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Chi Saint Joseph Mount Sterling: what a joint replacement costs

Mount Sterling, KY 40353 · CMS Certification Number 180064. 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, 23.8 mi
Outpatient here
$11,044
Medicare allowed amount, 49 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Chi Saint Joseph Mount Sterling

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,044
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$18,908—$18,329–$30,7594
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
CareSource$30,759—1
UnitedHealthcare$19,300—1
Humana$18,516—1
Elevance/Anthem/Empire$18,329—1

From the hospital's price-transparency file (2026-02-28); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-02-28); commercial plans, dollar-amount contracts only.

Quality

Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 63 beds

Kentucky requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Chi Saint Joseph Mount Sterling for a knee or hip replacement?

The Medicare allowed amount averaged $11,044 per outpatient hip or knee replacement case (APC 5115, 49 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Chi Saint Joseph Mount Sterling?

Yes for Medicare facility payments. Baptist Health Surgery Center LLC, an orthopedic surgery center 23.8 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 Chi Saint Joseph Mount Sterling 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 $18,908 across 4 insurers, ranging from $18,329 to $30,759.