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Community Howard Regional Health Inc: what a joint replacement costs

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.

Surgery center nearby
$8,933
Community Surgery Center Howard, same ZIP
Outpatient here
$11,324
Medicare allowed amount, 45 cases, APC 5115
Inpatient here
$13,853
Avg total payment (incl. patient share), 28 Medicare stays, MS-DRG 470

Medicare prices at Community Howard Regional Health Inc

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$13,853$82,4576.0×$11,324
Shoulder replacement———$15,823
Hip replacement after a fracture (DRG 522)$15,476$97,8706.3×—

Quality

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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Questions

How much does Medicare pay Community Howard Regional Health Inc for a knee or hip replacement?

In 2024 the average total payment to Community Howard Regional Health Inc for an inpatient hip or knee replacement stay was $13,853 (MS-DRG 470, 28 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,324 per outpatient case (APC 5115, 45 cases).

What is Community Howard Regional Health Inc's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $82,457, 6.0× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

Is a knee replacement cheaper at a surgery center near Community Howard Regional Health Inc?

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.

How does Community Howard Regional Health Inc compare with other Indiana hospitals?

Community Howard Regional Health Inc's average total payment per Medicare stay is lower than 82% of the 34 Indiana hospitals that report inpatient hip or knee replacement.