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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,221 | $134,245 | 8.8× | $11,778 |
| Shoulder replacement | — | — | — | $16,813 |
| Hip replacement after a fracture (DRG 522) | $17,150 | $118,612 | 6.9× | — |
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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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).
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.
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.
Medicare paid Indiana University Health Ball Memorial Hospital more than 68% of the 34 Indiana hospitals that report inpatient hip or knee replacement.