Price AtlasInteractive atlas · All states · techysurgeon.comUnity Physicians Hospital: what a joint replacement costs
Mishawaka, IN 46545 · CMS Certification Number 150177. 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 Unity Physicians Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $11,789 |
| Shoulder replacement | — | — | — | $16,606 |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $22,651 | — | $11,325–$23,749 | 9 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| MultiPlan/PHCS (rental network) | $56,111 | — | 1 |
| Medica | $23,749 | — | 1 |
| Nalc | $23,749 | — | 1 |
| Sagamore Health Network | $23,749 | — | 1 |
| UnitedHealthcare | $23,749 | — | 1 |
| Provider Network Of America | $22,651 | — | 1 |
| Humana | $21,000 | — | 1 |
| Encore (rental network) | $20,386 | — | 1 |
| Elevance/Anthem/Empire | $17,574 | — | 1 |
| Three Rivers Provider Network (rental network) | $13,590 | — | 1 |
| Mhs Healthy Indiana Plan | $11,325 | — | 1 |
| Railroad Retirement | $11,325 | — | 1 |
From the hospital's price-transparency file (2026-05-06); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-05-06); commercial plans, dollar-amount contracts only.
Quality
Physician-owned · Acute · 29 beds
Indiana has a certificate-of-need program that does not cover surgery centers.
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Questions
How much does Medicare pay Unity Physicians Hospital for a knee or hip replacement?
The Medicare allowed amount averaged $11,789 per outpatient hip or knee replacement case (APC 5115, 420 cases) in 2024. Inpatient stays were too few to report.
Is a knee replacement cheaper at a surgery center near Unity Physicians Hospital?
Yes for Medicare facility payments. Allied Physicians Surgery Center LLC, an orthopedic surgery center 3.2 mi away, is paid about $8,775 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.
What do commercial insurers pay Unity Physicians 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 $22,651 across 9 insurers, ranging from $11,325 to $23,749.