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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,106 | $67,304 | 4.5× | $11,340 |
| Shoulder replacement | $17,209 | $93,890 | 5.5× | $15,824 |
| Hip replacement after a fracture (DRG 522) | $14,574 | $70,571 | 4.8× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $22,983 | 1.5× | $22,983–$34,354 | 3 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| BCBS Kansas | $34,354 | 2.3× | 1 |
| Centene/Superior/Ambetter | $22,983 | 1.5× | 1 |
| UnitedHealthcare | $22,983 | 1.5× | 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.
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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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).
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.
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.
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.
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.