Hannibal, MO 63401 · CMS Certification Number 260025. 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 | $15,167 | $91,719 | 6.0× | $12,526 |
| Shoulder replacement | — | — | — | $17,723 |
Complications after hip or knee replacement: 4.5% (no different from the national rate). Readmissions: 5.3%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 99 beds
Missouri has a certificate-of-need program that does not cover surgery centers.
Open the interactive price tagBuild a reportAll Missouri hospitals
In 2024 Medicare paid Hannibal Regional Hospital an average of $15,167 per inpatient hip or knee replacement stay (MS-DRG 470, 24 stays) and $12,526 per outpatient case (APC 5115, 134 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $91,719, 6.0× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Northeast Missouri Ambulatory Surgery Center, LLC, an orthopedic surgery center same ZIP away, is paid about $7,968 by Medicare for a knee replacement (CPT 27447), $7,199 less than an inpatient stay at Hannibal Regional Hospital. Not every patient is a surgery-center candidate.
Medicare paid Hannibal Regional Hospital more than 69% of the 32 Missouri hospitals that report inpatient hip or knee replacement.