Revision of Hip or Knee Replacement Without Cc/Mcc in Indiana
MS-DRG 468: Revision of hip or knee replacement without cc/mcc
$104,440typical hospital bill
$19,425typical amount paid
$17,169–$27,900range paid across 11 hospitals
Indiana hospitals billed Medicare a typical $104,440 for this stay in 2024, about 5.4 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| Franciscan Health Orthopedic Hospital Carmel | Carmel | 13 | $87,552 | $17,169 | |
| Orthoindy Hospital | Indianapolis | 44 | $67,270 | $17,805 | |
| Orthopaedic Hospital at Parkview North | Fort Wayne | 11 | $120,603 | $18,044 | |
| Unity Physicians Hospital | Mishawaka | 15 | $97,346 | $18,539 | |
| The Orthopaedic Hospital of Lutheran Health Networ | Ft Wayne | 19 | $238,455 | $19,307 | |
| Ascension St Vincent Evansville | Evansville | 23 | $130,665 | $19,425 | |
| Union Hospital Inc | Terre Haute | 14 | $104,440 | $19,933 | |
| Elkhart General Hospital | Elkhart | 12 | $115,886 | $20,333 | |
| Deaconess Hospital Inc | Evansville | 22 | $62,036 | $21,112 | |
| Franciscan Health Mooresville | Mooresville | 26 | $104,378 | $22,493 | |
| Indiana University Health | Indianapolis | 11 | $224,522 | $27,900 |
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.