Price AtlasInteractive atlas · All states · techysurgeon.comGoshen Hospital: what a joint replacement costs
Goshen, IN 46526 · CMS Certification Number 150026. 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.
Medicare prices at Goshen Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $11,899 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $16,006 | $53,218 | 3.3× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $15,448 | — | $15,448–$44,286 | 19 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Bc Allied | $44,286 | — | 1 |
| Elevance/Anthem/Empire | $44,286 | — | 1 |
| Highmark BCBS | $44,286 | — | 1 |
| Aetna | $15,448 | — | 1 |
| Atrio Health Plans | $15,448 | — | 1 |
| BC Federal Employee | $15,448 | — | 1 |
| Coventry Health and Life | $15,448 | — | 1 |
| EmblemHealth | $15,448 | — | 1 |
| Freedom Healthcare | $15,448 | — | 1 |
| Geisinger Health Plan | $15,448 | — | 1 |
| Independent Care Health Plan | $15,448 | — | 1 |
| Kaiser Permanente | $15,448 | — | 1 |
| Optimum Healthcare | $15,448 | — | 1 |
| Paramount Elite | $15,448 | — | 1 |
| Primetime Health Plan | $15,448 | — | 1 |
| Simply Complete HMO | $15,448 | — | 1 |
| The UMWA H&R Funds | $15,448 | — | 1 |
| Todays Options Pyramid Life | $15,448 | — | 1 |
| UnitedHealthcare | $15,448 | — | 1 |
From the hospital's price-transparency file (2026-08-14); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-08-14); commercial plans, dollar-amount contracts only.
Quality
Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 123 beds
Indiana has a certificate-of-need program that does not cover surgery centers.
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Questions
How much does Medicare pay Goshen Hospital for a knee or hip replacement?
The Medicare allowed amount averaged $11,899 per outpatient hip or knee replacement case (APC 5115, 67 cases) in 2024. Inpatient stays were too few to report.
Is a knee replacement cheaper at a surgery center near Goshen Hospital?
Yes for Medicare facility payments. Goshen Health Surgery Center LLC, an orthopedic surgery center same ZIP away, is paid about $8,672 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.
What do commercial insurers pay Goshen Hospital 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 $15,448 across 19 insurers, ranging from $15,448 to $44,286.