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Franciscan Health Indianapolis: what a joint replacement costs

Indianapolis, IN 46237 · CMS Certification Number 150162. 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
Franciscan Surgery Center LLC, same ZIP
Outpatient here
$11,976
Medicare allowed amount, 73 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Franciscan Health Indianapolis

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,976
Shoulder replacement———$14,588
Hip replacement after a fracture (DRG 522)$17,801$84,5944.8×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$43,726—$43,726–$49,0094
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Aetna$49,009—1
BCBS (other)$43,726—1
BCBS IL$43,726—1
Elevance/Anthem/Empire$43,726—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: 4 of 5 stars. Nonprofit · Acute · 423 beds

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

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Questions

How much does Medicare pay Franciscan Health Indianapolis for a knee or hip replacement?

The Medicare allowed amount averaged $11,976 per outpatient hip or knee replacement case (APC 5115, 73 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Franciscan Health Indianapolis?

Yes for Medicare facility payments. Franciscan Surgery Center LLC, 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 Franciscan Health Indianapolis 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 $43,726 across 4 insurers, ranging from $43,726 to $49,009.