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Short Term Acute Care HospitalProprietary

Iu Health West Hospital

Indiana University Health · Avon, IN

1111 North Ronald Reagan Parkway, Avon, IN 46123(317) 217-3000

4 of 5

CMS star rating

168

Beds

7,430

Inpatient discharges a year

$368.1M

Net patient revenue a year

35

In-network payers

About this hospital

Iu Health West Hospital is a 168-bed proprietary hospital in Avon, IN, affiliated with Indiana University Health. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 415 disclosed rate categories.

  • Disproportionate share hospital
  • Helipad
CCN
150158
NPI
1063443455
Health system
Indiana University Health
Teaching
No Medicare-funded residents
Medicare contractor
Jurisdiction 8, WPS Government Health Administrators (08001)

Prices for common services

The 24 services Iu Health West Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$13,657 - $20,920

from 3 insurers · median $14,111

Cigna$20,920
Insurer A*$13,657
Insurer B*$14,111

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$11,225 - $29,086

from 3 insurers · median $20,351

Cigna$29,086
Insurer A*$11,225
Insurer B*$20,351

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$4,789 - $14,897

from 4 insurers · median $5,952

UnitedHealthcare$14,897
Insurer A*$4,789
Insurer B*$5,031
Insurer C*$6,873
Medicare $3,131Nearby hospitals $6,5529% below nearby hospitals

25 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$40,445 - $57,737

from 3 insurers · median $42,605

Blue Cross$42,605
Insurer A*$40,445
Insurer B*$57,737
Medicare $11,213Nearby hospitals $30,49240% above nearby hospitals

29 Medicare discharges for this DRG in CMS hospital data

How the insurers pay at Iu Health West Hospital

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*24
311%
127
Insurer B*17
297%
83
Insurer C*24
287%
151
Insurer D*9
183%
08

How we chose these services: 8 appear in this hospital's own Medicare claims, 8 are common here based on CMS Medicare volume, and 8 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Iu Health West Hospital, or start a free trial.

Insurance Accepted

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

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

  • Quality

    4 of 5 stars

    • 253 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.29%)
    See quality ratings
  • Doctors and services

    No Medicare-funded residents

    • 29 services
    • 512 affiliated clinicians
    See doctors and services
  • Finances

    $368.1M net patient revenue

    • Operating margin on patient care 13.8%
    • $9.8M unreimbursed and uncompensated care
    • $78.9M net income
    See finances

Tax IDs and NPIs insurers list

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

Tax ID (EIN)Plans and networks listing itOrganization NPIs
35-1814660Indiana University Health West Hospital64Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), AMPS, Allied Benefit Systems and 59 more1063443455 Indiana University Health West Hospital Inc1801815832 Indiana University Health West Hospital Inc1285673616 Methodist Medical Group Physicians Incand 2 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

1111 North Ronald Reagan Parkway, Avon, IN 46123

(317) 217-3000

Get directions

Frequently asked questions

About Iu Health West Hospital's rates and hospital price transparency.

How much does a CT scan cost at Iu Health West Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Iu Health West Hospital range from $299 to $725 across 4 insurers. Aetna's rate is $580. The median at nearby comparable hospitals is $1,238. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Iu Health West Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Iu Health West Hospital range from $3,948 to $4,250 across 4 insurers. Blue Cross Blue Shield's rate is $4,250. The median at nearby comparable hospitals is $3,921. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Iu Health West Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Iu Health West Hospital range from $13,657 to $20,920 across 3 insurers. Cigna's rate is $20,920. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Iu Health West Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Iu Health West Hospital range from $82 to $175 across 4 insurers. Cigna's rate is $175. The median at nearby comparable hospitals is $267. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Iu Health West Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Iu Health West Hospital range from $40,445 to $57,737 across 3 insurers. Blue Cross Blue Shield's rate is $42,605. The median at nearby comparable hospitals is $30,492. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Iu Health West Hospital's CMS star rating?

Iu Health West Hospital has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.

Is Iu Health West Hospital a teaching hospital?

CMS reports no Medicare-funded interns or residents at Iu Health West Hospital for fiscal year 2027.

Does Medicare penalize Iu Health West Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Iu Health West Hospital's base inpatient payments by an estimated 0.29% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Iu Health West Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (257 discharges), heart failure and shock with mcc (144 discharges), simple pneumonia and pleurisy with mcc (64 discharges).

What is Iu Health West Hospital's case mix index?

Iu Health West Hospital's Medicare case mix index is 1.67 for fiscal year 2027, higher than 49% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

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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.

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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
      }
    ]
  }]
}
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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.

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