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Community Hospital: what a joint replacement costs

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.

Surgery center nearby
$8,617
Munster Specialty Surgery Center, LLC, same ZIP
Outpatient here
$12,022
209 Medicare cases, APC 5115
Inpatient here
$16,000
27 Medicare stays, MS-DRG 470

Medicare prices at Community Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$16,000$64,2064.0×$12,022
Shoulder replacement$18,055$70,1973.9×$17,488
Hip replacement after a fracture (DRG 522)$15,030$59,4764.0×—

Quality

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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Questions

How much does Medicare pay Community Hospital for a knee or hip replacement?

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).

What is Community Hospital's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Community Hospital?

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.

How does Community Hospital compare with other Indiana hospitals?

Medicare paid Community Hospital more than 82% of the 34 Indiana hospitals that report inpatient hip or knee replacement.