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Franciscan 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.

Surgery center nearby
$8,573
Franciscan Surgery Center Laporte, 9.3 mi
Outpatient here
$11,623
108 Medicare cases, APC 5115
Inpatient here
$14,499
19 Medicare stays, MS-DRG 470

Medicare prices at Franciscan Health Michigan City

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,499$92,5066.4×$11,623
Shoulder replacement———$16,577
Hip replacement after a fracture (DRG 522)$15,170$100,5376.6×—

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 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).

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× what Medicare paid. 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?

Medicare paid Franciscan Health Michigan City more than 53% of the 34 Indiana hospitals that report inpatient hip or knee replacement.