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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,733 | $108,389 | 7.4× | $11,872 |
| Shoulder replacement | — | — | — | $16,797 |
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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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).
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.
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.
Medicare paid Ascension St Vincent Anderson more than 62% of the 34 Indiana hospitals that report inpatient hip or knee replacement.