New Castle, IN 47362 · CMS Certification Number 150030. 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 paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $17,602 | $73,684 | 4.2× | $11,840 |
| Shoulder replacement | — | — | — | $16,797 |
Complications after hip or knee replacement: 3.9% (no different from the national rate). Readmissions: 4.4%. Overall Care Compare rating: 4 of 5 stars. Government · Acute · 90 beds
Indiana has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Henry County Memorial Hospital an average of $17,602 per inpatient hip or knee replacement stay (MS-DRG 470, 36 stays) and $11,840 per outpatient case (APC 5115, 322 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $73,684, 4.2× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Central Indiana Orthopedic Surgery Center LLC, an orthopedic surgery center 21.6 mi away, is paid about $8,531 by Medicare for a knee replacement (CPT 27447), $9,071 less than an inpatient stay at Henry County Memorial Hospital. Not every patient is a surgery-center candidate.
Medicare paid Henry County Memorial Hospital more than 94% of the 34 Indiana hospitals that report inpatient hip or knee replacement.