Valparaiso, IN 46383 · CMS Certification Number 150035. 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 | $13,338 | $169,259 | 12.7× | $11,576 |
| Shoulder replacement | — | — | — | $16,588 |
| Hip replacement after a fracture (DRG 522) | $14,249 | $173,355 | 12.2× | — |
Complications after hip or knee replacement: 4.5% (no different from the national rate). Readmissions: 6.4%. Overall Care Compare rating: 2 of 5 stars. For-profit · Acute · 301 beds
Indiana has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Northwest Health- Porter an average of $13,338 per inpatient hip or knee replacement stay (MS-DRG 470, 35 stays) and $11,576 per outpatient case (APC 5115, 136 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $169,259, 12.7× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Dune Grass Surgical Suites, LLC, an orthopedic surgery center 11.1 mi away, is paid about $8,617 by Medicare for a knee replacement (CPT 27447), $4,721 less than an inpatient stay at Northwest Health- Porter. Not every patient is a surgery-center candidate.
Medicare paid Northwest Health- Porter less than 91% of the 34 Indiana hospitals that report inpatient hip or knee replacement.