Indianapolis, IN 46202 · CMS Certification Number 150056. 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 | $18,488 | $148,017 | 8.0× | $11,779 |
| Shoulder replacement | — | — | — | $16,944 |
| Hip replacement after a fracture (DRG 522) | $24,874 | $149,684 | 6.0× | — |
Complications after hip or knee replacement: 4.1% (no different from the national rate). Readmissions: 6.4%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 1733 beds
Indiana has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Indiana University Health an average of $18,488 per inpatient hip or knee replacement stay (MS-DRG 470, 35 stays) and $11,779 per outpatient case (APC 5115, 210 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $148,017, 8.0× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Roc Surgery LLC, an orthopedic surgery center same ZIP away, is paid about $8,860 by Medicare for a knee replacement (CPT 27447), $9,628 less than an inpatient stay at Indiana University Health. Not every patient is a surgery-center candidate.
Medicare paid Indiana University Health more than 100% of the 34 Indiana hospitals that report inpatient hip or knee replacement.