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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,296 | $36,756 | 2.6× | $11,332 |
| Shoulder replacement | — | — | — | $16,551 |
| Hip replacement after a fracture (DRG 522) | $14,867 | $39,809 | 2.7× | — |
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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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).
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.
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.
Medicare paid Mercy Hospital South more than 53% of the 32 Missouri hospitals that report inpatient hip or knee replacement.