Owensboro, KY 42303 · CMS Certification Number 180038. 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 paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $16,183 | $95,046 | 5.9× | $12,046 |
| Shoulder replacement | $25,818 | $131,477 | 5.1× | $17,204 |
| Hip replacement after a fracture (DRG 522) | $18,904 | $71,685 | 3.8× | — |
Complications after hip or knee replacement: 3.9% (no different from the national rate). Readmissions: 6.5%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 469 beds
Kentucky requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Owensboro Health Regional Hospital an average of $16,183 per inpatient hip or knee replacement stay (MS-DRG 470, 17 stays) and $12,046 per outpatient case (APC 5115, 184 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $95,046, 5.9× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Owensboro Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,395 by Medicare for a knee replacement (CPT 27447), $7,788 less than an inpatient stay at Owensboro Health Regional Hospital. Not every patient is a surgery-center candidate.
Medicare paid Owensboro Health Regional Hospital more than 93% of the 14 Kentucky hospitals that report inpatient hip or knee replacement.