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St Mary Medical Center Inc: what a joint replacement costs

Hobart, IN 46342 · CMS Certification Number 150034. 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
$8,617
Broadwest Specialty Surgical Center LLC, 5.3 mi
Outpatient here
$12,240
179 Medicare cases, APC 5115
Inpatient here
$14,138
74 Medicare stays, MS-DRG 470

Medicare prices at St Mary Medical Center Inc

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,138$50,1053.5×$12,240
Shoulder replacement$21,502$70,7223.3×$17,488
Hip replacement after a fracture (DRG 522)$14,757$53,2933.6×—

Quality

Complications after hip or knee replacement: 4.4% (no different from the national rate). Readmissions: 4.9%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 176 beds

Indiana has a certificate-of-need program that does not cover surgery centers.

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Questions

How much does Medicare pay St Mary Medical Center Inc for a knee or hip replacement?

In 2024 Medicare paid St Mary Medical Center Inc an average of $14,138 per inpatient hip or knee replacement stay (MS-DRG 470, 74 stays) and $12,240 per outpatient case (APC 5115, 179 cases).

What is St Mary Medical Center Inc's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $50,105, 3.5× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

Is a knee replacement cheaper at a surgery center near St Mary Medical Center Inc?

Yes for Medicare facility payments. Broadwest Specialty Surgical Center LLC, an orthopedic surgery center 5.3 mi away, is paid about $8,617 by Medicare for a knee replacement (CPT 27447), $5,521 less than an inpatient stay at St Mary Medical Center Inc. Not every patient is a surgery-center candidate.

How does St Mary Medical Center Inc compare with other Indiana hospitals?

Medicare paid St Mary Medical Center Inc less than 62% of the 34 Indiana hospitals that report inpatient hip or knee replacement.