Joplin, MO 64804 · CMS Certification Number 260137. 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 | $13,372 | $78,009 | 5.8× | $10,819 |
| Shoulder replacement | $17,609 | $121,739 | 6.9× | $15,328 |
| Hip replacement after a fracture (DRG 522) | $14,982 | $84,451 | 5.6× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $28,179 | 2.1× | $24,964–$34,505 | 3 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $34,505 | 2.6× | 1 |
| Elevance/Anthem/Empire | $28,179 | 2.1× | 1 |
| UnitedHealthcare | $24,964 | 1.9× | 1 |
From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 3.4% (no different from the national rate). Readmissions: 6.1%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 410 beds
Missouri has a certificate-of-need program that does not cover surgery centers.
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In 2024 the average total payment to Freeman Health System - Freeman West for an inpatient hip or knee replacement stay was $13,372 (MS-DRG 470, 53 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $10,819 per outpatient case (APC 5115, 281 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $78,009, 5.8× 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. Freeman Surgical Center, LLC, an orthopedic surgery center same ZIP away, is paid about $7,871 by Medicare for a knee replacement (CPT 27447), $5,501 less than an inpatient stay at Freeman Health System - Freeman West. Not every patient is a surgery-center candidate.
Freeman Health System - Freeman West's average total payment per Medicare stay is lower than 78% 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 $28,179 across 3 insurers, ranging from $24,964 to $34,505.