Revision of hip or knee replacement without complications in Indiana
What 11 hospitals in Indiana charged and were paid for a Medicare hospital stay for revision of hip or knee replacement without complications (DRG 468), from 2024 Medicare claims.
Average charge
$113,438
Hospital list price billed
Average payment
$19,886
Medicare + patient + other payers
Medicare paid
$17,737
Average per stay
State rank
#8 of 42
1 = lowest average payment
Hospitals in Indiana billed an average of $113,438 for revision of hip or knee replacement without complications, about 5.7 times the average total payment of $19,886. That payment is 17% below the U.S. average of $23,925.
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 $19,886Billed $113,438
About 18¢ 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 without 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 |
|---|---|---|---|---|
| Orthoindy HospitalIndianapolis | 44 | $67,270 | $17,805 | $16,321 |
| St Francis Hospital MooresvilleMooresville | 26 | $104,378 | $22,493 | $21,110 |
| St Mary's Medical Center of Evansville INCEvansville | 23 | $130,665 | $19,425 | $17,805 |
| Deaconess Hospital INCEvansville | 22 | $62,036 | $21,112 | $16,813 |
| The Orthopaedic Hospital of Lutheran Health NetworFort Wayne | 19 | $238,455 | $19,307 | $15,693 |
| Unity Medical and Surgical HospitalMishawaka | 15 | $97,346 | $18,539 | $15,505 |
| Union Hospital INCTerre Haute | 14 | $104,440 | $19,933 | $18,563 |
| Franciscan Health Orthopedic Hospital CarmelCarmel | 13 | $87,552 | $17,169 | $15,537 |
| Elkhart General HospitalElkhart | 12 | $115,886 | $20,333 | $18,697 |
| Clarian Health PartnersIndianapolis | 11 | $224,522 | $27,900 | $25,384 |
| Orthopaedic Hospital at Parkview North LLCFort Wayne | 11 | $120,603 | $18,044 | $16,556 |
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 | $17,169 |
|---|---|
| Orthoindy HospitalIndianapolis, IN | $17,805 |
| Orthopaedic Hospital at Parkview North LLCFort Wayne, IN | $18,044 |
| Unity Medical and Surgical HospitalMishawaka, IN | $18,539 |
| The Orthopaedic Hospital of Lutheran Health NetworFort Wayne, IN | $19,307 |
Highest
| Clarian Health PartnersIndianapolis, IN | $27,900 |
|---|---|
| St Francis Hospital MooresvilleMooresville, IN | $22,493 |
| Deaconess Hospital INCEvansville, IN | $21,112 |
| Elkhart General HospitalElkhart, IN | $20,333 |
| Union Hospital INCTerre Haute, IN | $19,933 |
Revision of hip or knee replacement without complications in other states
Questions
How much does revision of hip or knee replacement without complications cost in Indiana?
In 2024 Medicare data, a hospital stay for revision of hip or knee replacement without complications (DRG 468) at 11 hospitals in Indiana was billed at $113,438 on average, while the average total payment was $19,886, of which Medicare paid $17,737. 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 5.7 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.