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Mayo Clinic Hospital Rochester: what a joint replacement costs

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.

Surgery center nearby
—
No orthopedic surgery center within 25 miles
Outpatient here
$13,419
1327 Medicare cases, APC 5115
Inpatient here
$26,910
68 Medicare stays, MS-DRG 470

Medicare prices at Mayo Clinic Hospital Rochester

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$26,910$77,9022.9×$13,419
Shoulder replacement$40,082$95,8732.4×$18,974
Hip replacement after a fracture (DRG 522)$25,511$71,4692.8×—

Quality

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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Questions

How much does Medicare pay Mayo Clinic Hospital Rochester for a knee or hip replacement?

In 2024 Medicare paid Mayo Clinic Hospital Rochester an average of $26,910 per inpatient hip or knee replacement stay (MS-DRG 470, 68 stays) and $13,419 per outpatient case (APC 5115, 1327 cases).

What is Mayo Clinic Hospital Rochester's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $77,902, 2.9× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

How does Mayo Clinic Hospital Rochester compare with other Minnesota hospitals?

Medicare paid Mayo Clinic Hospital Rochester more than 100% of the 20 Minnesota hospitals that report inpatient hip or knee replacement.