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Hannibal Regional Hospital: what a joint replacement costs

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.

Surgery center nearby
$7,968
Northeast Missouri Ambulatory Surgery Center, LLC, same ZIP
Outpatient here
$12,526
134 Medicare cases, APC 5115
Inpatient here
$15,167
24 Medicare stays, MS-DRG 470

Medicare prices at Hannibal Regional Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$15,167$91,7196.0×$12,526
Shoulder replacement———$17,723

Quality

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.

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Questions

How much does Medicare pay Hannibal Regional Hospital for a knee or hip replacement?

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).

What is Hannibal Regional Hospital's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Hannibal Regional Hospital?

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.

How does Hannibal Regional Hospital compare with other Missouri hospitals?

Medicare paid Hannibal Regional Hospital more than 69% of the 32 Missouri hospitals that report inpatient hip or knee replacement.