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East Jefferson General Hospital: what a joint replacement costs

Metairie, LA 70006 · CMS Certification Number 190176. 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
$8,228
Crescent View Surgery Center, same ZIP
Outpatient here
$10,719
Medicare allowed amount, 114 cases, APC 5115
Inpatient here
$15,680
Avg total payment (incl. patient share), 14 Medicare stays, MS-DRG 470

Medicare prices at East Jefferson General Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$15,680$136,0968.7×$10,719
Shoulder replacement$21,070$199,9419.5×$15,754
Hip replacement after a fracture (DRG 522)$17,692$154,7548.7×—

Quality

Complications after hip or knee replacement: 4.1% (no different from the national rate). Readmissions: 5.8%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 665 beds

Louisiana has a certificate-of-need program that does not cover surgery centers.

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Questions

How much does Medicare pay East Jefferson General Hospital for a knee or hip replacement?

In 2024 the average total payment to East Jefferson General Hospital for an inpatient hip or knee replacement stay was $15,680 (MS-DRG 470, 14 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $10,719 per outpatient case (APC 5115, 114 cases).

What is East Jefferson General Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $136,096, 8.7× 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 East Jefferson General Hospital?

Yes for Medicare facility payments. Crescent View Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,228 by Medicare for a knee replacement (CPT 27447), $7,452 less than an inpatient stay at East Jefferson General Hospital. Not every patient is a surgery-center candidate.

How does East Jefferson General Hospital compare with other Louisiana hospitals?

East Jefferson General Hospital's average total payment per Medicare stay is higher than 100% of the 10 Louisiana hospitals that report inpatient hip or knee replacement.