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St Elizabeth Florence: what a joint replacement costs

Florence, KY 41042 · CMS Certification Number 180045. 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
$8,643
Heritage Development Partners, LLC, 5.4 mi
Outpatient here
$11,076
239 Medicare cases, APC 5115
Inpatient here
$12,734
25 Medicare stays, MS-DRG 470

Medicare prices at St Elizabeth Florence

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$12,734$48,6263.8×$11,076
Shoulder replacement$16,867$84,7405.0×$16,010
Hip replacement after a fracture (DRG 522)$15,504$53,5363.5×—

Quality

Complications after hip or knee replacement: 3.9% (no different from the national rate). Readmissions: 6.5%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 231 beds

Kentucky requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay St Elizabeth Florence for a knee or hip replacement?

In 2024 Medicare paid St Elizabeth Florence an average of $12,734 per inpatient hip or knee replacement stay (MS-DRG 470, 25 stays) and $11,076 per outpatient case (APC 5115, 239 cases).

What is St Elizabeth Florence's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $48,626, 3.8× what Medicare paid. 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 St Elizabeth Florence?

Yes for Medicare facility payments. Heritage Development Partners, LLC, an orthopedic surgery center 5.4 mi away, is paid about $8,643 by Medicare for a knee replacement (CPT 27447), $4,091 less than an inpatient stay at St Elizabeth Florence. Not every patient is a surgery-center candidate.

How does St Elizabeth Florence compare with other Kentucky hospitals?

Medicare paid St Elizabeth Florence less than 86% of the 14 Kentucky hospitals that report inpatient hip or knee replacement.