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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
Medicare allowed amount, 43 cases, APC 5115
Inpatient here
$17,276
Avg total payment (incl. patient share), 25 Medicare stays, MS-DRG 470

Medicare prices at Regions Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare 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×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$28,8491.7×$21,478–$31,9453
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
UnitedHealthcare$31,9451.8×1
Medica$28,8491.7×1
HealthPartners$21,4781.2×1

From the hospital's price-transparency file (2026-03-31); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-03-31); commercial plans, dollar-amount contracts only.

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 the average total payment to Regions Hospital for an inpatient hip or knee replacement stay was $17,276 (MS-DRG 470, 25 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× the average total payment for a Medicare stay. 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?

Regions Hospital's average total payment per Medicare stay is higher than 80% of the 20 Minnesota hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Regions Hospital for a hip or knee replacement?

From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $28,849 across 3 insurers, ranging from $21,478 to $31,945.