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Saint Luke's East Hospital: what a joint replacement costs

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.

Surgery center nearby
$8,659
Saint Luke's Surgicenter - Lee's Summit LLC, same ZIP
Outpatient here
$11,480
Medicare allowed amount, 193 cases, APC 5115
Inpatient here
$14,002
Avg total payment (incl. patient share), 11 Medicare stays, MS-DRG 470

Medicare prices at Saint Luke's East Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$14,002$85,2676.1×$11,480
Shoulder replacement———$16,241
Hip replacement after a fracture (DRG 522)$13,721$103,7747.6×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$30,8322.2×$13,750–$83,1738
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Medica$83,1735.9×1
Aetna$59,8384.3×1
Elevance/Anthem/Empire$42,7623.1×1
UnitedHealthcare$31,2852.2×1
BCBS (other)$30,3802.2×1
Cigna$16,4641.2×1
Humana$13,7501.0×1
Transplants-Case Rates$13,7501.0×1

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.

Quality

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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Questions

How much does Medicare pay Saint Luke's East Hospital for a knee or hip replacement?

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).

What is Saint Luke's East Hospital's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Saint Luke's East Hospital?

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.

How does Saint Luke's East Hospital compare with other Missouri hospitals?

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.

What do commercial insurers pay Saint Luke's East 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 $30,832 across 8 insurers, ranging from $13,750 to $83,173.