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Baxter Health: what a joint replacement costs

Mountain Home, AR 72653 · CMS Certification Number 040027. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.

Surgery center nearby
$7,815
Mountain Home Surgery Center, Inc, same ZIP
Outpatient here
$11,691
271 Medicare cases, APC 5115
Inpatient here
$11,948
41 Medicare stays, MS-DRG 470

Medicare prices at Baxter Health

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$11,948$36,1063.0×$11,691
Shoulder replacement———$16,800
Hip replacement after a fracture (DRG 522)$13,173$30,0542.3×—

Quality

Complications after hip or knee replacement: 4.3% (no different from the national rate). Readmissions: 6.2%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 268 beds

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

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Questions

How much does Medicare pay Baxter Health for a knee or hip replacement?

In 2024 Medicare paid Baxter Health an average of $11,948 per inpatient hip or knee replacement stay (MS-DRG 470, 41 stays) and $11,691 per outpatient case (APC 5115, 271 cases).

What is Baxter Health's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $36,106, 3.0× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

Is a knee replacement cheaper at a surgery center near Baxter Health?

Yes for Medicare facility payments. Mountain Home Surgery Center, Inc, an orthopedic surgery center same ZIP away, is paid about $7,815 by Medicare for a knee replacement (CPT 27447), $4,133 less than an inpatient stay at Baxter Health. Not every patient is a surgery-center candidate.

How does Baxter Health compare with other Arkansas hospitals?

Medicare paid Baxter Health less than 80% of the 10 Arkansas hospitals that report inpatient hip or knee replacement.