Munster, IN 46321 · CMS Certification Number 150125. 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 paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $16,000 | $64,206 | 4.0× | $12,022 |
| Shoulder replacement | $18,055 | $70,197 | 3.9× | $17,488 |
| Hip replacement after a fracture (DRG 522) | $15,030 | $59,476 | 4.0× | — |
Complications after hip or knee replacement: 6.4% (no different from the national rate). Readmissions: 6.1%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 437 beds
Indiana has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Community Hospital an average of $16,000 per inpatient hip or knee replacement stay (MS-DRG 470, 27 stays) and $12,022 per outpatient case (APC 5115, 209 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $64,206, 4.0× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Munster Specialty Surgery Center, LLC, an orthopedic surgery center same ZIP away, is paid about $8,617 by Medicare for a knee replacement (CPT 27447), $7,383 less than an inpatient stay at Community Hospital. Not every patient is a surgery-center candidate.
Medicare paid Community Hospital more than 82% of the 34 Indiana hospitals that report inpatient hip or knee replacement.