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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $12,516 | $116,960 | 9.3× | $11,175 |
| Shoulder replacement | $16,136 | $140,815 | 8.7× | $15,829 |
| Hip replacement after a fracture (DRG 522) | $15,432 | $133,986 | 8.7× | — |
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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In 2024 Medicare paid Baptist Health Louisville an average of $12,516 per inpatient hip or knee replacement stay (MS-DRG 470, 78 stays) and $11,175 per outpatient case (APC 5115, 775 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $116,960, 9.3× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Medicare paid Baptist Health Louisville less than 93% of the 14 Kentucky hospitals that report inpatient hip or knee replacement.