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St Cloud Hospital: what a joint replacement costs

Saint Cloud, MN 56303 · CMS Certification Number 240036. 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
$8,838
Centracare Surgery Center , same ZIP
Outpatient here
$13,289
Medicare allowed amount, 189 cases, APC 5115
Inpatient here
$18,464
Avg total payment (incl. patient share), 64 Medicare stays, MS-DRG 470

Medicare prices at St Cloud Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$18,464$53,4802.9×$13,289
Shoulder replacement$25,549$59,3572.3×$18,891
Hip replacement after a fracture (DRG 522)$20,301$55,4652.7×—

Quality

Complications after hip or knee replacement: 4.4% (no different from the national rate). Readmissions: 5%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 489 beds

Minnesota has a certificate-of-need program that does not cover surgery centers.

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Questions

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

In 2024 the average total payment to St Cloud Hospital for an inpatient hip or knee replacement stay was $18,464 (MS-DRG 470, 64 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $13,289 per outpatient case (APC 5115, 189 cases).

What is St Cloud Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $53,480, 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.

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

Yes for Medicare facility payments. Centracare Surgery Center , an orthopedic surgery center same ZIP away, is paid about $8,838 by Medicare for a knee replacement (CPT 27447), $9,626 less than an inpatient stay at St Cloud Hospital. Not every patient is a surgery-center candidate.

How does St Cloud Hospital compare with other Minnesota hospitals?

St Cloud Hospital's average total payment per Medicare stay is higher than 90% of the 20 Minnesota hospitals that report inpatient hip or knee replacement.