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Missouri Baptist Medical Center: what a joint replacement costs

Town and Country, MO 63131 · CMS Certification Number 260108. 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, same ZIP
Outpatient here
$11,341
Medicare allowed amount, 397 cases, APC 5115
Inpatient here
$12,630
Avg total payment (incl. patient share), 59 Medicare stays, MS-DRG 470

Medicare prices at Missouri Baptist Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$12,630$56,3884.5×$11,341
Shoulder replacement———$15,985
Hip replacement after a fracture (DRG 522)$13,608$63,1154.6×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$22,5241.8×$16,466–$37,9128
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Humana$37,9123.0×1
Elevance/Anthem/Empire$29,7512.4×1
Aetna$24,7022.0×1
Sarah Bush Lincoln$23,2841.8×1
Consociate$21,7651.7×1
Health Alliance$21,4141.7×1
Cigna$18,7101.5×1
UnitedHealthcare$16,4661.3×1

From the hospital's price-transparency file (2025-12-15); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2025-12-15); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 4.9% (no different from the national rate). Readmissions: 6.4%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 494 beds

Missouri has a certificate-of-need program that does not cover surgery centers.

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Questions

How much does Medicare pay Missouri Baptist Medical Center for a knee or hip replacement?

In 2024 the average total payment to Missouri Baptist Medical Center for an inpatient hip or knee replacement stay was $12,630 (MS-DRG 470, 59 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,341 per outpatient case (APC 5115, 397 cases).

What is Missouri Baptist Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $56,388, 4.5× 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 Missouri Baptist Medical Center?

Yes for Medicare facility payments. Des Peres Square Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,800 by Medicare for a knee replacement (CPT 27447), $3,830 less than an inpatient stay at Missouri Baptist Medical Center. Not every patient is a surgery-center candidate.

How does Missouri Baptist Medical Center compare with other Missouri hospitals?

Missouri Baptist Medical Center's average total payment per Medicare stay is lower than 88% of the 32 Missouri hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Missouri Baptist Medical Center for a hip or knee replacement?

From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $22,524 across 8 insurers, ranging from $16,466 to $37,912.