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Phelps Health: what a joint replacement costs

Rolla, MO 65401 · CMS Certification Number 260017. 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
$12,232
185 Medicare cases, APC 5115
Inpatient here
$17,076
20 Medicare stays, MS-DRG 470

Medicare prices at Phelps Health

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$17,076$100,3225.9×$12,232
Shoulder replacement———$17,723
Hip replacement after a fracture (DRG 522)$19,079$100,4075.3×—

Quality

Complications after hip or knee replacement: 4.2% (no different from the national rate). Readmissions: 6.4%. Overall Care Compare rating: 2 of 5 stars. Government · Acute · 240 beds

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

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Questions

How much does Medicare pay Phelps Health for a knee or hip replacement?

In 2024 Medicare paid Phelps Health an average of $17,076 per inpatient hip or knee replacement stay (MS-DRG 470, 20 stays) and $12,232 per outpatient case (APC 5115, 185 cases).

What is Phelps Health's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $100,322, 5.9× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

How does Phelps Health compare with other Missouri hospitals?

Medicare paid Phelps Health more than 81% of the 32 Missouri hospitals that report inpatient hip or knee replacement.