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Riverview Health: what a joint replacement costs

Noblesville, IN 46060 · CMS Certification Number 150059. 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
Community Surgery Center Hamilton, same ZIP
Outpatient here
$11,719
133 Medicare cases, APC 5115
Inpatient here
$13,859
13 Medicare stays, MS-DRG 470

Medicare prices at Riverview Health

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$13,859$77,0605.6×$11,719
Shoulder replacement———$16,531
Hip replacement after a fracture (DRG 522)$15,454$77,1795.0×—

Quality

Complications after hip or knee replacement: 3.9% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 4 of 5 stars. Government · Acute · 162 beds

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

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Questions

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

In 2024 Medicare paid Riverview Health an average of $13,859 per inpatient hip or knee replacement stay (MS-DRG 470, 13 stays) and $11,719 per outpatient case (APC 5115, 133 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $77,060, 5.6× 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 Riverview Health?

Yes for Medicare facility payments. Community Surgery Center Hamilton, an orthopedic surgery center same ZIP away, is paid about $8,860 by Medicare for a knee replacement (CPT 27447), $4,999 less than an inpatient stay at Riverview Health. Not every patient is a surgery-center candidate.

How does Riverview Health compare with other Indiana hospitals?

Medicare paid Riverview Health less than 79% of the 34 Indiana hospitals that report inpatient hip or knee replacement.