Kokomo, IN 46902 · CMS Certification Number 150007. 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 paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,853 | $82,457 | 6.0× | $11,324 |
| Shoulder replacement | — | — | — | $15,823 |
| Hip replacement after a fracture (DRG 522) | $15,476 | $97,870 | 6.3× | — |
Complications after hip or knee replacement: 4.1% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 162 beds
Indiana has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Community Howard Regional Health Inc an average of $13,853 per inpatient hip or knee replacement stay (MS-DRG 470, 28 stays) and $11,324 per outpatient case (APC 5115, 45 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $82,457, 6.0× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Community Surgery Center Howard, an orthopedic surgery center same ZIP away, is paid about $8,933 by Medicare for a knee replacement (CPT 27447), $4,920 less than an inpatient stay at Community Howard Regional Health Inc. Not every patient is a surgery-center candidate.
Medicare paid Community Howard Regional Health Inc less than 82% of the 34 Indiana hospitals that report inpatient hip or knee replacement.