Price AtlasInteractive atlas · All states · techysurgeon.comProgress West Hospital: what a joint replacement costs
O Fallon, MO 63368 · CMS Certification Number 260219. 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.
Medicare prices at Progress West Hospital
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,256 | $53,173 | 3.5× | $11,554 |
| Shoulder replacement | — | — | — | $16,551 |
Quality
Complications after hip or knee replacement: 3.3% (no different from the national rate). Readmissions: 6%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 76 beds
Missouri has a certificate-of-need program that does not cover surgery centers.
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Questions
How much does Medicare pay Progress West Hospital for a knee or hip replacement?
In 2024 Medicare paid Progress West Hospital an average of $15,256 per inpatient hip or knee replacement stay (MS-DRG 470, 16 stays) and $11,554 per outpatient case (APC 5115, 140 cases).
What is Progress West Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $53,173, 3.5× what Medicare paid. 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 Progress West Hospital?
Yes for Medicare facility payments. St. Peter's Surgery Center, LLC, an orthopedic surgery center 7.1 mi away, is paid about $8,800 by Medicare for a knee replacement (CPT 27447), $6,456 less than an inpatient stay at Progress West Hospital. Not every patient is a surgery-center candidate.
How does Progress West Hospital compare with other Missouri hospitals?
Medicare paid Progress West Hospital more than 72% of the 32 Missouri hospitals that report inpatient hip or knee replacement.