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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $18,464 | $53,480 | 2.9× | $13,289 |
| Shoulder replacement | $25,549 | $59,357 | 2.3× | $18,891 |
| Hip replacement after a fracture (DRG 522) | $20,301 | $55,465 | 2.7× | — |
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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In 2024 Medicare paid St Cloud Hospital an average of $18,464 per inpatient hip or knee replacement stay (MS-DRG 470, 64 stays) and $13,289 per outpatient case (APC 5115, 189 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $53,480, 2.9× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Medicare paid St Cloud Hospital more than 90% of the 20 Minnesota hospitals that report inpatient hip or knee replacement.