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Union Hospital Inc: what a joint replacement costs

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.

Surgery center nearby
—
No orthopedic surgery center within 25 miles
Outpatient here
$11,710
380 Medicare cases, APC 5115
Inpatient here
$14,382
14 Medicare stays, MS-DRG 470

Medicare prices at Union Hospital Inc

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,382$89,8046.2×$11,710
Shoulder replacement———$16,337
Hip replacement after a fracture (DRG 522)$15,964$85,2945.3×—

Quality

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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Questions

How much does Medicare pay Union Hospital Inc for a knee or hip replacement?

In 2024 Medicare paid Union Hospital Inc an average of $14,382 per inpatient hip or knee replacement stay (MS-DRG 470, 14 stays) and $11,710 per outpatient case (APC 5115, 380 cases).

What is Union Hospital Inc's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $89,804, 6.2× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

How does Union Hospital Inc compare with other Indiana hospitals?

Medicare paid Union Hospital Inc less than 50% of the 34 Indiana hospitals that report inpatient hip or knee replacement.