Richmond Heights, MO 63117 · CMS Certification Number 260091. 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 | $18,589 | $52,750 | 2.8× | $11,490 |
| Shoulder replacement | — | — | — | — |
Complications after hip or knee replacement: 3.8% (no different from the national rate). Readmissions: 6.4%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 690 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 Mary's Hospital - St Louis an average of $18,589 per inpatient hip or knee replacement stay (MS-DRG 470, 11 stays) and $11,490 per outpatient case (APC 5115, 48 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $52,750, 2.8× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Des Peres Square Surgery Center, an orthopedic surgery center 6.0 mi away, is paid about $8,800 by Medicare for a knee replacement (CPT 27447), $9,789 less than an inpatient stay at Ssm Health St Mary's Hospital - St Louis. Not every patient is a surgery-center candidate.
Medicare paid Ssm Health St Mary's Hospital - St Louis more than 88% of the 32 Missouri hospitals that report inpatient hip or knee replacement.