Lees Summit, MO 64063 · CMS Certification Number 260190. 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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,697 | $95,243 | 7.0× | $11,239 |
| Shoulder replacement | — | — | — | $16,241 |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $20,986 | 1.5× | $11,663–$35,598 | 9 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $35,598 | 2.6× | 1 |
| WPPA ProviDrs Care Network | $31,267 | 2.3× | 1 |
| Aetna | $28,278 | 2.1× | 1 |
| Elevance/Anthem/Empire | $23,629 | 1.7× | 1 |
| Oscar | $20,986 | 1.5× | 1 |
| Devoted Health | $16,105 | 1.2× | 1 |
| UnitedHealthcare | $15,473 | 1.1× | 1 |
| CorVel Corporation (rental network) | $14,442 | 1.1× | 1 |
| MultiPlan/PHCS (rental network) | $13,492 | 1.0× | 1 |
| Unicare | $11,891 | 0.9× | 1 |
| HealthyBlue | $11,663 | 0.9× | 1 |
From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 4% (no different from the national rate). Readmissions: 7.9%. Overall Care Compare rating: 3 of 5 stars. For-profit · Acute · 88 beds
Missouri has a certificate-of-need program that does not cover surgery centers.
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In 2024 the average total payment to Lee's Summit Medical Center for an inpatient hip or knee replacement stay was $13,697 (MS-DRG 470, 17 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,239 per outpatient case (APC 5115, 41 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $95,243, 7.0× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Saint Luke's Surgicenter - Lee's Summit LLC, an orthopedic surgery center 4.4 mi away, is paid about $8,659 by Medicare for a knee replacement (CPT 27447), $5,038 less than an inpatient stay at Lee's Summit Medical Center. Not every patient is a surgery-center candidate.
Lee's Summit Medical Center's average total payment per Medicare stay is lower than 59% of the 32 Missouri hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $20,986 across 9 insurers, ranging from $11,663 to $35,598.