Major hip and knee joint replacement or reattachment of lower extremity without major complications in Indiana
What 34 hospitals in Indiana charged and were paid for a Medicare hospital stay for major hip and knee joint replacement or reattachment of lower extremity without major complications (DRG 470), from 2024 Medicare claims.
Average charge
$86,276
Hospital list price billed
Average payment
$14,468
Medicare + patient + other payers
Medicare paid
$12,474
Average per stay
State rank
#14 of 48
1 = lowest average payment
Hospitals in Indiana billed an average of $86,276 for major hip and knee joint replacement or reattachment of lower extremity without major complications, about 6.0 times the average total payment of $14,468. That payment is 16% below the U.S. average of $17,318.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $14,468Billed $86,276
About 17¢ was paid for every $1 hospitals in Indiana billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Indiana:
Indiana hospitals: major hip and knee joint replacement or reattachment of lower extremity without major complications
Every Indiana hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| St Mary's Medical Center of Evansville INCEvansville | 370 | $92,593 | $14,152 | $12,497 |
| Orthoindy HospitalIndianapolis | 142 | $45,843 | $12,814 | $10,996 |
| Deaconess Hospital INCEvansville | 78 | $41,844 | $13,934 | $11,261 |
| Memorial Hospital and Health Care CenterJasper | 77 | $53,969 | $15,455 | $13,387 |
| St Mary Medical Center INCHobart | 74 | $50,105 | $14,138 | $11,902 |
| Pinnacle HospitalCrown Point | 42 | $150,721 | $13,043 | $11,014 |
| Henry County Memorial HospitalNew Castle | 36 | $73,684 | $17,602 | $15,274 |
| Porter, Valparaiso HospitalValparaiso | 35 | $169,259 | $13,338 | $11,749 |
| Clarian Health PartnersIndianapolis | 35 | $148,017 | $18,488 | $15,609 |
| Community Hospital SouthIndianapolis | 32 | $75,215 | $13,983 | $12,571 |
| Community Hospital NorthIndianapolis | 29 | $83,146 | $14,076 | $12,596 |
| Howard Regional Health SystemKokomo | 28 | $82,457 | $13,853 | $12,395 |
| Ball Memorial Hospital INCMuncie | 27 | $134,245 | $15,221 | $13,398 |
| Community HospitalMunster | 27 | $64,206 | $16,000 | $11,152 |
| The Orthopaedic Hospital of Lutheran Health NetworFort Wayne | 27 | $169,489 | $13,570 | $10,910 |
| St Francis Hospital MooresvilleMooresville | 26 | $80,896 | $16,753 | $14,296 |
| Reid Hosp & Hlth Care ServicesRichmond | 24 | $65,997 | $15,564 | $13,809 |
| Indiana University Health Arnett HospitalLafayette | 23 | $150,331 | $14,084 | $12,372 |
| Hendricks Regional HealthDanville | 20 | $59,334 | $14,051 | $12,452 |
| Franciscan St Anthony Health - Michigan CityMichigan City | 19 | $92,506 | $14,499 | $11,437 |
| Saint Joseph Reg Medical CtrSouth Bend | 18 | $78,448 | $14,970 | $13,166 |
| St Vincent Hospital & Health ServicesIndianapolis | 18 | $107,497 | $17,620 | $13,990 |
| Saint John's Health SystemAnderson | 18 | $108,389 | $14,733 | $13,082 |
| Witham Health ServicesLebanon | 17 | $75,736 | $15,771 | $14,331 |
| Columbus Regional HospitalColumbus | 17 | $57,277 | $14,197 | $12,543 |
| Indiana University Health West HospitalAvon | 17 | $129,983 | $14,508 | $12,972 |
| Community Hospital EastIndianapolis | 15 | $84,941 | $15,500 | $13,819 |
| Franciscan St Anthony Health - Crown PointCrown Point | 15 | $83,116 | $13,479 | $12,001 |
| Union Hospital INCTerre Haute | 14 | $89,804 | $14,382 | $12,712 |
| Franciscan Health LafayetteLafayette | 14 | $142,959 | $14,192 | $12,173 |
| Good Samaritan HospitalVincennes | 13 | $56,883 | $16,225 | $14,211 |
| Riverview HospitalNoblesville | 13 | $77,060 | $13,859 | $12,532 |
| St Joseph Hospital & Health Center INCKokomo | 11 | $116,228 | $14,568 | $13,015 |
| Memorial Hospital of South BendSouth Bend | 11 | $139,236 | $16,754 | $12,694 |
Lowest and highest payments in Indiana
Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Orthoindy HospitalIndianapolis, IN | $12,814 |
|---|---|
| Pinnacle HospitalCrown Point, IN | $13,043 |
| Porter, Valparaiso HospitalValparaiso, IN | $13,338 |
| Franciscan St Anthony Health - Crown PointCrown Point, IN | $13,479 |
| The Orthopaedic Hospital of Lutheran Health NetworFort Wayne, IN | $13,570 |
Highest
| Clarian Health PartnersIndianapolis, IN | $18,488 |
|---|---|
| St Vincent Hospital & Health ServicesIndianapolis, IN | $17,620 |
| Henry County Memorial HospitalNew Castle, IN | $17,602 |
| Memorial Hospital of South BendSouth Bend, IN | $16,754 |
| St Francis Hospital MooresvilleMooresville, IN | $16,753 |
Major hip and knee joint replacement or reattachment of lower extremity without major complications in other states
Questions
How much does major hip and knee joint replacement or reattachment of lower extremity without major complications cost in Indiana?
In 2024 Medicare data, a hospital stay for major hip and knee joint replacement or reattachment of lower extremity without major complications (DRG 470) at 34 hospitals in Indiana was billed at $86,276 on average, while the average total payment was $14,468, of which Medicare paid $12,474. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Indiana, average charges were 6.0 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.