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Methodist Hospitals Inc: what a joint replacement costs

Gary, IN 46402 · CMS Certification Number 150002. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.

Surgery center nearby
$8,617
Broadwest Specialty Surgical Center LLC, 9.4 mi
Outpatient here
$12,360
Medicare allowed amount, 22 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Methodist Hospitals Inc

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$12,360
Shoulder replacement———$17,488

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$27,516—$23,850–$29,8983
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
MagnaCare (rental network)$71,755—1
Aetna$29,898—1
UnitedHealthcare$27,516—1
Elevance/Anthem/Empire$23,850—1

From the hospital's price-transparency file (2026-04-16); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-04-16); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 4.6% (no different from the national rate). Readmissions: 5.3%. Overall Care Compare rating: 1 of 5 stars. Nonprofit · Acute · 536 beds

Indiana has a certificate-of-need program that does not cover surgery centers.

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Questions

How much does Medicare pay Methodist Hospitals Inc for a knee or hip replacement?

The Medicare allowed amount averaged $12,360 per outpatient hip or knee replacement case (APC 5115, 22 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Methodist Hospitals Inc?

Yes for Medicare facility payments. Broadwest Specialty Surgical Center LLC, an orthopedic surgery center 9.4 mi away, is paid about $8,617 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Methodist Hospitals Inc for a hip or knee replacement?

From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $27,516 across 3 insurers, ranging from $23,850 to $29,898.