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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 Medicare allowed amount
Hospital, overnight
$14,441
Median avg total payment (incl. patient share), 34 hospitals

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

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Lowest average total payment per stay

HospitalCityInpatient avg total paymentList priceOutpatient allowed
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 average total payment per stay

HospitalCityInpatient avg total paymentList priceOutpatient allowed
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 the median average total payment to Indiana hospitals was $14,441 per Medicare inpatient hip or knee replacement stay (MS-DRG 470, 34 hospitals; Medicare's payment plus the patient's share), and the median Medicare allowed amount was $11,804 per outpatient case. An orthopedic surgery center is paid about $8,775 for a knee.

Which Indiana hospitals have the lowest Medicare payment for a joint replacement?

Orthoindy Hospital ($12,814), Pinnacle Hospital ($13,043), Northwest Health- Porter ($13,338) (average total payment per inpatient stay, patient share included).

What do Indiana hospitals list for a joint replacement?

The median list (chargemaster) price is $83,131, about 5.8× the median average total payment for a Medicare stay.

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.