Avon, IN 46123 · CMS Certification Number 150158. 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 | $14,508 | $129,983 | 9.0× | $11,663 |
| Shoulder replacement | $17,762 | $173,030 | 9.7× | $16,797 |
| Hip replacement after a fracture (DRG 522) | $14,685 | $120,292 | 8.2× | — |
Complications after hip or knee replacement: 4.3% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 4 of 5 stars. For-profit · Acute · 127 beds
Indiana has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Iu Health West Hospital an average of $14,508 per inpatient hip or knee replacement stay (MS-DRG 470, 17 stays) and $11,663 per outpatient case (APC 5115, 147 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $129,983, 9.0× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. West Indy Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,860 by Medicare for a knee replacement (CPT 27447), $5,648 less than an inpatient stay at Iu Health West Hospital. Not every patient is a surgery-center candidate.
Medicare paid Iu Health West Hospital more than 56% of the 34 Indiana hospitals that report inpatient hip or knee replacement.