Chesterfield, MO 63017 · CMS Certification Number 260179. 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 | $13,420 | $46,643 | 3.5× | $11,611 |
| Shoulder replacement | $17,889 | $51,858 | 2.9× | $16,551 |
| Hip replacement after a fracture (DRG 522) | $14,942 | $49,540 | 3.3× | — |
Complications after hip or knee replacement: 3.7% (no different from the national rate). Readmissions: 6.6%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 493 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 an average of $13,420 per inpatient hip or knee replacement stay (MS-DRG 470, 64 stays) and $11,611 per outpatient case (APC 5115, 326 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $46,643, 3.5× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. St Louis Spine and Orthopedic Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,800 by Medicare for a knee replacement (CPT 27447), $4,620 less than an inpatient stay at St Lukes Hospital. Not every patient is a surgery-center candidate.
Medicare paid St Lukes Hospital less than 69% of the 32 Missouri hospitals that report inpatient hip or knee replacement.