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Mercy Hospital Springfield: what a joint replacement costs

Springfield, MO 65804 · CMS Certification Number 260065. 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
$10,936
Medicare allowed amount, 753 cases, APC 5115
Inpatient here
$13,532
Avg total payment (incl. patient share), 41 Medicare stays, MS-DRG 470

Medicare prices at Mercy Hospital Springfield

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$13,532$46,6233.4×$10,936
Shoulder replacement———$15,402
Hip replacement after a fracture (DRG 522)$14,818$61,2044.1×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$16,6061.2×$15,045–$17,2325
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Point C$17,2321.3×1
Mercy Benefit Admin$17,1931.3×1
UnitedHealthcare$16,6061.2×1
Medical Destinations$15,6151.2×1
Providrs Care Network$15,0451.1×1

From the hospital's price-transparency file (2026-06-04); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-06-04); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 3.5% (no different from the national rate). Readmissions: 5.3%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 866 beds

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

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Questions

How much does Medicare pay Mercy Hospital Springfield for a knee or hip replacement?

In 2024 the average total payment to Mercy Hospital Springfield for an inpatient hip or knee replacement stay was $13,532 (MS-DRG 470, 41 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $10,936 per outpatient case (APC 5115, 753 cases).

What is Mercy Hospital Springfield's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $46,623, 3.4× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

How does Mercy Hospital Springfield compare with other Missouri hospitals?

Mercy Hospital Springfield's average total payment per Medicare stay is lower than 66% of the 32 Missouri hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Mercy Hospital Springfield 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 $16,606 across 5 insurers, ranging from $15,045 to $17,232.