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St Marys Regional Medical Center: what a joint replacement costs

Russellville, AR 72801 · CMS Certification Number 040041. 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
—
No orthopedic surgery center within 25 miles
Outpatient here
$11,181
Medicare allowed amount, 13 cases, APC 5115
Inpatient here
$13,267
Avg total payment (incl. patient share), 19 Medicare stays, MS-DRG 470

Medicare prices at St Marys Regional Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$13,267$102,3747.7×$11,181
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$13,416$120,6959.0×—

Quality

Complications after hip or knee replacement: 4.4% (no different from the national rate). Readmissions: 5.4%. Overall Care Compare rating: 4 of 5 stars. For-profit · Acute · 170 beds

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

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Questions

How much does Medicare pay St Marys Regional Medical Center for a knee or hip replacement?

In 2024 the average total payment to St Marys Regional Medical Center for an inpatient hip or knee replacement stay was $13,267 (MS-DRG 470, 19 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,181 per outpatient case (APC 5115, 13 cases).

What is St Marys Regional Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $102,374, 7.7× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

How does St Marys Regional Medical Center compare with other Arkansas hospitals?

St Marys Regional Medical Center's average total payment per Medicare stay is higher than 60% of the 10 Arkansas hospitals that report inpatient hip or knee replacement.