Somerset, KY 42503 · CMS Certification Number 180132. 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 | — | — | — | $11,473 |
| Shoulder replacement | — | — | — | $15,948 |
| Hip replacement after a fracture (DRG 522) | $15,630 | $135,208 | 8.7× | — |
Overall Care Compare rating: 2 of 5 stars. For-profit · Acute · 215 beds
Kentucky requires a certificate of need for new surgery centers.
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Medicare allowed an average of $11,473 per outpatient hip or knee replacement case (APC 5115, 49 cases) in 2024. Inpatient stays were too few to report.
Yes for Medicare facility payments. Lake Cumberland Surgery Center, 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.