Price AtlasInteractive atlas · All states · techysurgeon.comWitham Health Services: what a joint replacement costs
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.
Medicare prices at Witham Health Services
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,771 | $75,736 | 4.8× | $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 | $24,108 | 1.5× | $14,764–$29,529 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Mhs Comml Exch-All Plans | $29,529 | 1.9× | 1 |
| Elevance/Anthem/Empire | $25,479 | 1.6× | 1 |
| UnitedHealthcare | $22,738 | 1.4× | 1 |
| Mdwise Health In-All Plans | $14,764 | 0.9× | 1 |
From the hospital's price-transparency file (2026-03-31); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-03-31); commercial plans, dollar-amount contracts only.
Quality
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.
Open the interactive price tagBuild a reportAll Indiana hospitals
Questions
How much does Medicare pay Witham Health Services for a knee or hip replacement?
In 2024 the average total payment to Witham Health Services for an inpatient hip or knee replacement stay was $15,771 (MS-DRG 470, 17 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, 14 cases).
What is Witham Health Services's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $75,736, 4.8× 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 Witham Health Services?
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.
How does Witham Health Services compare with other Indiana hospitals?
Witham Health Services's average total payment per Medicare stay is higher than 79% of the 34 Indiana hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Witham Health Services 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 $24,108 across 4 insurers, ranging from $14,764 to $29,529.