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Regions Hospital: what a joint replacement costs

Saint Paul, MN 55101 · CMS Certification Number 240106. 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
$9,341
Healtheast Surgery Center Maplewood, 5.4 mi
Outpatient here
$12,562
43 Medicare cases, APC 5115
Inpatient here
$17,276
25 Medicare stays, MS-DRG 470

Medicare prices at Regions Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$17,276$60,3133.5×$12,562
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$19,002$65,5233.4×—

Quality

Complications after hip or knee replacement: 6.8% (no different from the national rate). Readmissions: 7.2%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 554 beds

Minnesota has a certificate-of-need program that does not cover surgery centers.

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Questions

How much does Medicare pay Regions Hospital for a knee or hip replacement?

In 2024 Medicare paid Regions Hospital an average of $17,276 per inpatient hip or knee replacement stay (MS-DRG 470, 25 stays) and $12,562 per outpatient case (APC 5115, 43 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $60,313, 3.5× 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 Regions Hospital?

Yes for Medicare facility payments. Healtheast Surgery Center Maplewood, an orthopedic surgery center 5.4 mi away, is paid about $9,341 by Medicare for a knee replacement (CPT 27447), $7,935 less than an inpatient stay at Regions Hospital. Not every patient is a surgery-center candidate.

How does Regions Hospital compare with other Minnesota hospitals?

Medicare paid Regions Hospital more than 80% of the 20 Minnesota hospitals that report inpatient hip or knee replacement.