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St Lukes Hospital: what a joint replacement costs

Duluth, MN 55805 · CMS Certification Number 240047. 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
$8,934
Lakewalk Surgery Center Inc, same ZIP
Outpatient here
$12,375
234 Medicare cases, APC 5115
Inpatient here
$14,357
85 Medicare stays, MS-DRG 470

Medicare prices at St Lukes Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,357$49,2603.4×$12,375
Shoulder replacement$22,936$64,7552.8×$17,107
Hip replacement after a fracture (DRG 522)$15,690$54,0083.4×—

Quality

Complications after hip or knee replacement: 4.8% (no different from the national rate). Readmissions: 6.2%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 267 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 Lukes Hospital for a knee or hip replacement?

In 2024 Medicare paid St Lukes Hospital an average of $14,357 per inpatient hip or knee replacement stay (MS-DRG 470, 85 stays) and $12,375 per outpatient case (APC 5115, 234 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $49,260, 3.4× what Medicare paid. 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 Lukes Hospital?

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), $5,423 less than an inpatient stay at St Lukes Hospital. Not every patient is a surgery-center candidate.

How does St Lukes Hospital compare with other Minnesota hospitals?

Medicare paid St Lukes Hospital less than 80% of the 20 Minnesota hospitals that report inpatient hip or knee replacement.