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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
284 Medicare cases, APC 5115
Inpatient here
$16,753
26 Medicare stays, MS-DRG 470

Medicare prices at Franciscan Health Mooresville

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$16,753$80,8964.8×$11,800
Shoulder replacement————

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 Medicare paid Franciscan Health Mooresville an average of $16,753 per inpatient hip or knee replacement stay (MS-DRG 470, 26 stays) and $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× what Medicare paid. 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?

Medicare paid Franciscan Health Mooresville more than 88% of the 34 Indiana hospitals that report inpatient hip or knee replacement.