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Cox Medical Centers: what a joint replacement costs

Springfield, MO 65807 · CMS Certification Number 260040. 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
—
No orthopedic surgery center within 25 miles
Outpatient here
$10,956
Medicare allowed amount, 391 cases, APC 5115
Inpatient here
$14,337
Avg total payment (incl. patient share), 19 Medicare stays, MS-DRG 470

Medicare prices at Cox Medical Centers

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$14,337$85,7186.0×$10,956
Shoulder replacement———$15,474
Hip replacement after a fracture (DRG 522)$17,315$77,8214.5×—

Quality

Complications after hip or knee replacement: 4.3% (no different from the national rate). Readmissions: 6.1%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 867 beds

Missouri has a certificate-of-need program that does not cover surgery centers.

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Questions

How much does Medicare pay Cox Medical Centers for a knee or hip replacement?

In 2024 the average total payment to Cox Medical Centers for an inpatient hip or knee replacement stay was $14,337 (MS-DRG 470, 19 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $10,956 per outpatient case (APC 5115, 391 cases).

What is Cox Medical Centers's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $85,718, 6.0× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

How does Cox Medical Centers compare with other Missouri hospitals?

Cox Medical Centers's average total payment per Medicare stay is higher than 56% of the 32 Missouri hospitals that report inpatient hip or knee replacement.