Kansas City, MO 64111 · CMS Certification Number 260138. 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 | $19,888 | $112,930 | 5.7× | $11,390 |
| Shoulder replacement | — | — | — | $15,436 |
| Hip replacement after a fracture (DRG 522) | $20,255 | $117,527 | 5.8× | — |
Complications after hip or knee replacement: 4% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 642 beds
Missouri has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid St Lukes Hospital of Kansas City an average of $19,888 per inpatient hip or knee replacement stay (MS-DRG 470, 11 stays) and $11,390 per outpatient case (APC 5115, 110 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $112,930, 5.7× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Ascentist Ear, Nose and Throat Institute, an orthopedic surgery center 6.5 mi away, is paid about $8,659 by Medicare for a knee replacement (CPT 27447), $11,229 less than an inpatient stay at St Lukes Hospital of Kansas City. Not every patient is a surgery-center candidate.
Medicare paid St Lukes Hospital of Kansas City more than 91% of the 32 Missouri hospitals that report inpatient hip or knee replacement.