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Mercy Hospital Jefferson: what a joint replacement costs

Festus, MO 63028 · CMS Certification Number 260023. 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
$8,800
Twin Cities Ambulatory Surgery Center, LP, same ZIP
Outpatient here
$11,500
Medicare allowed amount, 51 cases, APC 5115
Inpatient here
$13,582
Avg total payment (incl. patient share), 25 Medicare stays, MS-DRG 470

Medicare prices at Mercy Hospital Jefferson

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$13,582$47,9693.5×$11,500
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$15,000$48,6923.2×—

Quality

Complications after hip or knee replacement: 3.7% (no different from the national rate). Readmissions: 6.5%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · 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 Mercy Hospital Jefferson for a knee or hip replacement?

In 2024 the average total payment to Mercy Hospital Jefferson for an inpatient hip or knee replacement stay was $13,582 (MS-DRG 470, 25 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,500 per outpatient case (APC 5115, 51 cases).

What is Mercy Hospital Jefferson's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $47,969, 3.5× 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 Mercy Hospital Jefferson?

Yes for Medicare facility payments. Twin Cities Ambulatory Surgery Center, LP, an orthopedic surgery center same ZIP away, is paid about $8,800 by Medicare for a knee replacement (CPT 27447), $4,782 less than an inpatient stay at Mercy Hospital Jefferson. Not every patient is a surgery-center candidate.

How does Mercy Hospital Jefferson compare with other Missouri hospitals?

Mercy Hospital Jefferson's average total payment per Medicare stay is lower than 63% of the 32 Missouri hospitals that report inpatient hip or knee replacement.