What Medicare pays Indiana hospitals and surgery centers for knee, hip and shoulder replacement, what hospitals list, and which cost the most and the least.
Indiana has a certificate-of-need program that does not cover surgery centers.
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| Hospital | City | Inpatient paid | List price | Outpatient |
|---|---|---|---|---|
| Orthoindy Hospital | Indianapolis | $12,814 | $45,843 | $11,674 |
| Pinnacle Hospital | Crown Point | $13,043 | $150,721 | $11,795 |
| Northwest Health- Porter | Valparaiso | $13,338 | $169,259 | $11,576 |
| Franciscan Health Crown Point | Crown Point | $13,479 | $83,116 | $12,023 |
| The Orthopaedic Hospital of Lutheran Health Networ | Fort Wayne | $13,570 | $169,489 | $11,201 |
| Community Howard Regional Health Inc | Kokomo | $13,853 | $82,457 | $11,324 |
| Riverview Health | Noblesville | $13,859 | $77,060 | $11,719 |
| Deaconess Hospital Inc | Evansville | $13,934 | $41,844 | $11,619 |
| Community Hospital South | Indianapolis | $13,983 | $75,215 | $11,976 |
| Hendricks Regional Health | Danville | $14,051 | $59,334 | $11,872 |
| Hospital | City | Inpatient paid | List price | Outpatient |
|---|---|---|---|---|
| Indiana University Health | Indianapolis | $18,488 | $148,017 | $11,779 |
| Ascension St Vincent Hospital | Indianapolis | $17,620 | $107,497 | $11,404 |
| Henry County Memorial Hospital | New Castle | $17,602 | $73,684 | $11,840 |
| Memorial Hospital of South Bend | South Bend | $16,754 | $139,236 | $11,862 |
| Franciscan Health Mooresville | Mooresville | $16,753 | $80,896 | $11,800 |
| Good Samaritan Hospital | Vincennes | $16,225 | $56,883 | $11,622 |
| Community Hospital | Munster | $16,000 | $64,206 | $12,022 |
| Witham Health Services | Lebanon | $15,771 | $75,736 | $11,872 |
| Reid Health | Richmond | $15,564 | $65,997 | $12,317 |
| Community Hospital East | Indianapolis | $15,500 | $84,941 | $11,642 |
In 2024 Medicare paid Indiana hospitals a median $14,441 per inpatient hip or knee replacement stay (MS-DRG 470, 34 hospitals) and a median $11,804 per outpatient case. An orthopedic surgery center is paid about $8,775 for a knee.
Orthoindy Hospital ($12,814), Pinnacle Hospital ($13,043), Northwest Health- Porter ($13,338).
The median list (chargemaster) price is $83,131, about 5.8× what Medicare pays.
Indiana has a certificate-of-need program that does not cover surgery centers. CON applies only to comprehensive care facilities (nursing homes), in effect since 2019.