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Baptist Health Richmond: what a joint replacement costs

Richmond, KY 40475 · CMS Certification Number 180049. 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
Baptist Health Surgery Center LLC, 16.7 mi
Outpatient here
$10,622
Medicare allowed amount, 14 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Baptist Health Richmond

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$10,622
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$35,003—$11,658–$48,9686
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Elevance/Anthem/Empire$48,968—1
Aetna$46,878—1
Healthlink-All Plans$38,416—1
Cigna$31,590—1
Humana$11,658—1
UnitedHealthcare$11,658—1

From the hospital's price-transparency file (2026-09-24); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-09-24); commercial plans, dollar-amount contracts only.

Quality

Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 105 beds

Kentucky requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Baptist Health Richmond for a knee or hip replacement?

The Medicare allowed amount averaged $10,622 per outpatient hip or knee replacement case (APC 5115, 14 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Baptist Health Richmond?

Yes for Medicare facility payments. Baptist Health Surgery Center LLC, an orthopedic surgery center 16.7 mi away, is paid about $8,524 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Baptist Health Richmond 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 $35,003 across 6 insurers, ranging from $11,658 to $48,968.