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Franciscan Health Crown Point: what a joint replacement costs

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.

Surgery center nearby
$8,617
Uchicago Medicine Crown Point Ambulatory Surgery Center, same ZIP
Outpatient here
$12,023
Medicare allowed amount, 83 cases, APC 5115
Inpatient here
$13,479
Avg total payment (incl. patient share), 15 Medicare stays, MS-DRG 470

Medicare prices at Franciscan Health Crown Point

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$13,479$83,1166.2×$12,023
Shoulder replacement———$17,052
Hip replacement after a fracture (DRG 522)$16,615$82,6685.0×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$32,4112.4×$15,209–$42,4365
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Aetna$42,4363.1×1
BCBS (other)$32,4112.4×1
Elevance/Anthem/Empire$32,4112.4×1
Cigna$20,6201.5×1
BCBS IL$15,2091.1×1

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.

Quality

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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Questions

How much does Medicare pay Franciscan Health Crown Point for a knee or hip replacement?

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).

What is Franciscan Health Crown Point's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Franciscan Health Crown Point?

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.

How does Franciscan Health Crown Point compare with other Indiana hospitals?

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.

What do commercial insurers pay Franciscan Health Crown Point for a 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.