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Ssm Health St Joseph Hospital-Lake Saint Louis: what a joint replacement costs

Lake Saint Louis, MO 63367 · CMS Certification Number 260200. 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
Wentzville Surgery Center, LLC, 3.7 mi
Outpatient here
$11,406
34 Medicare cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Ssm Health St Joseph Hospital-Lake Saint Louis

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement———$11,406
Shoulder replacement———$16,551
Hip replacement after a fracture (DRG 522)$14,237$47,1203.3×—

Quality

Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 100 beds

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

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Questions

How much does Medicare pay Ssm Health St Joseph Hospital-Lake Saint Louis for a knee or hip replacement?

Medicare allowed an average of $11,406 per outpatient hip or knee replacement case (APC 5115, 34 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Ssm Health St Joseph Hospital-Lake Saint Louis?

Yes for Medicare facility payments. Wentzville Surgery Center, LLC, an orthopedic surgery center 3.7 mi away, is paid about $8,800 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.