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 paid | List price | List ÷ paid | Outpatient 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× | — |
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 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).
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.
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.
Medicare paid Mercy Hospital less than 70% of the 20 Minnesota hospitals that report inpatient hip or knee replacement.