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Mercy Hospital South: what a joint replacement costs

Saint Louis, MO 63128 · CMS Certification Number 260077. 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
Mercy Outpatient Surgery Center - West Bend, same ZIP
Outpatient here
$11,332
165 Medicare cases, APC 5115
Inpatient here
$14,296
24 Medicare stays, MS-DRG 470

Medicare prices at Mercy Hospital South

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,296$36,7562.6×$11,332
Shoulder replacement———$16,551
Hip replacement after a fracture (DRG 522)$14,867$39,8092.7×—

Quality

Complications after hip or knee replacement: 3.7% (no different from the national rate). Readmissions: 6%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 767 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 South for a knee or hip replacement?

In 2024 Medicare paid Mercy Hospital South an average of $14,296 per inpatient hip or knee replacement stay (MS-DRG 470, 24 stays) and $11,332 per outpatient case (APC 5115, 165 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $36,756, 2.6× 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 Mercy Hospital South?

Yes for Medicare facility payments. Mercy Outpatient Surgery Center - West Bend, an orthopedic surgery center same ZIP away, is paid about $8,800 by Medicare for a knee replacement (CPT 27447), $5,496 less than an inpatient stay at Mercy Hospital South. Not every patient is a surgery-center candidate.

How does Mercy Hospital South compare with other Missouri hospitals?

Medicare paid Mercy Hospital South more than 53% of the 32 Missouri hospitals that report inpatient hip or knee replacement.