North Kansas City, MO 64116 · CMS Certification Number 260096. 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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,418 | $62,831 | 4.7× | $11,391 |
| Shoulder replacement | $17,873 | $103,789 | 5.8× | $16,128 |
| Hip replacement after a fracture (DRG 522) | $14,197 | $65,172 | 4.6× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $22,915 | 1.7× | $20,055–$26,316 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Aetna | $26,316 | 2.0× | 1 |
| UnitedHealthcare | $26,106 | 1.9× | 1 |
| Cigna | $22,915 | 1.7× | 1 |
| Oscar | $20,070 | 1.5× | 1 |
| Elevance/Anthem/Empire | $20,055 | 1.5× | 1 |
From the hospital's price-transparency file (2026-03-06); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-03-06); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 4.6% (no different from the national rate). Readmissions: 5.6%. Overall Care Compare rating: 4 of 5 stars. Government · Acute · 451 beds
Missouri has a certificate-of-need program that does not cover surgery centers.
Open the interactive price tagBuild a reportAll Missouri hospitals
In 2024 the average total payment to North Kansas City Hospital for an inpatient hip or knee replacement stay was $13,418 (MS-DRG 470, 106 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,391 per outpatient case (APC 5115, 556 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $62,831, 4.7× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Creekwood Surgery Center, LP, an orthopedic surgery center 4.4 mi away, is paid about $8,659 by Medicare for a knee replacement (CPT 27447), $4,759 less than an inpatient stay at North Kansas City Hospital. Not every patient is a surgery-center candidate.
North Kansas City Hospital's average total payment per Medicare stay is lower than 72% of the 32 Missouri hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $22,915 across 5 insurers, ranging from $20,055 to $26,316.