Galena, KS 66739 · CMS Certification Number 170203. 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 | — | — | — | $11,167 |
| Shoulder replacement | — | — | — | $15,878 |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $17,337 | — | $14,679–$17,815 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Mercy Benefit Admin | $17,815 | — | 1 |
| BCBS Kansas | $17,337 | — | 1 |
| Elevance/Anthem/Empire | $17,337 | — | 1 |
| Providrs Care Network | $15,045 | — | 1 |
| UnitedHealthcare | $14,679 | — | 1 |
From the hospital's price-transparency file (2026-06-09); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-06-09); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 3.6% (no different from the national rate). Readmissions: 6.4%. Nonprofit · Acute · 48 beds
Kansas has no certificate-of-need law.
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The Medicare allowed amount averaged $11,167 per outpatient hip or knee replacement case (APC 5115, 343 cases) in 2024. Inpatient stays were too few to report.
Yes for Medicare facility payments. Freeman Surgical Center, LLC, an orthopedic surgery center 10.8 mi away, is paid about $7,871 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $17,337 across 5 insurers, ranging from $14,679 to $17,815.