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Merit Health River Region: what a joint replacement costs

Vicksburg, MS 39183 · CMS Certification Number 250031. 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
—
No orthopedic surgery center within 25 miles
Outpatient here
$11,725
Medicare allowed amount, 16 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Merit Health River Region

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,725
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$21,218—$15,181–$27,8849
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Vantage Commercial$27,884—1
UnitedHealthcare$27,325—1
BCBS Mississippi$23,322—1
Aetna$22,331—1
Advanced Health Systems$21,218—1
First Choice$20,295—1
NODE US Dept of Labor$20,265—1
NODE Seven Corners$19,151—1
First Choice MPCN Standard$15,181—1

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 3.9% (no different from the national rate). Readmissions: 6.4%. Overall Care Compare rating: 2 of 5 stars. For-profit · Acute · 354 beds

Mississippi requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Merit Health River Region for a knee or hip replacement?

The Medicare allowed amount averaged $11,725 per outpatient hip or knee replacement case (APC 5115, 16 cases) in 2024. Inpatient stays were too few to report.

What do commercial insurers pay Merit Health River Region 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 $21,218 across 9 insurers, ranging from $15,181 to $27,884.