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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $11,716 |
| Shoulder replacement | — | — | — | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $26,142 | — | $15,172–$41,724 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| 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.
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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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.
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.
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.