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Community Hospital South: what a joint replacement costs

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.

Surgery center nearby
$8,860
Community Surgery Center South, same ZIP
Outpatient here
$11,976
45 Medicare cases, APC 5115
Inpatient here
$13,983
32 Medicare stays, MS-DRG 470

Medicare prices at Community Hospital South

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$13,983$75,2155.4×$11,976
Shoulder replacement———$16,944

Quality

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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Questions

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

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).

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

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.

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

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.

How does Community Hospital South compare with other Indiana hospitals?

Medicare paid Community Hospital South less than 74% of the 34 Indiana hospitals that report inpatient hip or knee replacement.