Price AtlasInteractive atlas · All states · techysurgeon.comBaptist Health Lexington: what a joint replacement costs
Lexington, KY 40503 · CMS Certification Number 180103. 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 Lexington
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $11,207 |
| Shoulder replacement | $16,819 | $189,516 | 11.3× | $15,899 |
| Hip replacement after a fracture (DRG 522) | $14,569 | $117,008 | 8.0× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $23,834 | — | $11,423–$30,182 | 10 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Center Care - All Plans | $30,182 | — | 1 |
| Alliance Coal - All Plans | $28,213 | — | 1 |
| Elevance/Anthem/Empire | $27,179 | — | 1 |
| SIHO-All Plans | $27,005 | — | 1 |
| Cigna | $24,003 | — | 1 |
| Healthlink-All Plans | $23,664 | — | 1 |
| Signature Adv - All Plans | $14,107 | — | 1 |
| Humana | $12,152 | — | 1 |
| UnitedHealthcare | $12,152 | — | 1 |
| Aetna | $11,423 | — | 1 |
From the hospital's price-transparency file (2026-09-24); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-09-24); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 3.7% (no different from the national rate). Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 371 beds
Kentucky requires a certificate of need for new surgery centers.
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Questions
How much does Medicare pay Baptist Health Lexington for a knee or hip replacement?
The Medicare allowed amount averaged $11,207 per outpatient hip or knee replacement case (APC 5115, 275 cases) in 2024. Inpatient stays were too few to report.
Is a knee replacement cheaper at a surgery center near Baptist Health Lexington?
Yes for Medicare facility payments. Baptist-Physicians' Surgery Center, LLC, an orthopedic surgery center same ZIP away, is paid about $8,524 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.
What do commercial insurers pay Baptist Health Lexington 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 $23,834 across 10 insurers, ranging from $11,423 to $30,182.