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 paid | List price | List ÷ paid | Outpatient 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× | — |
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.
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In 2024 Medicare paid North Kansas City Hospital an average of $13,418 per inpatient hip or knee replacement stay (MS-DRG 470, 106 stays) and $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× what Medicare paid. 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.
Medicare paid North Kansas City Hospital less than 72% of the 32 Missouri hospitals that report inpatient hip or knee replacement.