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Ascension St Vincent Hospital: what a joint replacement costs

Indianapolis, IN 46260 · CMS Certification Number 150084. 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
Iu Health Surgery Center - Harcourt, same ZIP
Outpatient here
$11,404
80 Medicare cases, APC 5115
Inpatient here
$17,620
18 Medicare stays, MS-DRG 470

Medicare prices at Ascension St Vincent Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$17,620$107,4976.1×$11,404
Shoulder replacement$21,912$125,0995.7×$16,684
Hip replacement after a fracture (DRG 522)$18,377$97,9375.3×—

Quality

Complications after hip or knee replacement: 3.9% (no different from the national rate). Readmissions: 5.9%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 779 beds

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

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Questions

How much does Medicare pay Ascension St Vincent Hospital for a knee or hip replacement?

In 2024 Medicare paid Ascension St Vincent Hospital an average of $17,620 per inpatient hip or knee replacement stay (MS-DRG 470, 18 stays) and $11,404 per outpatient case (APC 5115, 80 cases).

What is Ascension St Vincent Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $107,497, 6.1× 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 Ascension St Vincent Hospital?

Yes for Medicare facility payments. Iu Health Surgery Center - Harcourt, an orthopedic surgery center same ZIP away, is paid about $8,860 by Medicare for a knee replacement (CPT 27447), $8,760 less than an inpatient stay at Ascension St Vincent Hospital. Not every patient is a surgery-center candidate.

How does Ascension St Vincent Hospital compare with other Indiana hospitals?

Medicare paid Ascension St Vincent Hospital more than 97% of the 34 Indiana hospitals that report inpatient hip or knee replacement.