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St Lukes Hospital: what a joint replacement costs

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.

Surgery center nearby
$8,800
St Louis Spine and Orthopedic Surgery Center, same ZIP
Outpatient here
$11,611
Medicare allowed amount, 326 cases, APC 5115
Inpatient here
$13,420
Avg total payment (incl. patient share), 64 Medicare stays, MS-DRG 470

Medicare prices at St Lukes Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$13,420$46,6433.5×$11,611
Shoulder replacement$17,889$51,8582.9×$16,551
Hip replacement after a fracture (DRG 522)$14,942$49,5403.3×—

Quality

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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Questions

How much does Medicare pay St Lukes Hospital for a knee or hip replacement?

In 2024 the average total payment to St Lukes Hospital for an inpatient hip or knee replacement stay was $13,420 (MS-DRG 470, 64 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,611 per outpatient case (APC 5115, 326 cases).

What is St Lukes Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $46,643, 3.5× 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 St Lukes Hospital?

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.

How does St Lukes Hospital compare with other Missouri hospitals?

St Lukes Hospital's average total payment per Medicare stay is lower than 69% of the 32 Missouri hospitals that report inpatient hip or knee replacement.