Coon Rapids, MN 55433 · CMS Certification Number 240115. 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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,745 | $53,703 | 3.6× | $12,348 |
| Shoulder replacement | — | — | — | $17,313 |
| Hip replacement after a fracture (DRG 522) | $16,610 | $69,418 | 4.2× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $28,946 | 2.0× | $27,396–$31,646 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Medica | $31,646 | 2.1× | 1 |
| HealthPartners | $30,290 | 2.1× | 1 |
| UnitedHealthcare | $27,601 | 1.9× | 1 |
| Aetna | $27,396 | 1.9× | 1 |
From the hospital's price-transparency file (2026-06-17); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-06-17); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 5.3% (no different from the national rate). Readmissions: 5.5%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 573 beds
Minnesota has a certificate-of-need program that does not cover surgery centers.
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In 2024 the average total payment to Mercy Hospital for an inpatient hip or knee replacement stay was $14,745 (MS-DRG 470, 48 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,348 per outpatient case (APC 5115, 144 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $53,703, 3.6× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Blaine Orthopedic Surgery Center, an orthopedic surgery center 3.1 mi away, is paid about $9,341 by Medicare for a knee replacement (CPT 27447), $5,404 less than an inpatient stay at Mercy Hospital. Not every patient is a surgery-center candidate.
Mercy Hospital's average total payment per Medicare stay is lower than 70% of the 20 Minnesota hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $28,946 across 4 insurers, ranging from $27,396 to $31,646.