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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,357 | $49,260 | 3.4× | $12,375 |
| Shoulder replacement | $22,936 | $64,755 | 2.8× | $17,107 |
| Hip replacement after a fracture (DRG 522) | $15,690 | $54,008 | 3.4× | — |
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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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).
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.
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.
Medicare paid St Lukes Hospital less than 80% of the 20 Minnesota hospitals that report inpatient hip or knee replacement.