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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $12,902 | $52,784 | 4.1× | $11,066 |
| Shoulder replacement | $17,675 | $64,353 | 3.6× | $16,256 |
| Hip replacement after a fracture (DRG 522) | $13,750 | $43,976 | 3.2× | — |
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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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).
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.
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.
Medicare paid Ssm Health St Clare Hospital - Fenton less than 84% of the 32 Missouri hospitals that report inpatient hip or knee replacement.