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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient 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× | — |
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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In 2024 Medicare paid Franciscan Health Michigan City an average of $14,499 per inpatient hip or knee replacement stay (MS-DRG 470, 19 stays) and $11,623 per outpatient case (APC 5115, 108 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $92,506, 6.4× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Medicare paid Franciscan Health Michigan City more than 53% of the 34 Indiana hospitals that report inpatient hip or knee replacement.