Price AtlasInteractive atlas · All states · techysurgeon.comAscension 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.
Medicare prices at Ascension St Vincent Anderson
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,733 | $108,389 | 7.4× | $11,872 |
| Shoulder replacement | — | — | — | $16,797 |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $15,002 | 1.0× | $11,231–$19,607 | 11 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Sagamore Plus Drg | $19,607 | 1.3× | 1 |
| UnitedHealthcare | $18,509 | 1.3× | 1 |
| Unified Group Services | $18,211 | 1.2× | 1 |
| Cigna | $17,562 | 1.2× | 1 |
| Elevance/Anthem/Empire | $15,894 | 1.1× | 1 |
| Humana | $15,002 | 1.0× | 1 |
| SIHO PPO | $15,000 | 1.0× | 1 |
| Unified Zionsville | $13,965 | 0.9× | 1 |
| Smarthealth PPO/Hdhp 20161001 | $13,700 | 0.9× | 1 |
| Encore (rental network) | $13,400 | 0.9× | 1 |
| Encore Exclusive (rental network) | $13,400 | 0.9× | 1 |
| One Health Plan | $11,500 | 0.8× | 1 |
| Aetna | $11,231 | 0.8× | 1 |
From the hospital's price-transparency file (2026-01-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-01-01); commercial plans, dollar-amount contracts only.
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 the average total payment to Ascension St Vincent Anderson for an inpatient hip or knee replacement stay was $14,733 (MS-DRG 470, 18 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× the average total payment for a Medicare stay. 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?
Ascension St Vincent Anderson's average total payment per Medicare stay is higher than 62% of the 34 Indiana hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Ascension St Vincent Anderson 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 $15,002 across 11 insurers, ranging from $11,231 to $19,607.