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Orthoindy Hospital: what a joint replacement costs

Indianapolis, IN 46278 · CMS Certification Number 150160. 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
Eagle Highlands Surgery Center, 3.4 mi
Outpatient here
$11,674
Medicare allowed amount, 815 cases, APC 5115
Inpatient here
$12,814
Avg total payment (incl. patient share), 142 Medicare stays, MS-DRG 470

Medicare prices at Orthoindy Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$12,814$45,8433.6×$11,674
Shoulder replacement$16,858$49,5892.9×$16,547

Quality

Complications after hip or knee replacement: 3.2% (no different from the national rate). Readmissions: 5%. Physician-owned · Acute · 38 beds

Indiana has a certificate-of-need program that does not cover surgery centers.

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Questions

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

In 2024 the average total payment to Orthoindy Hospital for an inpatient hip or knee replacement stay was $12,814 (MS-DRG 470, 142 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,674 per outpatient case (APC 5115, 815 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $45,843, 3.6× 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 Orthoindy Hospital?

Yes for Medicare facility payments. Eagle Highlands Surgery Center, an orthopedic surgery center 3.4 mi away, is paid about $8,860 by Medicare for a knee replacement (CPT 27447), $3,954 less than an inpatient stay at Orthoindy Hospital. Not every patient is a surgery-center candidate.

How does Orthoindy Hospital compare with other Indiana hospitals?

Orthoindy Hospital's average total payment per Medicare stay is lower than 97% of the 34 Indiana hospitals that report inpatient hip or knee replacement.