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Baptist Health Paducah: what a joint replacement costs

Paducah, KY 42003 · CMS Certification Number 180104. 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
$11,647
Medicare allowed amount, 110 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Baptist Health Paducah

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,647
Shoulder replacement———$17,013
Hip replacement after a fracture (DRG 522)$14,278$105,7847.4×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$23,582—$11,634–$30,0579
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Elevance/Anthem/Empire$30,057—1
Alliance Coal - All Plans$28,856—1
SIHO-All Plans$27,005—1
Healthlink-All Plans$24,325—1
UnitedHealthcare$23,582—1
Advanced Med -All Plans$23,085—1
Signature Adv - All Plans$14,428—1
Humana$12,377—1
Aetna$11,634—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

Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 349 beds

Kentucky requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Baptist Health Paducah for a knee or hip replacement?

The Medicare allowed amount averaged $11,647 per outpatient hip or knee replacement case (APC 5115, 110 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Baptist Health Paducah?

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). Not every patient is a surgery-center candidate.

What do commercial insurers pay Baptist Health Paducah 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 $23,582 across 9 insurers, ranging from $11,634 to $30,057.