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Franciscan Health Munster: what a joint replacement costs

Munster, IN 46321 · CMS Certification Number 150165. 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
$8,617
Munster Specialty Surgery Center, LLC, same ZIP
Outpatient here
$12,223
Medicare allowed amount, 157 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Franciscan Health Munster

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$12,223
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$32,411—$20,620–$42,4365
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Aetna$42,436—1
BCBS (other)$32,411—1
BCBS IL$32,411—1
Elevance/Anthem/Empire$32,411—1
Cigna$20,620—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

Complications after hip or knee replacement: 3.8% (no different from the national rate). Readmissions: 5.6%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 63 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 Munster for a knee or hip replacement?

The Medicare allowed amount averaged $12,223 per outpatient hip or knee replacement case (APC 5115, 157 cases) in 2024. Inpatient stays were too few to report.

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

Yes for Medicare facility payments. Munster Specialty Surgery Center, LLC, an orthopedic surgery center same ZIP away, is paid about $8,617 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Franciscan Health Munster 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 $32,411 across 5 insurers, ranging from $20,620 to $42,436.