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Stormont Vail Hospital: what a joint replacement costs

Topeka, KS 66604 · CMS Certification Number 170086. 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
$8,247
Tallgrass Surgical Center, 9.2 mi
Outpatient here
$11,340
Medicare allowed amount, 632 cases, APC 5115
Inpatient here
$15,106
Avg total payment (incl. patient share), 36 Medicare stays, MS-DRG 470

Medicare prices at Stormont Vail Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$15,106$67,3044.5×$11,340
Shoulder replacement$17,209$93,8905.5×$15,824
Hip replacement after a fracture (DRG 522)$14,574$70,5714.8×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$22,9831.5×$22,983–$34,3543
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
BCBS Kansas$34,3542.3×1
Centene/Superior/Ambetter$22,9831.5×1
UnitedHealthcare$22,9831.5×1

From the hospital's price-transparency file (2025-12-19); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2025-12-19); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 5.9% (no different from the national rate). Readmissions: 6.7%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 586 beds

Kansas has no certificate-of-need law.

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Questions

How much does Medicare pay Stormont Vail Hospital for a knee or hip replacement?

In 2024 the average total payment to Stormont Vail Hospital for an inpatient hip or knee replacement stay was $15,106 (MS-DRG 470, 36 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,340 per outpatient case (APC 5115, 632 cases).

What is Stormont Vail Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $67,304, 4.5× the average total payment for a Medicare stay. 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 Stormont Vail Hospital?

Yes for Medicare facility payments. Tallgrass Surgical Center, an orthopedic surgery center 9.2 mi away, is paid about $8,247 by Medicare for a knee replacement (CPT 27447), $6,859 less than an inpatient stay at Stormont Vail Hospital. Not every patient is a surgery-center candidate.

How does Stormont Vail Hospital compare with other Kansas hospitals?

Stormont Vail Hospital's average total payment per Medicare stay is higher than 76% of the 21 Kansas hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Stormont Vail Hospital for a hip or knee replacement?

From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $22,983 across 3 insurers, ranging from $22,983 to $34,354.