Price AtlasInteractive atlas · All states · techysurgeon.comAscension St Vincent Kokomo: what a joint replacement costs
Kokomo, IN 46904 · CMS Certification Number 150010. 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.
Medicare prices at Ascension St Vincent Kokomo
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,568 | $116,228 | 8.0× | $12,016 |
| Shoulder replacement | — | — | — | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $15,001 | 1.0× | $11,231–$19,607 | 10 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Sagamore Plus Drg | $19,607 | 1.3× | 1 |
| UnitedHealthcare | $18,509 | 1.3× | 1 |
| Elevance/Anthem/Empire | $18,211 | 1.3× | 1 |
| Cigna | $17,562 | 1.2× | 1 |
| Humana | $15,002 | 1.0× | 1 |
| SIHO PPO | $15,000 | 1.0× | 1 |
| Unified Zionsville | $13,965 | 1.0× | 1 |
| Smarthealth PPO/Hdhp 20161001 | $13,700 | 0.9× | 1 |
| Encore (rental network) | $13,400 | 0.9× | 1 |
| Encore Exclusive (rental network) | $13,400 | 0.9× | 1 |
| One Health Plan | $11,500 | 0.8× | 1 |
| Aetna | $11,231 | 0.8× | 1 |
From the hospital's price-transparency file (2026-01-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-01-01); commercial plans, dollar-amount contracts only.
Quality
Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 167 beds
Indiana has a certificate-of-need program that does not cover surgery centers.
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Questions
How much does Medicare pay Ascension St Vincent Kokomo for a knee or hip replacement?
In 2024 the average total payment to Ascension St Vincent Kokomo for an inpatient hip or knee replacement stay was $14,568 (MS-DRG 470, 11 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,016 per outpatient case (APC 5115, 50 cases).
What is Ascension St Vincent Kokomo's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $116,228, 8.0× 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 Ascension St Vincent Kokomo?
Yes for Medicare facility payments. Sycamore Surgery Center, an orthopedic surgery center 3.1 mi away, is paid about $8,933 by Medicare for a knee replacement (CPT 27447), $5,635 less than an inpatient stay at Ascension St Vincent Kokomo. Not every patient is a surgery-center candidate.
How does Ascension St Vincent Kokomo compare with other Indiana hospitals?
Ascension St Vincent Kokomo's average total payment per Medicare stay is higher than 59% of the 34 Indiana hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Ascension St Vincent Kokomo 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 $15,001 across 10 insurers, ranging from $11,231 to $19,607.