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Indiana University Health Ball Memorial Hospital: what a joint replacement costs

Muncie, IN 47303 · CMS Certification Number 150089. 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
$8,531
Central Indiana Orthopedic Surgery Center LLC, 5.0 mi
Outpatient here
$11,778
98 Medicare cases, APC 5115
Inpatient here
$15,221
27 Medicare stays, MS-DRG 470

Medicare prices at Indiana University Health Ball Memorial Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$15,221$134,2458.8×$11,778
Shoulder replacement———$16,813
Hip replacement after a fracture (DRG 522)$17,150$118,6126.9×—

Quality

Complications after hip or knee replacement: 4% (no different from the national rate). Readmissions: 5.6%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 379 beds

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

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Questions

How much does Medicare pay Indiana University Health Ball Memorial Hospital for a knee or hip replacement?

In 2024 Medicare paid Indiana University Health Ball Memorial Hospital an average of $15,221 per inpatient hip or knee replacement stay (MS-DRG 470, 27 stays) and $11,778 per outpatient case (APC 5115, 98 cases).

What is Indiana University Health Ball Memorial Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $134,245, 8.8× 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 Indiana University Health Ball Memorial Hospital?

Yes for Medicare facility payments. Central Indiana Orthopedic Surgery Center LLC, an orthopedic surgery center 5.0 mi away, is paid about $8,531 by Medicare for a knee replacement (CPT 27447), $6,690 less than an inpatient stay at Indiana University Health Ball Memorial Hospital. Not every patient is a surgery-center candidate.

How does Indiana University Health Ball Memorial Hospital compare with other Indiana hospitals?

Medicare paid Indiana University Health Ball Memorial Hospital more than 68% of the 34 Indiana hospitals that report inpatient hip or knee replacement.