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Franciscan Health Lafayette: what a joint replacement costs

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.

Surgery center nearby
$8,738
Unity Surgical Center, same ZIP
Outpatient here
$11,639
390 Medicare cases, APC 5115
Inpatient here
$14,192
14 Medicare stays, MS-DRG 470

Medicare prices at Franciscan Health Lafayette

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,192$142,95910.1×$11,639
Shoulder replacement———$16,332
Hip replacement after a fracture (DRG 522)$15,368$134,9098.8×—

Quality

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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Questions

How much does Medicare pay Franciscan Health Lafayette for a knee or hip replacement?

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).

What is Franciscan Health Lafayette's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Franciscan Health Lafayette?

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.

How does Franciscan Health Lafayette compare with other Indiana hospitals?

Medicare paid Franciscan Health Lafayette less than 56% of the 34 Indiana hospitals that report inpatient hip or knee replacement.