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Bothwell Regional Health Center: what a joint replacement costs

Sedalia, MO 65302 · CMS Certification Number 260009. 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
$11,966
Medicare allowed amount, 98 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Bothwell Regional Health Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,966
Shoulder replacement———$17,392
Hip replacement after a fracture (DRG 522)$15,995$44,0242.8×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$28,177——1
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Healthez$28,177—1
MultiPlan/PHCS (rental network)$16,101—1

From the hospital's price-transparency file (2026-03-26); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-03-26); commercial plans, dollar-amount contracts only.

Quality

Overall Care Compare rating: 4 of 5 stars. Government · Acute · 108 beds

Missouri has a certificate-of-need program that does not cover surgery centers.

Open the interactive price tagBuild a reportAll Missouri hospitals

Questions

How much does Medicare pay Bothwell Regional Health Center for a knee or hip replacement?

The Medicare allowed amount averaged $11,966 per outpatient hip or knee replacement case (APC 5115, 98 cases) in 2024. Inpatient stays were too few to report.

What do commercial insurers pay Bothwell Regional Health Center 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 $28,177 across 1 insurer.