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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
Medicare allowed amount, 390 cases, APC 5115
Inpatient here
$14,192
Avg total payment (incl. patient share), 14 Medicare stays, MS-DRG 470

Medicare prices at Franciscan Health Lafayette

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare 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×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$41,4172.9×$41,417–$56,2764
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Aetna$56,2764.0×1
BCBS (other)$41,4172.9×1
BCBS IL$41,4172.9×1
Elevance/Anthem/Empire$41,4172.9×1

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.

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 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).

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× 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 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?

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.

What do commercial insurers pay Franciscan Health Lafayette 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 $41,417 across 4 insurers, ranging from $41,417 to $56,276.