Fort Wayne, IN 46804 · CMS Certification Number 150017. 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 | — | — | — | $11,935 |
| Shoulder replacement | — | — | — | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $23,315 | — | $11,139–$28,977 | 12 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| NODE Encore KBA PPO (rental network) | $47,598 | — | 1 |
| NODE Encore KBA EPO (rental network) | $38,079 | — | 1 |
| Lutheran Network | $28,977 | — | 1 |
| Encore PPO (rental network) | $27,601 | — | 1 |
| PHP Freedom Network | $27,601 | — | 1 |
| Sagamore | $26,329 | — | 1 |
| NODE Lutheran Network | $25,782 | — | 1 |
| Lutheran Advanced Network | $23,799 | — | 1 |
| NODE Lutheran Preferred Fixed 2 | $23,799 | — | 1 |
| US Department of Labor | $22,831 | — | 1 |
| Physicians Health Plan of Northern Indiana | $22,310 | — | 1 |
| UnitedHealthcare | $20,994 | — | 1 |
| Elevance/Anthem/Empire | $20,698 | — | 1 |
| Lutheran Preferred Network | $13,888 | — | 1 |
| Lutheran Preferred | $11,139 | — | 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: 3 of 5 stars. For-profit · Acute · 396 beds
Indiana has a certificate-of-need program that does not cover surgery centers.
Open the interactive price tagBuild a reportAll Indiana hospitals
The Medicare allowed amount averaged $11,935 per outpatient hip or knee replacement case (APC 5115, 25 cases) in 2024. Inpatient stays were too few to report.
Yes for Medicare facility payments. Iu Health Surgery Center Fort Wayne , an orthopedic surgery center same ZIP away, is paid about $8,925 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 $23,315 across 12 insurers, ranging from $11,139 to $28,977.