Lafayette, IN 47905 · CMS Certification Number 150109. 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 | $14,192 | $142,959 | 10.1× | $11,639 |
| Shoulder replacement | — | — | — | $16,332 |
| Hip replacement after a fracture (DRG 522) | $15,368 | $134,909 | 8.8× | — |
Complications after hip or knee replacement: 3.7% (no different from the national rate). Readmissions: 5.1%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 186 beds
Indiana has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Franciscan Health Lafayette an average of $14,192 per inpatient hip or knee replacement stay (MS-DRG 470, 14 stays) and $11,639 per outpatient case (APC 5115, 390 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $142,959, 10.1× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Unity Surgical Center, an orthopedic surgery center same ZIP away, is paid about $8,738 by Medicare for a knee replacement (CPT 27447), $5,454 less than an inpatient stay at Franciscan Health Lafayette. Not every patient is a surgery-center candidate.
Medicare paid Franciscan Health Lafayette less than 56% of the 34 Indiana hospitals that report inpatient hip or knee replacement.