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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $41,417 | 2.9× | $41,417–$56,276 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Aetna | $56,276 | 4.0× | 1 |
| BCBS (other) | $41,417 | 2.9× | 1 |
| BCBS IL | $41,417 | 2.9× | 1 |
| Elevance/Anthem/Empire | $41,417 | 2.9× | 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: 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 the average total payment to Franciscan Health Lafayette for an inpatient hip or knee replacement stay was $14,192 (MS-DRG 470, 14 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× 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. 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.
Franciscan Health Lafayette's average total payment per Medicare stay is lower than 56% 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 $41,417 across 4 insurers, ranging from $41,417 to $56,276.