Price AtlasInteractive atlas · All states · techysurgeon.comPinnacle Hospital: what a joint replacement costs
Crown Point, IN 46307 · CMS Certification Number 150166. 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 Pinnacle Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,043 | $150,721 | 11.6× | $11,795 |
| Shoulder replacement | — | — | — | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $13,907 | 1.1× | $11,766–$35,841 | 3 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Elevance/Anthem/Empire | $35,841 | 2.7× | 1 |
| Aetna | $13,907 | 1.1× | 1 |
| Cigna | $11,766 | 0.9× | 1 |
From the hospital's price-transparency file (2026-03-09); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-03-09); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 4.1% (no different from the national rate). Readmissions: 5.6%. Physician-owned · Acute · 18 beds
Indiana has a certificate-of-need program that does not cover surgery centers.
Open the interactive price tagBuild a reportAll Indiana hospitals
Questions
How much does Medicare pay Pinnacle Hospital for a knee or hip replacement?
In 2024 the average total payment to Pinnacle Hospital for an inpatient hip or knee replacement stay was $13,043 (MS-DRG 470, 42 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,795 per outpatient case (APC 5115, 19 cases).
What is Pinnacle Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $150,721, 11.6× 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 Pinnacle Hospital?
Yes for Medicare facility payments. Uchicago Medicine Crown Point Ambulatory Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,617 by Medicare for a knee replacement (CPT 27447), $4,426 less than an inpatient stay at Pinnacle Hospital. Not every patient is a surgery-center candidate.
How does Pinnacle Hospital compare with other Indiana hospitals?
Pinnacle Hospital's average total payment per Medicare stay is lower than 94% of the 34 Indiana hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Pinnacle Hospital 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 $13,907 across 3 insurers, ranging from $11,766 to $35,841.