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Community Hospital North: what a joint replacement costs

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.

Surgery center nearby
$8,860
Community Surgery Center North, same ZIP
Outpatient here
$11,658
141 Medicare cases, APC 5115
Inpatient here
$14,076
29 Medicare stays, MS-DRG 470

Medicare prices at Community Hospital North

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,076$83,1465.9×$11,658
Shoulder replacement———$16,797
Hip replacement after a fracture (DRG 522)$17,270$88,3145.1×—

Quality

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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Questions

How much does Medicare pay Community Hospital North for a knee or hip replacement?

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).

What is Community Hospital North's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Community Hospital North?

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.

How does Community Hospital North compare with other Indiana hospitals?

Medicare paid Community Hospital North less than 68% of the 34 Indiana hospitals that report inpatient hip or knee replacement.