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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $16,753 | $80,896 | 4.8× | $11,800 |
| Shoulder replacement | — | — | — | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $43,726 | 2.6× | $43,726–$49,009 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Aetna | $49,009 | 2.9× | 1 |
| BCBS (other) | $43,726 | 2.6× | 1 |
| BCBS IL | $43,726 | 2.6× | 1 |
| Elevance/Anthem/Empire | $43,726 | 2.6× | 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.
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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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).
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.
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.
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.
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.