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Northwest Health- Porter: what a joint replacement costs

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.

Surgery center nearby
$8,617
Dune Grass Surgical Suites, LLC, 11.1 mi
Outpatient here
$11,576
136 Medicare cases, APC 5115
Inpatient here
$13,338
35 Medicare stays, MS-DRG 470

Medicare prices at Northwest Health- Porter

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$13,338$169,25912.7×$11,576
Shoulder replacement———$16,588
Hip replacement after a fracture (DRG 522)$14,249$173,35512.2×—

Quality

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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Questions

How much does Medicare pay Northwest Health- Porter for a knee or hip replacement?

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).

What is Northwest Health- Porter's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Northwest Health- Porter?

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.

How does Northwest Health- Porter compare with other Indiana hospitals?

Medicare paid Northwest Health- Porter less than 91% of the 34 Indiana hospitals that report inpatient hip or knee replacement.