Memorial Hospital and Health Care Center: what a joint replacement costs

In 2024 the average total payment to Memorial Hospital and Health Care Center for an inpatient hip or knee replacement stay was $15,455 (MS-DRG 470, 77 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,565 per outpatient case (APC 5115, 133 cases).

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $53,969, 3.5× 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. Saint Charles Surgical Pavillion, an orthopedic surgery center same ZIP away, is paid about $8,301 by Medicare for a knee replacement (CPT 27447), $7,154 less than an inpatient stay at Memorial Hospital and Health Care Center. Not every patient is a surgery-center candidate.

Memorial Hospital and Health Care Center's average total payment per Medicare stay is higher than 71% 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 $33,322 across 18 insurers, ranging from $15,115 to $37,173.