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Ascension St Vincent Fishers: what a joint replacement costs

Fishers, IN 46037 · CMS Certification Number 150181. 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
Fishers Surgery Center, same ZIP
Outpatient here
$11,872
Medicare allowed amount, 60 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Ascension St Vincent Fishers

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,872
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$15,001—$11,231–$19,60710
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Sagamore Plus Drg$19,607—1
UnitedHealthcare$18,509—1
Elevance/Anthem/Empire$17,233—1
Cigna$15,520—1
Humana$15,002—1
SIHO PPO$15,000—1
Unified Zionsville$14,464—1
Smarthealth PPO/Hdhp 20161001$13,700—1
Encore (rental network)$13,400—1
Encore Exclusive (rental network)$13,400—1
One Health Plan$11,500—1
Aetna$11,231—1

From the hospital's price-transparency file (2026-01-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-01-01); commercial plans, dollar-amount contracts only.

Quality

Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 46 beds

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

Open the interactive price tagBuild a reportAll Indiana hospitals

Questions

How much does Medicare pay Ascension St Vincent Fishers for a knee or hip replacement?

The Medicare allowed amount averaged $11,872 per outpatient hip or knee replacement case (APC 5115, 60 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Ascension St Vincent Fishers?

Yes for Medicare facility payments. Fishers Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,860 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Ascension St Vincent Fishers 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 $15,001 across 10 insurers, ranging from $11,231 to $19,607.