $25,570.02 $237,856.25 $49,026.65 nat. median
$32,666

1.5× median
335
MS_DRG
Peritoneal Adhesiolysis With Mcc 19 $17,555.67 $58,230.67 $47,168.02 nat. median
$34,738

1.4× median
579
MS_DRG
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 19 $24,788.52 $137,174.30 $47,098.19 nat. median
$31,313

1.5× median
467
MS_DRG
Revision Of Hip Or Knee Replacement With Cc 19 $16,089.89 $57,508.27 $46,582.86 nat. median
$34,366

1.4× median
33229
HCPCS
Removal And Replacement Of Multiple Lead Permanent Pacemaker 19 $20,379.10 $157,334.63 $46,571.05 nat. median
$18,565

outlier · 2.5×
229
MS_DRG
Other Cardiothoracic Procedures Without Mcc 19 $24,107.28 $128,985.31 $45,803.84 nat. median
$32,689

1.4× median
2723312331
CDM
Impella Device 12 $35,921.53 $55,041.05 $45,405.97 nat. median
$45,406

1.0× median
464
MS_DRG
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 19 $23,840.91 $147,368.28 $45,297.74 nat. median
$30,061

1.5× median
469
MS_DRG
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 19 $23,217.08 $89,698.05 $44,112.46 nat. median
$30,860

1.4× median
510
MS_DRG
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 19 $23,119.87 $81,912.48 $43,927.77 nat. median
$28,696

1.5× median
173
MS_DRG
Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 19 $22,782.32 $76,181.77 $43,286.41 nat. median
$29,160

1.5× median
485
MS_DRG
Knee Procedures With Principal Diagnosis Of Infection With Mcc 19 $16,414.44 $54,390.35 $42,626.76 nat. median
$31,836

1.3× median
353
MS_DRG
Hernia Procedures Except Inguinal And Femoral With Mcc 19 $22,212.84 $160,994.60 $42,589.75 nat. median
$28,364

1.5× median
480
MS_DRG
Hip And Femur Procedures Except Major Joint With Mcc 19 $22,291.68 $106,083.18 $42,354.19 nat. median
$29,103

1.5× median
622
MS_DRG
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 19 $13,169.84 $58,039.87 $42,261.07 nat. median
$34,945

1.2× median
500
MS_DRG
Soft Tissue Procedures With Mcc 19 $13,672.15 $51,608.39 $41,803.84 nat. median
$30,787

1.4× median
521
MS_DRG
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 19 $20,293.55 $67,244.07 $41,741.92 nat. median
$28,835

1.4× median
0795T
OTHER
Transcatheter Insertion Of Permanent Dual-chamber Leadless Pacemaker Using Fluor… 19 $20,379.10 $140,852.25 $41,692.27 nat. median
$20,151

outlier · 2.1×
0796T
OTHER
Transcatheter Insertion Of Permanent Dual-chamber Pacemaker Using Fluoroscopy An… 19 $20,379.10 $140,852.25 $41,692.27 nat. median
$20,279

outlier · 2.1×
33274
HCPCS
Insertion Of Permanent Leadless Pacemaker Using Imaging Guidance 19 $20,379.10 $140,852.25 $41,692.27 nat. median
$19,468

outlier · 2.1×
0797T
OTHER
Transcatheter Insertion Of A Permanent Dual Chamber Leadless Pacemaker Using Flu… 19 $20,379.10 $140,852.25 $41,692.27 nat. median
$20,100

outlier · 2.1×
0823T
OTHER
Insertion Of Permanent Single-chamber Leadless Pacemaker For Pacing The Right Up… 19 $20,379.10 $140,852.25 $41,692.27 nat. median
$19,550

outlier · 2.1×
40
MS_DRG
Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 19 $12,835.03 $62,964.59 $41,634.37 nat. median
$37,498

1.1× median
240
MS_DRG
Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 19 $21,818.64 $89,743.65 $41,455.42 nat. median
$27,955

1.5× median
483
MS_DRG
Major Joint Or Limb Reattachment Procedures Of Upper Extremities 19 $21,217.01 $73,151.25 $40,312.32 nat. median
$26,451

1.5× median
208
MS_DRG
Respiratory System Diagnosis With Ventilator Support <=96 Hours 19 $21,039.43 $77,084.09 $39,974.92 nat. median
$26,590

1.5× median

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