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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,320 | $45,922 | 3.2× | $11,140 |
| Shoulder replacement | — | — | — | — |
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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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).
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.
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.
Medicare paid Chi Saint Joseph East more than 57% of the 14 Kentucky hospitals that report inpatient hip or knee replacement.