Price AtlasInteractive atlas · All states · techysurgeon.comNorton Hospital / Norton Healthcare Pavilion / Nor: what a joint replacement costs
Louisville, KY 40202 · CMS Certification Number 180088. 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.
Medicare prices at Norton Hospital / Norton Healthcare Pavilion / Nor
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $17,410 | $193,767 | 11.1× | $11,074 |
| Shoulder replacement | $20,609 | $164,190 | 8.0× | $15,793 |
| Hip replacement after a fracture (DRG 522) | $16,078 | $161,901 | 10.1× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $19,126 | 1.1× | $15,431–$29,208 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Elevance/Anthem/Empire | $29,208 | 1.7× | 1 |
| Aetna | $23,093 | 1.3× | 1 |
| Cigna | $19,126 | 1.1× | 1 |
| UnitedHealthcare | $17,851 | 1.0× | 1 |
| SIHO | $15,431 | 0.9× | 1 |
From the hospital's price-transparency file (2026-02-11); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-02-11); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 5.6% (no different from the national rate). Readmissions: 6.5%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 1730 beds
Kentucky requires a certificate of need for new surgery centers.
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Questions
How much does Medicare pay Norton Hospital / Norton Healthcare Pavilion / Nor for a knee or hip replacement?
In 2024 the average total payment to Norton Hospital / Norton Healthcare Pavilion / Nor for an inpatient hip or knee replacement stay was $17,410 (MS-DRG 470, 38 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,074 per outpatient case (APC 5115, 639 cases).
What is Norton Hospital / Norton Healthcare Pavilion / Nor's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $193,767, 11.1× the average total payment for a Medicare stay. 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 Norton Hospital / Norton Healthcare Pavilion / Nor?
Yes for Medicare facility payments. Advanced Regional Surgery Center, LLC, an orthopedic surgery center 6.3 mi away, is paid about $8,502 by Medicare for a knee replacement (CPT 27447), $8,908 less than an inpatient stay at Norton Hospital / Norton Healthcare Pavilion / Nor. Not every patient is a surgery-center candidate.
How does Norton Hospital / Norton Healthcare Pavilion / Nor compare with other Kentucky hospitals?
Norton Hospital / Norton Healthcare Pavilion / Nor's average total payment per Medicare stay is higher than 100% of the 14 Kentucky hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Norton Hospital / Norton Healthcare Pavilion / Nor 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 $19,126 across 5 insurers, ranging from $15,431 to $29,208.