Terre Haute, IN 47804 · CMS Certification Number 150023. 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 | $14,382 | $89,804 | 6.2× | $11,710 |
| Shoulder replacement | — | — | — | $16,337 |
| Hip replacement after a fracture (DRG 522) | $15,964 | $85,294 | 5.3× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $27,886 | 1.9× | $21,102–$32,104 | 7 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Elevance/Anthem/Empire | $32,104 | 2.2× | 1 |
| Sagamore | $31,648 | 2.2× | 1 |
| Health Alliance | $28,413 | 2.0× | 1 |
| UnitedHealthcare | $27,886 | 1.9× | 1 |
| Humana | $27,243 | 1.9× | 1 |
| SIHO | $24,073 | 1.7× | 1 |
| Iu Health Plans | $21,102 | 1.5× | 1 |
From the hospital's price-transparency file (2026-08-05); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-08-05); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 4.4% (no different from the national rate). Readmissions: 6.3%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 318 beds
Indiana has a certificate-of-need program that does not cover surgery centers.
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In 2024 the average total payment to Union Hospital Inc for an inpatient hip or knee replacement stay was $14,382 (MS-DRG 470, 14 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,710 per outpatient case (APC 5115, 380 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $89,804, 6.2× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Union Hospital Inc's average total payment per Medicare stay is lower than 50% of the 34 Indiana hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $27,886 across 7 insurers, ranging from $21,102 to $32,104.