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Ssm Health St Clare Hospital - Fenton: what a joint replacement costs

Fenton, MO 63026 · CMS Certification Number 260081. 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
Ssm St. Clare Surgical Center, LLC, same ZIP
Outpatient here
$11,066
177 Medicare cases, APC 5115
Inpatient here
$12,902
17 Medicare stays, MS-DRG 470

Medicare prices at Ssm Health St Clare Hospital - Fenton

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$12,902$52,7844.1×$11,066
Shoulder replacement$17,675$64,3533.6×$16,256
Hip replacement after a fracture (DRG 522)$13,750$43,9763.2×—

Quality

Complications after hip or knee replacement: 3.9% (no different from the national rate). Readmissions: 6.4%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 180 beds

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

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Questions

How much does Medicare pay Ssm Health St Clare Hospital - Fenton for a knee or hip replacement?

In 2024 Medicare paid Ssm Health St Clare Hospital - Fenton an average of $12,902 per inpatient hip or knee replacement stay (MS-DRG 470, 17 stays) and $11,066 per outpatient case (APC 5115, 177 cases).

What is Ssm Health St Clare Hospital - Fenton's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $52,784, 4.1× 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 Ssm Health St Clare Hospital - Fenton?

Yes for Medicare facility payments. Ssm St. Clare Surgical Center, LLC, an orthopedic surgery center same ZIP away, is paid about $8,800 by Medicare for a knee replacement (CPT 27447), $4,102 less than an inpatient stay at Ssm Health St Clare Hospital - Fenton. Not every patient is a surgery-center candidate.

How does Ssm Health St Clare Hospital - Fenton compare with other Missouri hospitals?

Medicare paid Ssm Health St Clare Hospital - Fenton less than 84% of the 32 Missouri hospitals that report inpatient hip or knee replacement.