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Ssm Health St. Mary's Hospital - Jefferson City: what a joint replacement costs

Jefferson City, MO 65109 · CMS Certification Number 260011. 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
$7,942
Jcmg Surgery Center, Inc., same ZIP
Outpatient here
$11,124
44 Medicare cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Ssm Health St. Mary's Hospital - Jefferson City

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement———$11,124
Shoulder replacement———$15,738

Quality

Complications after hip or knee replacement: 4.4% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 3 of 5 stars. For-profit · Acute · 154 beds

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

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Questions

How much does Medicare pay Ssm Health St. Mary's Hospital - Jefferson City for a knee or hip replacement?

Medicare allowed an average of $11,124 per outpatient hip or knee replacement case (APC 5115, 44 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Ssm Health St. Mary's Hospital - Jefferson City?

Yes for Medicare facility payments. Jcmg Surgery Center, Inc., an orthopedic surgery center same ZIP away, is paid about $7,942 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.