Crown Point, IN 46307 · CMS Certification Number 150126. 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 | $13,479 | $83,116 | 6.2× | $12,023 |
| Shoulder replacement | — | — | — | $17,052 |
| Hip replacement after a fracture (DRG 522) | $16,615 | $82,668 | 5.0× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $32,411 | 2.4× | $15,209–$42,436 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Aetna | $42,436 | 3.1× | 1 |
| BCBS (other) | $32,411 | 2.4× | 1 |
| Elevance/Anthem/Empire | $32,411 | 2.4× | 1 |
| Cigna | $20,620 | 1.5× | 1 |
| BCBS IL | $15,209 | 1.1× | 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.
Complications after hip or knee replacement: 5.1% (no different from the national rate). Readmissions: 6.4%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 208 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 Franciscan Health Crown Point for an inpatient hip or knee replacement stay was $13,479 (MS-DRG 470, 15 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,023 per outpatient case (APC 5115, 83 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $83,116, 6.2× 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. Uchicago Medicine Crown Point Ambulatory Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,617 by Medicare for a knee replacement (CPT 27447), $4,862 less than an inpatient stay at Franciscan Health Crown Point. Not every patient is a surgery-center candidate.
Franciscan Health Crown Point's average total payment per Medicare stay is lower than 88% 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 $32,411 across 5 insurers, ranging from $15,209 to $42,436.