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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $11,658 | 0.9× | $10,959–$30,477 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Elevance/Anthem/Empire | $30,477 | 2.4× | 1 |
| Cigna | $19,274 | 1.5× | 1 |
| Humana | $11,658 | 0.9× | 1 |
| UnitedHealthcare | $11,658 | 0.9× | 1 |
| Aetna | $10,959 | 0.9× | 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.
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 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).
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.
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.
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.
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.