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Indiana: one knee, three prices

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.

Surgery center
$8,775
Median Medicare knee rate, 65 orthopedic surgery centers
Hospital, same day
$11,804
Median outpatient allowed
Hospital, overnight
$14,441
Median inpatient paid, 34 hospitals

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

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Lowest Medicare payment

HospitalCityInpatient paidList priceOutpatient
Orthoindy HospitalIndianapolis$12,814$45,843$11,674
Pinnacle HospitalCrown Point$13,043$150,721$11,795
Northwest Health- PorterValparaiso$13,338$169,259$11,576
Franciscan Health Crown PointCrown Point$13,479$83,116$12,023
The Orthopaedic Hospital of Lutheran Health NetworFort Wayne$13,570$169,489$11,201
Community Howard Regional Health IncKokomo$13,853$82,457$11,324
Riverview HealthNoblesville$13,859$77,060$11,719
Deaconess Hospital IncEvansville$13,934$41,844$11,619
Community Hospital SouthIndianapolis$13,983$75,215$11,976
Hendricks Regional HealthDanville$14,051$59,334$11,872

Highest Medicare payment

HospitalCityInpatient paidList priceOutpatient
Indiana University HealthIndianapolis$18,488$148,017$11,779
Ascension St Vincent HospitalIndianapolis$17,620$107,497$11,404
Henry County Memorial HospitalNew Castle$17,602$73,684$11,840
Memorial Hospital of South BendSouth Bend$16,754$139,236$11,862
Franciscan Health MooresvilleMooresville$16,753$80,896$11,800
Good Samaritan HospitalVincennes$16,225$56,883$11,622
Community HospitalMunster$16,000$64,206$12,022
Witham Health ServicesLebanon$15,771$75,736$11,872
Reid HealthRichmond$15,564$65,997$12,317
Community Hospital EastIndianapolis$15,500$84,941$11,642

Every Indiana hospital (65)

Orthopedic surgery centers (65)

Questions

How much does Medicare pay for a knee replacement in Indiana?

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.

Which Indiana hospitals does Medicare pay least for a joint replacement?

Orthoindy Hospital ($12,814), Pinnacle Hospital ($13,043), Northwest Health- Porter ($13,338).

What do Indiana hospitals list for a joint replacement?

The median list (chargemaster) price is $83,131, about 5.8× what Medicare pays.

Does Indiana have a certificate-of-need law?

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.