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Childrens HospitalVoluntary Nonprofit - Other

Riley Hospital For Children At Iu Health

Indiana University Health · Indianapolis, IN

13000 E 136th St, Indianapolis, IN 150056317-944-5000

3 of 5

CMS star rating

1,317

Beds

47,159

Inpatient discharges a year

$4.4B

Net patient revenue a year

16

In-network payers

About this hospital

Riley Hospital For Children At Iu Health is a 1317-bed voluntary nonprofit - other hospital in Indianapolis, IN, affiliated with Indiana University Health. Below you'll find publicly disclosed negotiated rates and facility details, including 16 in-network payers and 592 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
CCN
150056
NPI
1114958584
Health system
Indiana University Health
Teaching
Major teaching hospital
County
Marion County
Metro area
Indianapolis-Carmel-Greenwood, IN MSA
Medicare contractor
Jurisdiction 8, WPS Government Health Administrators (08001)
In Medicare since
1966
Last CMS survey
2019

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

Book a call about hospital compliance MRFs
PayerCategoryCode Type & GroupContract Typevs. State Average

Aetna

Outpatient

CPT Anesthesia

Range: 00100 - 01999

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Anesthesia

Range: 00100 - 01999

Negotiated

Very High

Aetna

Outpatient

CPT Anesthesia

Range: 00100 - 01999

Negotiated

Very High

Aetna

Outpatient

CPT Category III Codes

Range: 0042T - 0810T

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Category III Codes

Range: 0042T - 0810T

Negotiated

Very Low

Aetna

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

Negotiated

Very Low

Aetna

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

Negotiated

Very Low

Aetna

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Negotiated

Very Low

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Negotiated

Very Low

Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

...

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Aspirus Health PlanAvera Health PlansBanner HealthCenteneEMI HealthHarvard Pilgrim Health Care (Point32Health)

More about this hospital

  • Quality

    3 of 5 stars

    • 202 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.07%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Major teaching hospital
    • 3,781 affiliated clinicians
    See doctors and services
  • Finances

    $4.4B net patient revenue

    • Operating margin on patient care -33.1%
    • $253.8M unreimbursed and uncompensated care
    • $1.5B net income
    See finances
  • Ownership and leadership

    Owned by Indiana University

    • Private (not for profit)
    • Dennis M Murphy, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Riley Hospital For Children At Iu Health in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
35-1955872Indiana University Health INC72Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), AMPS, Allied Benefit Systems and 67 more1144266024 Indiana University Health Inc1376586719 Indiana University Health Inc1568749703 Indiana University Health Incand 54 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

13000 E 136th St, Indianapolis, IN 150056

317-944-5000

Get directions

Frequently asked questions

About Riley Hospital For Children At Iu Health's rates and hospital price transparency.

What is Riley Hospital For Children At Iu Health's CMS star rating?

Riley Hospital For Children At Iu Health has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.

Is Riley Hospital For Children At Iu Health a teaching hospital?

Yes. CMS counts 0.53 Medicare-funded residents per bed at Riley Hospital For Children At Iu Health for fiscal year 2027, so it is a major teaching hospital.

Does Medicare penalize Riley Hospital For Children At Iu Health for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Riley Hospital For Children At Iu Health's base inpatient payments by an estimated 0.07% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Riley Hospital For Children At Iu Health?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (347 discharges), heart failure and shock with mcc (129 discharges), hip and femur procedures except major joint with cc (91 discharges).

What is Riley Hospital For Children At Iu Health's case mix index?

Riley Hospital For Children At Iu Health's Medicare case mix index is 2.44 for fiscal year 2027, higher than 93% of hospitals paid under the inpatient prospective payment system.

How many patients does Riley Hospital For Children At Iu Health admit?

Riley Hospital For Children At Iu Health reported 47,159 inpatient discharges and 346,398 inpatient days from Jan 1, 2025 to Dec 31, 2025.

How many employees does Riley Hospital For Children At Iu Health have?

Riley Hospital For Children At Iu Health reported 9,349 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.

How much revenue does Riley Hospital For Children At Iu Health make?

Riley Hospital For Children At Iu Health reported $4.4B in net patient revenue on $15.2B of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of -33.1%, and net income of $1.5B.

How much charity and uncompensated care does Riley Hospital For Children At Iu Health provide?

Riley Hospital For Children At Iu Health reported $253.8M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $61.8M of charity care at cost.

Who is the CEO of Riley Hospital For Children At Iu Health?

Riley Hospital For Children At Iu Health's Medicare enrollment lists Dennis M Murphy as CEO since 2016.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Chargemaster analysis

Get your chargemaster right for billing and payer contracts

Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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