Price AtlasInteractive atlas · All states · techysurgeon.comBaptist Health Deaconess Madisonville: what a joint replacement costs
Madisonville, KY 42431 · CMS Certification Number 180093. 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 Baptist Health Deaconess Madisonville
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $12,054 |
| Shoulder replacement | — | — | — | $17,204 |
| Hip replacement after a fracture (DRG 522) | $15,897 | $169,085 | 10.6× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $25,947 | — | $21,587–$30,221 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Deaconess Onecare | $30,221 | — | 1 |
| HealthLink | $26,612 | — | 1 |
| Elevance/Anthem/Empire | $25,282 | — | 1 |
| Alliance Coal | $21,587 | — | 1 |
From the hospital's price-transparency file (2026-02-03); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-02-03); commercial plans, dollar-amount contracts only.
Quality
Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 390 beds
Kentucky requires a certificate of need for new surgery centers.
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Questions
How much does Medicare pay Baptist Health Deaconess Madisonville for a knee or hip replacement?
The Medicare allowed amount averaged $12,054 per outpatient hip or knee replacement case (APC 5115, 100 cases) in 2024. Inpatient stays were too few to report.
What do commercial insurers pay Baptist Health Deaconess Madisonville 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 $25,947 across 4 insurers, ranging from $21,587 to $30,221.