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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient 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× | — |
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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In 2024 Medicare paid Merit Health River Oaks an average of $12,864 per inpatient hip or knee replacement stay (MS-DRG 470, 106 stays) and $11,006 per outpatient case (APC 5115, 159 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $246,386, 19.2× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Medicare paid Merit Health River Oaks less than 64% of the 14 Mississippi hospitals that report inpatient hip or knee replacement.