Medical Procedure Costs in Indiana
Indiana Medicare physician rates are generally below the national average (-6.4%). One statewide locality — the ZIP tool still maps you onto that locality.
Look up any CPT in Indiana
Featured table below is 59 procedures. Search covers 7,500+ fee-schedule codes.
What these numbers are
Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again. These Indiana averages are unweighted means of the state’s localities, not population-weighted.
How Medicare prices Indiana
Indiana's Medicare physician rates come from a single statewide locality with indices a bit under the national average, placing it in the moderate band of Midwest pricing. Indianapolis, Fort Wayne, Evansville, and the smallest rural counties all share identical geographic adjustments. Northwest Indiana sits inside the Chicago metropolitan area but is still priced under Indiana's statewide locality rather than Chicago's, which creates a visible pricing seam at the state line. For most Hoosiers the statewide fee schedule is a dependable guide to Medicare-approved amounts.
Indianapolis dominates the state's health care landscape, hosting its academic medical center and the headquarters of its largest systems, while regional hubs in Fort Wayne, Evansville, and South Bend cover their surrounding counties. Indiana's hospital prices for commercially insured patients have drawn national attention for running high relative to the region, which makes Medicare benchmarks a valuable reference for anyone paying cash. Rural southern Indiana often looks to Louisville or Cincinnati across the river.
Look up your ZIP for Indiana figures, whether in Indianapolis, Fort Wayne, Evansville, South Bend, the Region near Chicago, or the rural counties along the Ohio River.
Featured physician rates in Indiana
Office (non-facility) physician rates. Open a row for the locality table and ZIP tool.
Other states
Medical costs in Indiana: questions
Across the 59 featured procedures on this page, Indiana sits below the national average by about 6%. Examples: incision & drainage of abscess $120, skin biopsy (tangential) $89, skin biopsy (punch) $113. Search any other CPT in the box above — those codes are in the tool, not as extra Indiana articles.
Indiana is one Medicare locality, so the physician fee schedule is statewide. Site of service (office vs hospital) and hospital facility fees still change what a patient is billed.
Medicare physician allowed amounts only — the professional fee after GPCI. They do not include hospital facility charges, anesthesia, or your plan’s contracted rate. Medicare patients typically owe 20% of the allowed amount after the Part B deductible, before Medigap.
Yes. The table is the featured set (59 procedures). The search box looks up 7,500+ payable codes from the 2026 fee schedule and applies Indiana’s locality when you enter a ZIP.