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Merit Health Wesley: what a joint replacement costs

Hattiesburg, MS 39402 · CMS Certification Number 250094. 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
$7,526
Lowery A Woodall Sr Outpatient, 11.1 mi
Outpatient here
$10,206
Medicare allowed amount, 23 cases, APC 5115
Inpatient here
$15,940
Avg total payment (incl. patient share), 26 Medicare stays, MS-DRG 470

Medicare prices at Merit Health Wesley

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$15,940$115,0547.2×$10,206
Shoulder replacement———$15,491

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$22,8041.4×$18,676–$27,4698
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Cigna$27,4691.7×1
Vantage Health$27,4351.7×1
BCBS Mississippi$23,3221.5×1
UnitedHealthcare$23,2691.5×1
NODE US Dept of Labor$22,3391.4×1
Advanced Health Systems$21,2181.3×1
First Choice LGP$20,5251.3×1
First Choice$18,6761.2×1

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: 4.6% (no different from the national rate). Readmissions: 6.2%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 211 beds

Mississippi requires a certificate of need for new surgery centers.

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Questions

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

In 2024 the average total payment to Merit Health Wesley for an inpatient hip or knee replacement stay was $15,940 (MS-DRG 470, 26 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $10,206 per outpatient case (APC 5115, 23 cases).

What is Merit Health Wesley's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $115,054, 7.2× 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 Merit Health Wesley?

Yes for Medicare facility payments. Lowery A Woodall Sr Outpatient, an orthopedic surgery center 11.1 mi away, is paid about $7,526 by Medicare for a knee replacement (CPT 27447), $8,414 less than an inpatient stay at Merit Health Wesley. Not every patient is a surgery-center candidate.

How does Merit Health Wesley compare with other Mississippi hospitals?

Merit Health Wesley's average total payment per Medicare stay is higher than 93% of the 14 Mississippi hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Merit Health Wesley 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 $22,804 across 8 insurers, ranging from $18,676 to $27,469.