Evansville, IN 47750 · CMS Certification Number 150100. 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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,152 | $92,593 | 6.5× | $11,679 |
| Shoulder replacement | $18,669 | $111,798 | 6.0× | $16,399 |
| Hip replacement after a fracture (DRG 522) | $15,899 | $105,712 | 6.6× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $15,894 | 1.1× | $11,231–$18,509 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $18,509 | 1.3× | 1 |
| Cigna | $17,562 | 1.2× | 1 |
| Elevance/Anthem/Empire | $15,894 | 1.1× | 1 |
| Humana | $15,002 | 1.1× | 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.
Complications after hip or knee replacement: 2.1% (better than the national rate). Readmissions: 3.6%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 414 beds
Indiana has a certificate-of-need program that does not cover surgery centers.
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In 2024 the average total payment to Ascension St Vincent Evansville for an inpatient hip or knee replacement stay was $14,152 (MS-DRG 470, 370 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,679 per outpatient case (APC 5115, 270 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $92,593, 6.5× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Riverview Surgery Center, an orthopedic surgery center 22.7 mi away, is paid about $8,301 by Medicare for a knee replacement (CPT 27447), $5,851 less than an inpatient stay at Ascension St Vincent Evansville. Not every patient is a surgery-center candidate.
Ascension St Vincent Evansville's average total payment per Medicare stay is lower than 59% of the 34 Indiana hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $15,894 across 5 insurers, ranging from $11,231 to $18,509.