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Northwest Health-La Porte: what a joint replacement costs

La Porte, IN 46350 · CMS Certification Number 150006. 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
$8,573
Franciscan Surgery Center Laporte, same ZIP
Outpatient here
$11,716
Medicare allowed amount, 27 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Northwest Health-La Porte

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,716
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$26,142—$15,172–$41,7244
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Encore KBA PPO (rental network)$45,593—1
NX Health Network$41,724—1
Encore KBA EPO (rental network)$36,474—1
Lutheran Network$30,345—1
US Department of Labor$21,940—1
Elevance/Anthem/Empire$15,172—1

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

Quality

Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 227 beds

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

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Questions

How much does Medicare pay Northwest Health-La Porte for a knee or hip replacement?

The Medicare allowed amount averaged $11,716 per outpatient hip or knee replacement case (APC 5115, 27 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Northwest Health-La Porte?

Yes for Medicare facility payments. Franciscan Surgery Center Laporte, an orthopedic surgery center same ZIP away, is paid about $8,573 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Northwest Health-La Porte 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 $26,142 across 4 insurers, ranging from $15,172 to $41,724.