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Saint Joseph Hospital: what a joint replacement costs

Lexington, KY 40504 · CMS Certification Number 180010. 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
$8,524
Lexington Surgery Center, Ltd, same ZIP
Outpatient here
$11,266
165 Medicare cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Saint Joseph Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement———$11,266
Shoulder replacement———$15,738

Quality

Complications after hip or knee replacement: 4.2% (no different from the national rate). Readmissions: 6.2%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 468 beds

Kentucky requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Saint Joseph Hospital for a knee or hip replacement?

Medicare allowed an average of $11,266 per outpatient hip or knee replacement case (APC 5115, 165 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Saint Joseph Hospital?

Yes for Medicare facility payments. Lexington Surgery Center, Ltd, an orthopedic surgery center same ZIP away, is paid about $8,524 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.