Lebanon, IN 46052 · CMS Certification Number 150104. 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 | $15,771 | $75,736 | 4.8× | $11,872 |
| Shoulder replacement | — | — | — | $16,797 |
Complications after hip or knee replacement: 5.4% (no different from the national rate). Readmissions: 6.7%. Overall Care Compare rating: 4 of 5 stars. Government · Acute · 52 beds
Indiana has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Witham Health Services an average of $15,771 per inpatient hip or knee replacement stay (MS-DRG 470, 17 stays) and $11,872 per outpatient case (APC 5115, 14 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $75,736, 4.8× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. North Meridian Surgery Center, an orthopedic surgery center 16.1 mi away, is paid about $8,860 by Medicare for a knee replacement (CPT 27447), $6,911 less than an inpatient stay at Witham Health Services. Not every patient is a surgery-center candidate.
Medicare paid Witham Health Services more than 79% of the 34 Indiana hospitals that report inpatient hip or knee replacement.