Price AtlasInteractive atlas · All states · techysurgeon.comChi 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.
Medicare prices at Chi Saint Joseph East
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,320 | $45,922 | 3.2× | $11,140 |
| Shoulder replacement | — | — | — | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $27,460 | 1.9× | $15,730–$29,646 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| CareSource | $29,646 | 2.1× | 1 |
| UnitedHealthcare | $28,829 | 2.0× | 1 |
| Elevance/Anthem/Empire | $27,460 | 1.9× | 1 |
| Humana | $23,596 | 1.6× | 1 |
| Cigna | $15,730 | 1.1× | 1 |
From the hospital's price-transparency file (2026-02-28); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-02-28); commercial plans, dollar-amount contracts only.
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
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Questions
How much does Medicare pay Chi Saint Joseph East for a knee or hip replacement?
In 2024 the average total payment to Chi Saint Joseph East for an inpatient hip or knee replacement stay was $14,320 (MS-DRG 470, 14 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× the average total payment for a Medicare stay. 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?
Chi Saint Joseph East's average total payment per Medicare stay is higher than 57% of the 14 Kentucky hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Chi Saint Joseph East for a hip or knee replacement?
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $27,460 across 5 insurers, ranging from $15,730 to $29,646.