Lexington, KY 40536 · CMS Certification Number 180067. 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 | — | — | — | $11,191 |
| Shoulder replacement | — | — | — | $15,725 |
| Hip replacement after a fracture (DRG 522) | $19,344 | $87,868 | 4.5× | — |
Complications after hip or knee replacement: 4.2% (no different from the national rate). Readmissions: 6.2%. Overall Care Compare rating: 4 of 5 stars. Government · Acute · 791 beds
Kentucky requires a certificate of need for new surgery centers.
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Medicare allowed an average of $11,191 per outpatient hip or knee replacement case (APC 5115, 169 cases) in 2024. Inpatient stays were too few to report.
Yes for Medicare facility payments. Shriners Hospital for Children Ambulatory Surgery, an orthopedic surgery center 2.2 mi away, is paid about $8,524 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.