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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,940 | $115,054 | 7.2× | $10,206 |
| Shoulder replacement | — | — | — | $15,491 |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $22,804 | 1.4× | $18,676–$27,469 | 8 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $27,469 | 1.7× | 1 |
| Vantage Health | $27,435 | 1.7× | 1 |
| BCBS Mississippi | $23,322 | 1.5× | 1 |
| UnitedHealthcare | $23,269 | 1.5× | 1 |
| NODE US Dept of Labor | $22,339 | 1.4× | 1 |
| Advanced Health Systems | $21,218 | 1.3× | 1 |
| First Choice LGP | $20,525 | 1.3× | 1 |
| First Choice | $18,676 | 1.2× | 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.
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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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).
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.
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.
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.
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.