Minneapolis, MN 55407 · CMS Certification Number 240057. 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 | $15,054 | $59,339 | 3.9× | $12,356 |
| Shoulder replacement | $19,984 | $70,774 | 3.5× | $17,505 |
| Hip replacement after a fracture (DRG 522) | $17,645 | $81,432 | 4.6× | — |
Complications after hip or knee replacement: 3% (no different from the national rate). Readmissions: 5.5%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 996 beds
Minnesota has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Abbott Northwestern Hospital an average of $15,054 per inpatient hip or knee replacement stay (MS-DRG 470, 95 stays) and $12,356 per outpatient case (APC 5115, 53 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $59,339, 3.9× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. U of M Health Clinics and Surgery Center Inc., an orthopedic surgery center 2.9 mi away, is paid about $9,341 by Medicare for a knee replacement (CPT 27447), $5,713 less than an inpatient stay at Abbott Northwestern Hospital. Not every patient is a surgery-center candidate.
Medicare paid Abbott Northwestern Hospital less than 60% of the 20 Minnesota hospitals that report inpatient hip or knee replacement.