Price AtlasInteractive atlas · All states · techysurgeon.comAscension St Vincent Carmel: what a joint replacement costs
Carmel, IN 46032 · CMS Certification Number 150157. 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.
Medicare prices at Ascension St Vincent Carmel
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $11,872 |
| Shoulder replacement | — | — | — | $16,797 |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $14,482 | — | $11,231–$19,607 | 10 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Sagamore Plus Drg | $19,607 | — | 1 |
| UnitedHealthcare | $18,509 | — | 1 |
| Elevance/Anthem/Empire | $17,233 | — | 1 |
| Cigna | $15,520 | — | 1 |
| SIHO PPO | $15,000 | — | 1 |
| Unified Zionsville | $13,965 | — | 1 |
| Smarthealth PPO/Hdhp 20161001 | $13,700 | — | 1 |
| Humana | $13,469 | — | 1 |
| Encore (rental network) | $13,400 | — | 1 |
| Encore Exclusive (rental network) | $13,400 | — | 1 |
| One Health Plan | $11,500 | — | 1 |
| Aetna | $11,231 | — | 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
Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 107 beds
Indiana has a certificate-of-need program that does not cover surgery centers.
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Questions
How much does Medicare pay Ascension St Vincent Carmel for a knee or hip replacement?
The Medicare allowed amount averaged $11,872 per outpatient hip or knee replacement case (APC 5115, 26 cases) in 2024. Inpatient stays were too few to report.
Is a knee replacement cheaper at a surgery center near Ascension St Vincent Carmel?
Yes for Medicare facility payments. North Meridian Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,860 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.
What do commercial insurers pay Ascension St Vincent Carmel 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 $14,482 across 10 insurers, ranging from $11,231 to $19,607.