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Barnes-Jewish West County Hospital: what a joint replacement costs

Creve Coeur, MO 63141 · CMS Certification Number 260162. 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, same ZIP
Outpatient here
$11,435
Medicare allowed amount, 714 cases, APC 5115
Inpatient here
$14,167
Avg total payment (incl. patient share), 31 Medicare stays, MS-DRG 470

Medicare prices at Barnes-Jewish West County Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$14,167$54,4483.8×$11,435
Shoulder replacement$18,268$69,6753.8×$16,471

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$23,9931.7×$18,710–$37,9128
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Humana$37,9122.7×1
UnitedHealthcare$31,2852.2×1
Elevance/Anthem/Empire$29,7512.1×1
Aetna$24,7021.7×1
Sarah Bush Lincoln$23,2841.6×1
Consociate$21,7651.5×1
Health Alliance$21,4141.5×1
Cigna$18,7101.3×1

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: 5.4% (no different from the national rate). Readmissions: 5.9%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 113 beds

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

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Questions

How much does Medicare pay Barnes-Jewish West County Hospital for a knee or hip replacement?

In 2024 the average total payment to Barnes-Jewish West County Hospital for an inpatient hip or knee replacement stay was $14,167 (MS-DRG 470, 31 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,435 per outpatient case (APC 5115, 714 cases).

What is Barnes-Jewish West County Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $54,448, 3.8× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

Is a knee replacement cheaper at a surgery center near Barnes-Jewish West County Hospital?

Yes for Medicare facility payments. Advanced Surgical Care, an orthopedic surgery center same ZIP away, is paid about $8,800 by Medicare for a knee replacement (CPT 27447), $5,367 less than an inpatient stay at Barnes-Jewish West County Hospital. Not every patient is a surgery-center candidate.

How does Barnes-Jewish West County Hospital compare with other Missouri hospitals?

Barnes-Jewish West County Hospital's average total payment per Medicare stay is lower than 50% of the 32 Missouri hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Barnes-Jewish West County Hospital 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 $23,993 across 8 insurers, ranging from $18,710 to $37,912.