Lees Summit, MO 64086 · CMS Certification Number 260216. 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 | $14,002 | $85,267 | 6.1× | $11,480 |
| Shoulder replacement | — | — | — | $16,241 |
| Hip replacement after a fracture (DRG 522) | $13,721 | $103,774 | 7.6× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $30,832 | 2.2× | $13,750–$83,173 | 8 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Medica | $83,173 | 5.9× | 1 |
| Aetna | $59,838 | 4.3× | 1 |
| Elevance/Anthem/Empire | $42,762 | 3.1× | 1 |
| UnitedHealthcare | $31,285 | 2.2× | 1 |
| BCBS (other) | $30,380 | 2.2× | 1 |
| Cigna | $16,464 | 1.2× | 1 |
| Humana | $13,750 | 1.0× | 1 |
| Transplants-Case Rates | $13,750 | 1.0× | 1 |
From the hospital's price-transparency file (2025-12-31); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2025-12-31); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 5% (no different from the national rate). Readmissions: 6.7%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 240 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 Saint Luke's East Hospital for an inpatient hip or knee replacement stay was $14,002 (MS-DRG 470, 11 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,480 per outpatient case (APC 5115, 193 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $85,267, 6.1× 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 same ZIP away, is paid about $8,659 by Medicare for a knee replacement (CPT 27447), $5,343 less than an inpatient stay at Saint Luke's East Hospital. Not every patient is a surgery-center candidate.
Saint Luke's East Hospital's average total payment per Medicare stay is lower than 56% 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 $30,832 across 8 insurers, ranging from $13,750 to $83,173.