Paducah, KY 42003 · CMS Certification Number 180102. 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 | $13,167 | $77,219 | 5.9× | $12,025 |
| Shoulder replacement | — | — | — | $16,769 |
| Hip replacement after a fracture (DRG 522) | $14,357 | $84,396 | 5.9× | — |
Complications after hip or knee replacement: 2.9% (no different from the national rate). Readmissions: 6.3%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 359 beds
Kentucky requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Mercy Health Lourdes Hospital an average of $13,167 per inpatient hip or knee replacement stay (MS-DRG 470, 98 stays) and $12,025 per outpatient case (APC 5115, 170 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $77,219, 5.9× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Lourdes Ambulatory Surgery Center, LLC, an orthopedic surgery center same ZIP away, is paid about $8,082 by Medicare for a knee replacement (CPT 27447), $5,085 less than an inpatient stay at Mercy Health Lourdes Hospital. Not every patient is a surgery-center candidate.
Medicare paid Mercy Health Lourdes Hospital less than 71% of the 14 Kentucky hospitals that report inpatient hip or knee replacement.