East Chicago, IN 46312 · CMS Certification Number 150008. 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 | — | — | — | $12,085 |
| Shoulder replacement | — | — | — | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $25,875 | — | $14,955–$47,134 | 7 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Aetna | $47,134 | — | 1 |
| Elevance/Anthem/Empire | $33,906 | — | 1 |
| Cigna | $30,477 | — | 1 |
| UnitedHealthcare | $25,875 | — | 1 |
| Humana | $19,289 | — | 1 |
| Local 697 | $16,417 | — | 1 |
| Moe Hst | $14,955 | — | 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: 4 of 5 stars. Nonprofit · Acute · 189 beds
Indiana has a certificate-of-need program that does not cover surgery centers.
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The Medicare allowed amount averaged $12,085 per outpatient hip or knee replacement case (APC 5115, 21 cases) in 2024. Inpatient stays were too few to report.
Yes for Medicare facility payments. Munster Specialty Surgery Center, LLC, an orthopedic surgery center 7.6 mi away, is paid about $8,617 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 $25,875 across 7 insurers, ranging from $14,955 to $47,134.