Edina, MN 55435 · CMS Certification Number 240078. 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 | $13,808 | $68,367 | 5.0× | $12,350 |
| Shoulder replacement | $18,275 | $92,215 | 5.0× | $17,501 |
| Hip replacement after a fracture (DRG 522) | $15,453 | $74,438 | 4.8× | — |
Complications after hip or knee replacement: 4.8% (no different from the national rate). Readmissions: 6.6%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 390 beds
Minnesota has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid M Health Fairview Southdale Hospital an average of $13,808 per inpatient hip or knee replacement stay (MS-DRG 470, 11 stays) and $12,350 per outpatient case (APC 5115, 203 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $68,367, 5.0× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Crosstown Surgery Center LLC, an orthopedic surgery center same ZIP away, is paid about $9,341 by Medicare for a knee replacement (CPT 27447), $4,467 less than an inpatient stay at M Health Fairview Southdale Hospital. Not every patient is a surgery-center candidate.
Medicare paid M Health Fairview Southdale Hospital less than 90% of the 20 Minnesota hospitals that report inpatient hip or knee replacement.