Saint Louis, MO 63110 · CMS Certification Number 260032. 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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $20,098 | $87,909 | 4.4× | $11,333 |
| Shoulder replacement | $25,456 | $93,640 | 3.7× | $15,860 |
| Hip replacement after a fracture (DRG 522) | $21,554 | $81,476 | 3.8× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $37,752 | 1.9× | $21,939–$42,757 | 8 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Humana | $42,757 | 2.1× | 1 |
| Sarah Bush Lincoln | $40,580 | 2.0× | 1 |
| Aetna | $39,328 | 2.0× | 1 |
| Consociate | $37,934 | 1.9× | 1 |
| Elevance/Anthem/Empire | $37,571 | 1.9× | 1 |
| Cigna | $36,448 | 1.8× | 1 |
| Health Alliance | $28,509 | 1.4× | 1 |
| UnitedHealthcare | $21,939 | 1.1× | 1 |
From the hospital's price-transparency file (2025-12-15); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2025-12-15); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 3.6% (no different from the national rate). Readmissions: 5.8%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 1737 beds
Missouri has a certificate-of-need program that does not cover surgery centers.
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In 2024 the average total payment to Barnes Jewish Hospital for an inpatient hip or knee replacement stay was $20,098 (MS-DRG 470, 33 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,333 per outpatient case (APC 5115, 138 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $87,909, 4.4× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Des Peres Square Surgery Center, an orthopedic surgery center 9.4 mi away, is paid about $8,800 by Medicare for a knee replacement (CPT 27447), $11,298 less than an inpatient stay at Barnes Jewish Hospital. Not every patient is a surgery-center candidate.
Barnes Jewish Hospital's average total payment per Medicare stay is higher than 97% of the 32 Missouri hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $37,752 across 8 insurers, ranging from $21,939 to $42,757.