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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
714 Medicare cases, APC 5115
Inpatient here
$14,167
31 Medicare stays, MS-DRG 470

Medicare prices at Barnes-Jewish West County Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,167$54,4483.8×$11,435
Shoulder replacement$18,268$69,6753.8×$16,471

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 Medicare paid Barnes-Jewish West County Hospital an average of $14,167 per inpatient hip or knee replacement stay (MS-DRG 470, 31 stays) and $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× what Medicare paid. 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?

Medicare paid Barnes-Jewish West County Hospital less than 50% of the 32 Missouri hospitals that report inpatient hip or knee replacement.