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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

Prices for common services

The 24 services Riley Hospital For Children At Iu Health 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

$11,718 - $23,719

from 3 insurers · median $14,675

Cigna$23,719
Insurer A*$11,718
Insurer B*$14,675

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

$12,075 - $34,486

from 3 insurers · median $20,933

Cigna$34,486
Insurer A*$12,075
Insurer B*$20,933

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

Laparoscopic hysterectomy with tube or ovary removal, uterus up to 250 g

CPT 58571

$16,792 - $52,214

from 2 insurers · median $34,503

Blue Cross$52,214
Insurer A*$16,792
Medicare $10,316Nearby hospitals $10,609225% above nearby hospitals

148 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)

Childbirth · Inpatient

Vaginal birth after prior cesarean, hospital stay

MS-DRG 807

$11,718 - $23,719

from 3 insurers · median $14,675

Cigna$23,719
Insurer A*$11,718
Insurer B*$14,675

CMS lists this service as CPT 59610, 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

How the insurers pay at Riley Hospital For Children At Iu Health

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
349%
183
Insurer B*19
286%
103
Insurer C*24
272%
165
Insurer D*10
252%
64

How we chose these services: 12 appear in this hospital's own Medicare claims, 8 are common here based on CMS Medicare volume, and 4 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 Riley Hospital For Children At Iu Health, 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
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

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Frequently asked questions

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

How much does a CT scan cost at Riley Hospital For Children At Iu Health?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Riley Hospital For Children At Iu Health range from $299 to $725 across 4 insurers. Aetna's rate is $481. The median at nearby comparable hospitals is $1,243. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Riley Hospital For Children At Iu Health?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Riley Hospital For Children At Iu Health range from $3,877 to $5,072 across 4 insurers. UnitedHealthcare's rate is $3,877. The median at nearby comparable hospitals is $2,867. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Riley Hospital For Children At Iu Health?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Riley Hospital For Children At Iu Health range from $11,718 to $23,719 across 3 insurers. Cigna's rate is $23,719. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Riley Hospital For Children At Iu Health?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Riley Hospital For Children At Iu Health range from $82 to $175 across 4 insurers. Aetna's rate is $148. The median at nearby comparable hospitals is $256. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Riley Hospital For Children At Iu Health?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Riley Hospital For Children At Iu Health range from $36,130 to $67,862 across 3 insurers. Blue Cross Blue Shield's rate is $36,130. The median at nearby comparable hospitals is $30,705. What a patient pays depends on their plan's deductible, coinsurance and network status.

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.

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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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