Price AtlasInteractive atlas · All states · techysurgeon.comEssentia Health St Mary's Medical Center: what a joint replacement costs
Duluth, MN 55805 · CMS Certification Number 240002. 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 Essentia Health St Mary's Medical Center
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $11,876 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $16,373 | $52,304 | 3.2× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $39,976 | — | $27,566–$43,157 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $43,157 | — | 1 |
| HealthPartners | $43,157 | — | 1 |
| UnitedHealthcare | $39,976 | — | 1 |
| BCBS MN | $30,773 | — | 1 |
| Medica | $27,566 | — | 1 |
From the hospital's price-transparency file (2026-01-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-01-01); commercial plans, dollar-amount contracts only.
Quality
Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 380 beds
Minnesota has a certificate-of-need program that does not cover surgery centers.
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Questions
How much does Medicare pay Essentia Health St Mary's Medical Center for a knee or hip replacement?
The Medicare allowed amount averaged $11,876 per outpatient hip or knee replacement case (APC 5115, 51 cases) in 2024. Inpatient stays were too few to report.
Is a knee replacement cheaper at a surgery center near Essentia Health St Mary's Medical Center?
Yes for Medicare facility payments. Lakewalk Surgery Center Inc, an orthopedic surgery center same ZIP away, is paid about $8,934 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.
What do commercial insurers pay Essentia Health St Mary's Medical Center 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 $39,976 across 5 insurers, ranging from $27,566 to $43,157.