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Chi Saint Joseph East: what a joint replacement costs

Lexington, KY 40509 · CMS Certification Number 180143. 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
$8,524
Baptist Health Surgery Center LLC, same ZIP
Outpatient here
$11,140
80 Medicare cases, APC 5115
Inpatient here
$14,320
14 Medicare stays, MS-DRG 470

Medicare prices at Chi Saint Joseph East

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,320$45,9223.2×$11,140
Shoulder replacement————

Quality

Complications after hip or knee replacement: 3.6% (no different from the national rate). Readmissions: 5.4%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 217 beds

Kentucky requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Chi Saint Joseph East for a knee or hip replacement?

In 2024 Medicare paid Chi Saint Joseph East an average of $14,320 per inpatient hip or knee replacement stay (MS-DRG 470, 14 stays) and $11,140 per outpatient case (APC 5115, 80 cases).

What is Chi Saint Joseph East's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $45,922, 3.2× what Medicare paid. 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 Chi Saint Joseph East?

Yes for Medicare facility payments. Baptist Health Surgery Center LLC, an orthopedic surgery center same ZIP away, is paid about $8,524 by Medicare for a knee replacement (CPT 27447), $5,796 less than an inpatient stay at Chi Saint Joseph East. Not every patient is a surgery-center candidate.

How does Chi Saint Joseph East compare with other Kentucky hospitals?

Medicare paid Chi Saint Joseph East more than 57% of the 14 Kentucky hospitals that report inpatient hip or knee replacement.