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St Joseph Hospital: what a joint replacement costs

Bangor, ME 04401 · CMS Certification Number 200001. 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
$8,669
Downeast Surgery Center, same ZIP
Outpatient here
$11,077
143 Medicare cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at St Joseph Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement———$11,077
Shoulder replacement———$15,959
Hip replacement after a fracture (DRG 522)$19,746$63,2173.2×—

Quality

Complications after hip or knee replacement: 5.7% (no different from the national rate). Readmissions: 5.6%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 112 beds

Maine requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay St Joseph Hospital for a knee or hip replacement?

Medicare allowed an average of $11,077 per outpatient hip or knee replacement case (APC 5115, 143 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near St Joseph Hospital?

Yes for Medicare facility payments. Downeast Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,669 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.