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Barnes Jewish Hospital: what a joint replacement costs

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.

Surgery center nearby
$8,800
Des Peres Square Surgery Center, 9.4 mi
Outpatient here
$11,333
Medicare allowed amount, 138 cases, APC 5115
Inpatient here
$20,098
Avg total payment (incl. patient share), 33 Medicare stays, MS-DRG 470

Medicare prices at Barnes Jewish Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$20,098$87,9094.4×$11,333
Shoulder replacement$25,456$93,6403.7×$15,860
Hip replacement after a fracture (DRG 522)$21,554$81,4763.8×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$37,7521.9×$21,939–$42,7578
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Humana$42,7572.1×1
Sarah Bush Lincoln$40,5802.0×1
Aetna$39,3282.0×1
Consociate$37,9341.9×1
Elevance/Anthem/Empire$37,5711.9×1
Cigna$36,4481.8×1
Health Alliance$28,5091.4×1
UnitedHealthcare$21,9391.1×1

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.

Quality

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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Questions

How much does Medicare pay Barnes Jewish Hospital for a knee or hip replacement?

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).

What is Barnes Jewish Hospital's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Barnes Jewish Hospital?

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.

How does Barnes Jewish Hospital compare with other Missouri hospitals?

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.

What do commercial insurers pay Barnes Jewish Hospital for a 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.