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Barnes-Jewish St Peters Hospital: what a joint replacement costs

Saint Peters, MO 63376 · CMS Certification Number 260191. 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. Peter's Surgery Center, LLC, same ZIP
Outpatient here
$11,542
Medicare allowed amount, 129 cases, APC 5115
Inpatient here
$12,300
Avg total payment (incl. patient share), 26 Medicare stays, MS-DRG 470

Medicare prices at Barnes-Jewish St Peters Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$12,300$47,5913.9×$11,542
Shoulder replacement———$16,551
Hip replacement after a fracture (DRG 522)$12,995$53,8454.1×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$23,9932.0×$18,710–$37,9128
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Humana$37,9123.1×1
UnitedHealthcare$31,2852.5×1
Elevance/Anthem/Empire$29,7512.4×1
Aetna$24,7022.0×1
Sarah Bush Lincoln$23,2841.9×1
Consociate$21,7651.8×1
Health Alliance$21,4141.7×1
Cigna$18,7101.5×1

From the hospital's price-transparency file (2025-12-15); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2025-12-15); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 5.2% (no different from the national rate). Readmissions: 5.3%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 111 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 St Peters Hospital for a knee or hip replacement?

In 2024 the average total payment to Barnes-Jewish St Peters Hospital for an inpatient hip or knee replacement stay was $12,300 (MS-DRG 470, 26 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,542 per outpatient case (APC 5115, 129 cases).

What is Barnes-Jewish St Peters Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $47,591, 3.9× 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 Barnes-Jewish St Peters Hospital?

Yes for Medicare facility payments. St. Peter's Surgery Center, LLC, an orthopedic surgery center same ZIP away, is paid about $8,800 by Medicare for a knee replacement (CPT 27447), $3,500 less than an inpatient stay at Barnes-Jewish St Peters Hospital. Not every patient is a surgery-center candidate.

How does Barnes-Jewish St Peters Hospital compare with other Missouri hospitals?

Barnes-Jewish St Peters Hospital's average total payment per Medicare stay is lower than 91% of the 32 Missouri hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Barnes-Jewish St Peters Hospital 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 $23,993 across 8 insurers, ranging from $18,710 to $37,912.