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Mercy Health Lourdes Hospital: what a joint replacement costs

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.

Surgery center nearby
$8,082
Lourdes Ambulatory Surgery Center, LLC, same ZIP
Outpatient here
$12,025
Medicare allowed amount, 170 cases, APC 5115
Inpatient here
$13,167
Avg total payment (incl. patient share), 98 Medicare stays, MS-DRG 470

Medicare prices at Mercy Health Lourdes Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$13,167$77,2195.9×$12,025
Shoulder replacement———$16,769
Hip replacement after a fracture (DRG 522)$14,357$84,3965.9×—

Quality

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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Questions

How much does Medicare pay Mercy Health Lourdes Hospital for a knee or hip replacement?

In 2024 the average total payment to Mercy Health Lourdes Hospital for an inpatient hip or knee replacement stay was $13,167 (MS-DRG 470, 98 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,025 per outpatient case (APC 5115, 170 cases).

What is Mercy Health Lourdes Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $77,219, 5.9× 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 Mercy Health Lourdes Hospital?

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.

How does Mercy Health Lourdes Hospital compare with other Kentucky hospitals?

Mercy Health Lourdes Hospital's average total payment per Medicare stay is lower than 71% of the 14 Kentucky hospitals that report inpatient hip or knee replacement.