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Reid Health: what a joint replacement costs

Richmond, IN 47374 · CMS Certification Number 150048. 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
$12,317
143 Medicare cases, APC 5115
Inpatient here
$15,564
24 Medicare stays, MS-DRG 470

Medicare prices at Reid Health

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$15,564$65,9974.2×$12,317
Shoulder replacement$20,481$69,8723.4×$16,955
Hip replacement after a fracture (DRG 522)$17,344$52,7463.0×—

Quality

Complications after hip or knee replacement: 5.1% (no different from the national rate). Readmissions: 7%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 223 beds

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

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Questions

How much does Medicare pay Reid Health for a knee or hip replacement?

In 2024 Medicare paid Reid Health an average of $15,564 per inpatient hip or knee replacement stay (MS-DRG 470, 24 stays) and $12,317 per outpatient case (APC 5115, 143 cases).

What is Reid Health's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $65,997, 4.2× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

How does Reid Health compare with other Indiana hospitals?

Medicare paid Reid Health more than 76% of the 34 Indiana hospitals that report inpatient hip or knee replacement.