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Saint Francis Medical Center: what a joint replacement costs

Cape Girardeau, MO 63703 · CMS Certification Number 260183. 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
—
No orthopedic surgery center within 25 miles
Outpatient here
$11,984
Medicare allowed amount, 257 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Saint Francis Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,984
Shoulder replacement———$16,398
Hip replacement after a fracture (DRG 522)$15,434$78,2585.1×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$22,961—$15,185–$37,7228
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
UnitedHealthcare$37,722—1
Elevance/Anthem/Empire$36,923—1
Quiktrip$29,512—1
Healthchoice$24,704—1
Healthcare Solutions Group$21,218—1
Community Care$20,728—1
BCBS (other)$15,185—1
Indian Health Services$15,185—1

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

Quality

Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 308 beds

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

Open the interactive price tagBuild a reportAll Missouri hospitals

Questions

How much does Medicare pay Saint Francis Medical Center for a knee or hip replacement?

The Medicare allowed amount averaged $11,984 per outpatient hip or knee replacement case (APC 5115, 257 cases) in 2024. Inpatient stays were too few to report.

What do commercial insurers pay Saint Francis Medical Center 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 $22,961 across 8 insurers, ranging from $15,185 to $37,722.