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Medstar Saint Mary's Hospital: what a joint replacement costs

Leonardtown, MD 20650 · CMS Certification Number 210028. 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
$8,527
Leonardtown Surgery Center, LLC, same ZIP
Outpatient here
—
Under 11 cases
Inpatient here
—
Under 11 stays

Medicare prices at Medstar Saint Mary's Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement————
Shoulder replacement$29,396$31,2331.1×—
Hip replacement after a fracture (DRG 522)$32,857$32,4321.0×—

Quality

Complications after hip or knee replacement: 4.1% (no different from the national rate). Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 107 beds

Maryland requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Medstar Saint Mary's Hospital for a knee or hip replacement?

CMS suppresses the price because the hospital had fewer than 11 Medicare cases.

Is a knee replacement cheaper at a surgery center near Medstar Saint Mary's Hospital?

Yes for Medicare facility payments. Leonardtown Surgery Center, LLC, an orthopedic surgery center same ZIP away, is paid about $8,527 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.