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Providence Medical Center: what a joint replacement costs

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.

Surgery center nearby
$8,659
Ku Med West ASC, 7.0 mi
Outpatient here
$11,480
Medicare allowed amount, 16 cases, APC 5115
Inpatient here
$13,592
Avg total payment (incl. patient share), 14 Medicare stays, MS-DRG 470

Medicare prices at Providence Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$13,592$95,4027.0×$11,480
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$62,3444.6×$21,746–$86,5014
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Aetna$86,5016.4×1
Cigna$78,4335.8×1
BCBS Kansas$46,2553.4×1
Public Education Health Trust$21,7461.6×1

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.

Quality

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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Questions

How much does Medicare pay Providence Medical Center for a knee or hip replacement?

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).

What is Providence Medical Center's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Providence Medical Center?

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.

How does Providence Medical Center compare with other Kansas hospitals?

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.

What do commercial insurers pay Providence Medical Center 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 $62,344 across 4 insurers, ranging from $21,746 to $86,501.