Revision of hip or knee replacement with complications in Indiana
What 15 hospitals in Indiana charged and were paid for a Medicare hospital stay for revision of hip or knee replacement with complications (DRG 467), from 2024 Medicare claims.
Average charge
$134,361
Hospital list price billed
Average payment
$27,176
Medicare + patient + other payers
Medicare paid
$24,373
Average per stay
State rank
#15 of 41
1 = lowest average payment
Hospitals in Indiana billed an average of $134,361 for revision of hip or knee replacement with complications, about 4.9 times the average total payment of $27,176. That payment is 11% below the U.S. average of $30,673.
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 $27,176Billed $134,361
About 20¢ was paid for every $1 hospitals in Indiana billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Indiana:
Indiana hospitals: revision of hip or knee replacement with 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 |
|---|---|---|---|---|
| Clarian Health PartnersIndianapolis | 40 | $225,580 | $34,883 | $30,754 |
| St Francis Hospital MooresvilleMooresville | 30 | $112,211 | $27,033 | $25,669 |
| Deaconess Hospital INCEvansville | 27 | $94,429 | $23,548 | $22,383 |
| Saint Joseph Reg Medical CtrSouth Bend | 24 | $112,218 | $25,426 | $24,080 |
| Parkview HospitalFort Wayne | 24 | $182,002 | $27,341 | $26,150 |
| Community HospitalMunster | 23 | $91,881 | $24,032 | $22,860 |
| St Vincent Hospital & Health ServicesIndianapolis | 20 | $158,853 | $31,346 | $25,993 |
| Union Hospital INCTerre Haute | 19 | $98,207 | $25,932 | $24,625 |
| The Orthopaedic Hospital of Lutheran Health NetworFort Wayne | 19 | $220,728 | $23,519 | $22,037 |
| Orthoindy HospitalIndianapolis | 17 | $69,981 | $22,575 | $21,231 |
| Reid Hosp & Hlth Care ServicesRichmond | 15 | $82,626 | $28,154 | $27,008 |
| Franciscan Health Orthopedic Hospital CarmelCarmel | 15 | $89,584 | $21,231 | $19,708 |
| Community Hospital NorthIndianapolis | 14 | $116,648 | $22,730 | $21,313 |
| Memorial Hospital of South BendSouth Bend | 13 | $174,127 | $33,275 | $23,482 |
| St Mary Medical Center INCHobart | 12 | $75,060 | $31,313 | $16,395 |
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
| Franciscan Health Orthopedic Hospital CarmelCarmel, IN | $21,231 |
|---|---|
| Orthoindy HospitalIndianapolis, IN | $22,575 |
| Community Hospital NorthIndianapolis, IN | $22,730 |
| The Orthopaedic Hospital of Lutheran Health NetworFort Wayne, IN | $23,519 |
| Deaconess Hospital INCEvansville, IN | $23,548 |
Highest
| Clarian Health PartnersIndianapolis, IN | $34,883 |
|---|---|
| Memorial Hospital of South BendSouth Bend, IN | $33,275 |
| St Vincent Hospital & Health ServicesIndianapolis, IN | $31,346 |
| St Mary Medical Center INCHobart, IN | $31,313 |
| Reid Hosp & Hlth Care ServicesRichmond, IN | $28,154 |
Revision of hip or knee replacement with complications in other states
Questions
How much does revision of hip or knee replacement with complications cost in Indiana?
In 2024 Medicare data, a hospital stay for revision of hip or knee replacement with complications (DRG 467) at 15 hospitals in Indiana was billed at $134,361 on average, while the average total payment was $27,176, of which Medicare paid $24,373. 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 4.9 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.