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Indiana University Health: what a joint replacement costs

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.

Surgery center nearby
$8,860
Roc Surgery LLC, same ZIP
Outpatient here
$11,779
Medicare allowed amount, 210 cases, APC 5115
Inpatient here
$18,488
Avg total payment (incl. patient share), 35 Medicare stays, MS-DRG 470

Medicare prices at Indiana University Health

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$18,488$148,0178.0×$11,779
Shoulder replacement———$16,944
Hip replacement after a fracture (DRG 522)$24,874$149,6846.0×—

Quality

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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Questions

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

In 2024 the average total payment to Indiana University Health for an inpatient hip or knee replacement stay was $18,488 (MS-DRG 470, 35 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,779 per outpatient case (APC 5115, 210 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $148,017, 8.0× 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 Indiana University Health?

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.

How does Indiana University Health compare with other Indiana hospitals?

Indiana University Health's average total payment per Medicare stay is higher than 100% of the 34 Indiana hospitals that report inpatient hip or knee replacement.