Rochester, MN 55902 · CMS Certification Number 240010. 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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $26,910 | $77,902 | 2.9× | $13,419 |
| Shoulder replacement | $40,082 | $95,873 | 2.4× | $18,974 |
| Hip replacement after a fracture (DRG 522) | $25,511 | $71,469 | 2.8× | — |
Complications after hip or knee replacement: 4.5% (no different from the national rate). Readmissions: 6.8%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 2059 beds
Minnesota has a certificate-of-need program that does not cover surgery centers.
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In 2024 the average total payment to Mayo Clinic Hospital Rochester for an inpatient hip or knee replacement stay was $26,910 (MS-DRG 470, 68 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $13,419 per outpatient case (APC 5115, 1327 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $77,902, 2.9× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Mayo Clinic Hospital Rochester's average total payment per Medicare stay is higher than 100% of the 20 Minnesota hospitals that report inpatient hip or knee replacement.