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Mercy Hospital: what a joint replacement costs

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.

Surgery center nearby
$9,341
Blaine Orthopedic Surgery Center, 3.1 mi
Outpatient here
$12,348
144 Medicare cases, APC 5115
Inpatient here
$14,745
48 Medicare stays, MS-DRG 470

Medicare prices at Mercy Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,745$53,7033.6×$12,348
Shoulder replacement———$17,313
Hip replacement after a fracture (DRG 522)$16,610$69,4184.2×—

Quality

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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Questions

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

In 2024 Medicare paid Mercy Hospital an average of $14,745 per inpatient hip or knee replacement stay (MS-DRG 470, 48 stays) and $12,348 per outpatient case (APC 5115, 144 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $53,703, 3.6× 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 Mercy Hospital?

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.

How does Mercy Hospital compare with other Minnesota hospitals?

Medicare paid Mercy Hospital less than 70% of the 20 Minnesota hospitals that report inpatient hip or knee replacement.