Kansas City, KS 66112 · CMS Certification Number 170146. 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 | $13,592 | $95,402 | 7.0× | $11,480 |
| Shoulder replacement | — | — | — | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $62,344 | 4.6× | $21,746–$86,501 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Aetna | $86,501 | 6.4× | 1 |
| Cigna | $78,433 | 5.8× | 1 |
| BCBS Kansas | $46,255 | 3.4× | 1 |
| Public Education Health Trust | $21,746 | 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: 3.4% (no different from the national rate). Readmissions: 5.6%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 400 beds
Kansas has no certificate-of-need law.
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In 2024 the average total payment to Providence Medical Center for an inpatient hip or knee replacement stay was $13,592 (MS-DRG 470, 14 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,480 per outpatient case (APC 5115, 16 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $95,402, 7.0× 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. Ku Med West ASC, an orthopedic surgery center 7.0 mi away, is paid about $8,659 by Medicare for a knee replacement (CPT 27447), $4,933 less than an inpatient stay at Providence Medical Center. Not every patient is a surgery-center candidate.
Providence Medical Center's average total payment per Medicare stay is lower than 67% 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 $62,344 across 4 insurers, ranging from $21,746 to $86,501.