Price AtlasInteractive atlas · All states · techysurgeon.comMerit Health River Oaks: what a joint replacement costs
Flowood, MS 39232 · CMS Certification Number 250138. 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.
Medicare prices at Merit Health River Oaks
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $12,864 | $246,386 | 19.2× | $11,006 |
| Shoulder replacement | $16,521 | $271,786 | 16.5× | $15,513 |
| Hip replacement after a fracture (DRG 522) | $13,994 | $228,725 | 16.3× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $23,322 | 1.8× | $15,508–$26,601 | 3 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $26,601 | 2.1× | 1 |
| BCBS Mississippi | $23,322 | 1.8× | 1 |
| Cigna | $15,508 | 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.
Quality
Complications after hip or knee replacement: 4.7% (no different from the national rate). Readmissions: 6.3%. Overall Care Compare rating: 1 of 5 stars. For-profit · Acute · 106 beds
Mississippi requires a certificate of need for new surgery centers.
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Questions
How much does Medicare pay Merit Health River Oaks for a knee or hip replacement?
In 2024 the average total payment to Merit Health River Oaks for an inpatient hip or knee replacement stay was $12,864 (MS-DRG 470, 106 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,006 per outpatient case (APC 5115, 159 cases).
What is Merit Health River Oaks's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $246,386, 19.2× 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 River Oaks?
Yes for Medicare facility payments. The Plastic Surgical Center of Ms, LLC, an orthopedic surgery center same ZIP away, is paid about $8,187 by Medicare for a knee replacement (CPT 27447), $4,677 less than an inpatient stay at Merit Health River Oaks. Not every patient is a surgery-center candidate.
How does Merit Health River Oaks compare with other Mississippi hospitals?
Merit Health River Oaks's average total payment per Medicare stay is lower than 64% of the 14 Mississippi hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Merit Health River Oaks 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 $23,322 across 3 insurers, ranging from $15,508 to $26,601.