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St Lukes Hospital: what a joint replacement costs

Cedar Rapids, IA 52402 · CMS Certification Number 160045. 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
$8,447
Surgery Center Cedar Rapids, same ZIP
Outpatient here
$11,245
319 Medicare cases, APC 5115
Inpatient here
$12,910
19 Medicare stays, MS-DRG 470

Medicare prices at St Lukes Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$12,910$51,9614.0×$11,245
Shoulder replacement———$16,038
Hip replacement after a fracture (DRG 522)$14,634$48,7463.3×—

Quality

Complications after hip or knee replacement: 3.5% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 532 beds

Iowa requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay St Lukes Hospital for a knee or hip replacement?

In 2024 Medicare paid St Lukes Hospital an average of $12,910 per inpatient hip or knee replacement stay (MS-DRG 470, 19 stays) and $11,245 per outpatient case (APC 5115, 319 cases).

What is St Lukes Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $51,961, 4.0× 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 St Lukes Hospital?

Yes for Medicare facility payments. Surgery Center Cedar Rapids, an orthopedic surgery center same ZIP away, is paid about $8,447 by Medicare for a knee replacement (CPT 27447), $4,463 less than an inpatient stay at St Lukes Hospital. Not every patient is a surgery-center candidate.

How does St Lukes Hospital compare with other Iowa hospitals?

Medicare paid St Lukes Hospital less than 73% of the 15 Iowa hospitals that report inpatient hip or knee replacement.