Shawnee Mission, KS 66204 · CMS Certification Number 170104. 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 | $14,257 | $124,599 | 8.7× | $11,324 |
| Shoulder replacement | $17,411 | $148,684 | 8.5× | $16,241 |
| Hip replacement after a fracture (DRG 522) | $14,617 | $118,871 | 8.1× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $29,276 | 2.1× | $23,199–$58,108 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| BCBS Kansas | $58,108 | 4.1× | 1 |
| UnitedHealthcare | $33,318 | 2.3× | 1 |
| Cigna | $25,234 | 1.8× | 1 |
| Aetna | $23,199 | 1.6× | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 5.5% (no different from the national rate). Readmissions: 6.3%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 504 beds
Kansas has no certificate-of-need law.
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In 2024 the average total payment to Adventhealth Shawnee Mission for an inpatient hip or knee replacement stay was $14,257 (MS-DRG 470, 46 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,324 per outpatient case (APC 5115, 182 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $124,599, 8.7× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Ascentist Ear, Nose and Throat Institute, an orthopedic surgery center same ZIP away, is paid about $8,659 by Medicare for a knee replacement (CPT 27447), $5,598 less than an inpatient stay at Adventhealth Shawnee Mission. Not every patient is a surgery-center candidate.
Adventhealth Shawnee Mission's average total payment per Medicare stay is lower than 52% 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 $29,276 across 4 insurers, ranging from $23,199 to $58,108.