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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient 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× | — |
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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Medicare allowed an average of $11,207 per outpatient hip or knee replacement case (APC 5115, 275 cases) in 2024. Inpatient stays were too few to report.
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.