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Franciscan Health Mooresville: what a joint replacement costs

Mooresville, IN 46158 · CMS Certification Number 150057. 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
St Francis Mooresville Surgery Center LLC, same ZIP
Outpatient here
$11,800
Medicare allowed amount, 284 cases, APC 5115
Inpatient here
$16,753
Avg total payment (incl. patient share), 26 Medicare stays, MS-DRG 470

Medicare prices at Franciscan Health Mooresville

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$16,753$80,8964.8×$11,800
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$43,7262.6×$43,726–$49,0094
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Aetna$49,0092.9×1
BCBS (other)$43,7262.6×1
BCBS IL$43,7262.6×1
Elevance/Anthem/Empire$43,7262.6×1

From the hospital's price-transparency file (2026-01-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-01-01); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 4% (no different from the national rate). Readmissions: 5%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 82 beds

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

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Questions

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

In 2024 the average total payment to Franciscan Health Mooresville for an inpatient hip or knee replacement stay was $16,753 (MS-DRG 470, 26 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,800 per outpatient case (APC 5115, 284 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $80,896, 4.8× 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 Franciscan Health Mooresville?

Yes for Medicare facility payments. St Francis Mooresville Surgery Center LLC, an orthopedic surgery center same ZIP away, is paid about $8,860 by Medicare for a knee replacement (CPT 27447), $7,893 less than an inpatient stay at Franciscan Health Mooresville. Not every patient is a surgery-center candidate.

How does Franciscan Health Mooresville compare with other Indiana hospitals?

Franciscan Health Mooresville's average total payment per Medicare stay is higher than 88% of the 34 Indiana hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Franciscan Health Mooresville 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 $43,726 across 4 insurers, ranging from $43,726 to $49,009.