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Lutheran Hospital of Indiana: what a joint replacement costs

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.

Surgery center nearby
$8,925
Iu Health Surgery Center Fort Wayne , same ZIP
Outpatient here
$11,935
Medicare allowed amount, 25 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Lutheran Hospital of Indiana

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,935
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$23,315—$11,139–$28,97712
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
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.

Quality

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

Questions

How much does Medicare pay Lutheran Hospital of Indiana for a knee or hip replacement?

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.

Is a knee replacement cheaper at a surgery center near Lutheran Hospital of Indiana?

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.

What do commercial insurers pay Lutheran Hospital of Indiana 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 $23,315 across 12 insurers, ranging from $11,139 to $28,977.