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The Orthopaedic Hospital of Lutheran Health Networ: what a joint replacement costs

Fort Wayne, IN 46804 · CMS Certification Number 150168. 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
$8,925
Iu Health Surgery Center Fort Wayne , same ZIP
Outpatient here
$11,201
Medicare allowed amount, 524 cases, APC 5115
Inpatient here
$13,570
Avg total payment (incl. patient share), 27 Medicare stays, MS-DRG 470

Medicare prices at The Orthopaedic Hospital of Lutheran Health Networ

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$13,570$169,48912.5×$11,201
Shoulder replacement$16,878$193,12511.4×$15,922
Hip replacement after a fracture (DRG 522)$13,683$149,86611.0×—

Quality

Complications after hip or knee replacement: 4.3% (no different from the national rate). Readmissions: 7.1%. For-profit · Acute · 44 beds

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

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Questions

How much does Medicare pay The Orthopaedic Hospital of Lutheran Health Networ for a knee or hip replacement?

In 2024 the average total payment to The Orthopaedic Hospital of Lutheran Health Networ for an inpatient hip or knee replacement stay was $13,570 (MS-DRG 470, 27 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,201 per outpatient case (APC 5115, 524 cases).

What is The Orthopaedic Hospital of Lutheran Health Networ's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $169,489, 12.5× 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 The Orthopaedic Hospital of Lutheran Health Networ?

Yes for Medicare facility payments. Iu Health Surgery Center Fort Wayne , an orthopedic surgery center same ZIP away, is paid about $8,925 by Medicare for a knee replacement (CPT 27447), $4,645 less than an inpatient stay at The Orthopaedic Hospital of Lutheran Health Networ. Not every patient is a surgery-center candidate.

How does The Orthopaedic Hospital of Lutheran Health Networ compare with other Indiana hospitals?

The Orthopaedic Hospital of Lutheran Health Networ's average total payment per Medicare stay is lower than 85% of the 34 Indiana hospitals that report inpatient hip or knee replacement.