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Baptist Health Louisville: what a joint replacement costs

Louisville, KY 40207 · CMS Certification Number 180130. 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
$8,502
Advanced Regional Surgery Center, LLC, 5.2 mi
Outpatient here
$11,175
Medicare allowed amount, 775 cases, APC 5115
Inpatient here
$12,516
Avg total payment (incl. patient share), 78 Medicare stays, MS-DRG 470

Medicare prices at Baptist Health Louisville

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$12,516$116,9609.3×$11,175
Shoulder replacement$16,136$140,8158.7×$15,829
Hip replacement after a fracture (DRG 522)$15,432$133,9868.7×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$11,6580.9×$10,959–$30,4775
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Elevance/Anthem/Empire$30,4772.4×1
Cigna$19,2741.5×1
Humana$11,6580.9×1
UnitedHealthcare$11,6580.9×1
Aetna$10,9590.9×1

From the hospital's price-transparency file (2026-09-25); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-09-25); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 3.8% (no different from the national rate). Readmissions: 5.8%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 519 beds

Kentucky requires a certificate of need for new surgery centers.

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Questions

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

In 2024 the average total payment to Baptist Health Louisville for an inpatient hip or knee replacement stay was $12,516 (MS-DRG 470, 78 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,175 per outpatient case (APC 5115, 775 cases).

What is Baptist Health Louisville's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $116,960, 9.3× 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 Baptist Health Louisville?

Yes for Medicare facility payments. Advanced Regional Surgery Center, LLC, an orthopedic surgery center 5.2 mi away, is paid about $8,502 by Medicare for a knee replacement (CPT 27447), $4,014 less than an inpatient stay at Baptist Health Louisville. Not every patient is a surgery-center candidate.

How does Baptist Health Louisville compare with other Kentucky hospitals?

Baptist Health Louisville's average total payment per Medicare stay is lower than 93% of the 14 Kentucky hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Baptist Health Louisville 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 $11,658 across 5 insurers, ranging from $10,959 to $30,477.