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Schneck Medical Center: what a joint replacement costs

Seymour, IN 47274 · CMS Certification Number 150065. 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
$8,904
Columbus Specialty Surgery Center, LLC, 18.9 mi
Outpatient here
$11,845
Medicare allowed amount, 79 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Schneck Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,845
Shoulder replacement———$15,552

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$12,648—$8,970–$16,3262
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Elevance/Anthem/Empire$16,326—1
SIHO$8,970—1

From the hospital's price-transparency file (2024-01-24); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2024-01-24); commercial plans, dollar-amount contracts only.

Quality

Overall Care Compare rating: 4 of 5 stars. Government · Acute · 93 beds

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

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Questions

How much does Medicare pay Schneck Medical Center for a knee or hip replacement?

The Medicare allowed amount averaged $11,845 per outpatient hip or knee replacement case (APC 5115, 79 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Schneck Medical Center?

Yes for Medicare facility payments. Columbus Specialty Surgery Center, LLC, an orthopedic surgery center 18.9 mi away, is paid about $8,904 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Schneck Medical Center 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 $12,648 across 2 insurers, ranging from $8,970 to $16,326.