Columbus, IN 47201 · CMS Certification Number 150112. 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 | $14,197 | $57,277 | 4.0× | $11,879 |
| Shoulder replacement | — | — | — | $17,109 |
| Hip replacement after a fracture (DRG 522) | $17,815 | $60,419 | 3.4× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $18,564 | 1.3× | — | 1 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| EmblemHealth | $18,564 | 1.3× | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 5% (no different from the national rate). Readmissions: 5.5%. Overall Care Compare rating: 4 of 5 stars. Government · Acute · 160 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 Columbus Regional Hospital for an inpatient hip or knee replacement stay was $14,197 (MS-DRG 470, 17 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,879 per outpatient case (APC 5115, 49 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $57,277, 4.0× 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. Columbus Specialty Surgery Center, LLC, an orthopedic surgery center 10.6 mi away, is paid about $8,904 by Medicare for a knee replacement (CPT 27447), $5,293 less than an inpatient stay at Columbus Regional Hospital. Not every patient is a surgery-center candidate.
Columbus Regional Hospital's average total payment per Medicare stay is lower than 53% 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 $18,564 across 1 insurer.