Indianapolis, IN 46256 · CMS Certification Number 150169. 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 | $14,076 | $83,146 | 5.9× | $11,658 |
| Shoulder replacement | — | — | — | $16,797 |
| Hip replacement after a fracture (DRG 522) | $17,270 | $88,314 | 5.1× | — |
Complications after hip or knee replacement: 3.5% (no different from the national rate). Readmissions: 6.4%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 298 beds
Indiana has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Community Hospital North an average of $14,076 per inpatient hip or knee replacement stay (MS-DRG 470, 29 stays) and $11,658 per outpatient case (APC 5115, 141 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $83,146, 5.9× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Community Surgery Center North, an orthopedic surgery center same ZIP away, is paid about $8,860 by Medicare for a knee replacement (CPT 27447), $5,216 less than an inpatient stay at Community Hospital North. Not every patient is a surgery-center candidate.
Medicare paid Community Hospital North less than 68% of the 34 Indiana hospitals that report inpatient hip or knee replacement.