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Ssm Health Depaul Hospital St Louis: what a joint replacement costs

Bridgeton, MO 63044 · CMS Certification Number 260104. 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
Advanced Surgical Care, 8.1 mi
Outpatient here
$11,309
Medicare allowed amount, 350 cases, APC 5115
Inpatient here
$14,456
Avg total payment (incl. patient share), 32 Medicare stays, MS-DRG 470

Medicare prices at Ssm Health Depaul Hospital St Louis

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$14,456$47,7873.3×$11,309
Shoulder replacement———$15,704

Quality

Complications after hip or knee replacement: 3.5% (no different from the national rate). Readmissions: 6.1%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 538 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 Depaul Hospital St Louis for a knee or hip replacement?

In 2024 the average total payment to Ssm Health Depaul Hospital St Louis for an inpatient hip or knee replacement stay was $14,456 (MS-DRG 470, 32 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,309 per outpatient case (APC 5115, 350 cases).

What is Ssm Health Depaul 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 $47,787, 3.3× the average total payment for a Medicare stay. 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 Depaul Hospital St Louis?

Yes for Medicare facility payments. Advanced Surgical Care, an orthopedic surgery center 8.1 mi away, is paid about $8,800 by Medicare for a knee replacement (CPT 27447), $5,656 less than an inpatient stay at Ssm Health Depaul Hospital St Louis. Not every patient is a surgery-center candidate.

How does Ssm Health Depaul Hospital St Louis compare with other Missouri hospitals?

Ssm Health Depaul Hospital St Louis's average total payment per Medicare stay is higher than 59% of the 32 Missouri hospitals that report inpatient hip or knee replacement.