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Ascension St Vincent Anderson: what a joint replacement costs

Anderson, IN 46016 · CMS Certification Number 150088. 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, 13.5 mi
Outpatient here
$11,872
105 Medicare cases, APC 5115
Inpatient here
$14,733
18 Medicare stays, MS-DRG 470

Medicare prices at Ascension St Vincent Anderson

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,733$108,3897.4×$11,872
Shoulder replacement———$16,797

Quality

Complications after hip or knee replacement: 4.2% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 195 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 Anderson for a knee or hip replacement?

In 2024 Medicare paid Ascension St Vincent Anderson an average of $14,733 per inpatient hip or knee replacement stay (MS-DRG 470, 18 stays) and $11,872 per outpatient case (APC 5115, 105 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $108,389, 7.4× 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 Anderson?

Yes for Medicare facility payments. Community Surgery Center Hamilton, an orthopedic surgery center 13.5 mi away, is paid about $8,860 by Medicare for a knee replacement (CPT 27447), $5,873 less than an inpatient stay at Ascension St Vincent Anderson. Not every patient is a surgery-center candidate.

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

Medicare paid Ascension St Vincent Anderson more than 62% of the 34 Indiana hospitals that report inpatient hip or knee replacement.