Price AtlasInteractive atlas · All states · techysurgeon.comFranciscan Health Michigan City: what a joint replacement costs
Michigan City, IN 46360 · CMS Certification Number 150015. 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 Franciscan Health Michigan City
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,499 | $92,506 | 6.4× | $11,623 |
| Shoulder replacement | — | — | — | $16,577 |
| Hip replacement after a fracture (DRG 522) | $15,170 | $100,537 | 6.6× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $32,411 | 2.2× | $32,411–$48,222 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Aetna | $48,222 | 3.3× | 1 |
| BCBS (other) | $32,411 | 2.2× | 1 |
| BCBS IL | $32,411 | 2.2× | 1 |
| Elevance/Anthem/Empire | $32,411 | 2.2× | 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
Complications after hip or knee replacement: 4.5% (no different from the national rate). Readmissions: 5.1%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 310 beds
Indiana has a certificate-of-need program that does not cover surgery centers.
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Questions
How much does Medicare pay Franciscan Health Michigan City for a knee or hip replacement?
In 2024 the average total payment to Franciscan Health Michigan City for an inpatient hip or knee replacement stay was $14,499 (MS-DRG 470, 19 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,623 per outpatient case (APC 5115, 108 cases).
What is Franciscan Health Michigan City's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $92,506, 6.4× 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 Franciscan Health Michigan City?
Yes for Medicare facility payments. Franciscan Surgery Center Laporte, an orthopedic surgery center 9.3 mi away, is paid about $8,573 by Medicare for a knee replacement (CPT 27447), $5,926 less than an inpatient stay at Franciscan Health Michigan City. Not every patient is a surgery-center candidate.
How does Franciscan Health Michigan City compare with other Indiana hospitals?
Franciscan Health Michigan City's average total payment per Medicare stay is higher than 53% of the 34 Indiana hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Franciscan Health Michigan City 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 $32,411 across 4 insurers, ranging from $32,411 to $48,222.