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Ssm Health St Mary's Hospital - St Louis: what a joint replacement costs

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.

Surgery center nearby
$8,800
Des Peres Square Surgery Center, 6.0 mi
Outpatient here
$11,490
48 Medicare cases, APC 5115
Inpatient here
$18,589
11 Medicare stays, MS-DRG 470

Medicare prices at Ssm Health St Mary's Hospital - St Louis

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$18,589$52,7502.8×$11,490
Shoulder replacement————

Quality

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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Questions

How much does Medicare pay Ssm Health St Mary's Hospital - St Louis for a knee or hip replacement?

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).

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

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.

Is a knee replacement cheaper at a surgery center near Ssm Health St Mary's Hospital - St Louis?

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.

How does Ssm Health St Mary's Hospital - St Louis compare with other Missouri hospitals?

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.