Price AtlasInteractive atlas · All states · techysurgeon.comNorthwest 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.
Medicare prices at Northwest Health- Porter
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $18,996 | 1.4× | $14,366–$36,090 | 7 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| NODE Encore KBA EPO (rental network) | $39,449 | 3.0× | 1 |
| Porter County | $36,090 | 2.7× | 1 |
| Encore PPO (rental network) | $27,601 | 2.1× | 1 |
| Preferred Network Access | $27,068 | 2.0× | 1 |
| First Health Coventry (rental network) | $25,110 | 1.9× | 1 |
| NODE US Dept of Labor | $23,592 | 1.8× | 1 |
| UnitedHealthcare | $18,996 | 1.4× | 1 |
| Elevance/Anthem/Empire | $15,038 | 1.1× | 1 |
| EmblemHealth | $15,038 | 1.1× | 1 |
| Lutheran Preferred | $14,366 | 1.1× | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
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 the average total payment to Northwest Health- Porter for an inpatient hip or knee replacement stay was $13,338 (MS-DRG 470, 35 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× the average total payment for a Medicare stay. 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?
Northwest Health- Porter's average total payment per Medicare stay is lower than 91% of the 34 Indiana hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Northwest Health- Porter 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 $18,996 across 7 insurers, ranging from $14,366 to $36,090.