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Good Samaritan Hospital: what a joint replacement costs

Vincennes, IN 47591 · CMS Certification Number 150042. 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
—
No orthopedic surgery center within 25 miles
Outpatient here
$11,622
Medicare allowed amount, 156 cases, APC 5115
Inpatient here
$16,225
Avg total payment (incl. patient share), 13 Medicare stays, MS-DRG 470

Medicare prices at Good Samaritan Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$16,225$56,8833.5×$11,622
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$18,066$59,7023.3×—

Quality

Complications after hip or knee replacement: 4.6% (no different from the national rate). Readmissions: 5.6%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 165 beds

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

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Questions

How much does Medicare pay Good Samaritan Hospital for a knee or hip replacement?

In 2024 the average total payment to Good Samaritan Hospital for an inpatient hip or knee replacement stay was $16,225 (MS-DRG 470, 13 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,622 per outpatient case (APC 5115, 156 cases).

What is Good Samaritan Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $56,883, 3.5× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

How does Good Samaritan Hospital compare with other Indiana hospitals?

Good Samaritan Hospital's average total payment per Medicare stay is higher than 85% of the 34 Indiana hospitals that report inpatient hip or knee replacement.