Indianapolis, IN 46227 · CMS Certification Number 150128. 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 | $13,983 | $75,215 | 5.4× | $11,976 |
| Shoulder replacement | — | — | — | $16,944 |
Complications after hip or knee replacement: 4.4% (no different from the national rate). Readmissions: 6.2%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 127 beds
Indiana has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Community Hospital South an average of $13,983 per inpatient hip or knee replacement stay (MS-DRG 470, 32 stays) and $11,976 per outpatient case (APC 5115, 45 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $75,215, 5.4× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Community Surgery Center South, an orthopedic surgery center same ZIP away, is paid about $8,860 by Medicare for a knee replacement (CPT 27447), $5,123 less than an inpatient stay at Community Hospital South. Not every patient is a surgery-center candidate.
Medicare paid Community Hospital South less than 74% of the 34 Indiana hospitals that report inpatient hip or knee replacement.