Price AtlasInteractive atlas · All states · techysurgeon.comSt Claire Regional Medical Center: what a joint replacement costs
Morehead, KY 40351 · CMS Certification Number 180018. 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.
Medicare prices at St Claire Regional Medical Center
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $12,115 |
| Shoulder replacement | — | — | — | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $14,718 | — | $11,115–$18,917 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Ky Health -Op - All Plans | $18,917 | — | 1 |
| Elevance/Anthem/Empire | $17,482 | — | 1 |
| Healthlink - All Plans | $14,718 | — | 1 |
| Humana | $14,551 | — | 1 |
| Aetna | $11,115 | — | 1 |
From the hospital's price-transparency file (2026-06-18); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-06-18); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 3.9% (no different from the national rate). Readmissions: 6.1%. Overall Care Compare rating: 2 of 5 stars. Government · Acute · 149 beds
Kentucky requires a certificate of need for new surgery centers.
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Questions
How much does Medicare pay St Claire Regional Medical Center for a knee or hip replacement?
The Medicare allowed amount averaged $12,115 per outpatient hip or knee replacement case (APC 5115, 16 cases) in 2024. Inpatient stays were too few to report.
What do commercial insurers pay St Claire Regional 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 $14,718 across 5 insurers, ranging from $11,115 to $18,917.