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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,570 | $169,489 | 12.5× | $11,201 |
| Shoulder replacement | $16,878 | $193,125 | 11.4× | $15,922 |
| Hip replacement after a fracture (DRG 522) | $13,683 | $149,866 | 11.0× | — |
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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In 2024 Medicare paid The Orthopaedic Hospital of Lutheran Health Networ an average of $13,570 per inpatient hip or knee replacement stay (MS-DRG 470, 27 stays) and $11,201 per outpatient case (APC 5115, 524 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $169,489, 12.5× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Medicare paid The Orthopaedic Hospital of Lutheran Health Networ less than 85% of the 34 Indiana hospitals that report inpatient hip or knee replacement.