Henderson, NV 89052 · CMS Certification Number 290045. 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 paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $16,278 | $144,222 | 8.9× | $13,872 |
| Shoulder replacement | $20,942 | $189,810 | 9.1× | $19,736 |
| Hip replacement after a fracture (DRG 522) | $18,921 | $149,201 | 7.9× | — |
Complications after hip or knee replacement: 4.2% (no different from the national rate). Readmissions: 5.6%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 326 beds
Nevada has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Saint Rose Dominican Hospitals - Siena Campus an average of $16,278 per inpatient hip or knee replacement stay (MS-DRG 470, 58 stays) and $13,872 per outpatient case (APC 5115, 494 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $144,222, 8.9× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Siena Surgery Center, an orthopedic surgery center same ZIP away, is paid about $9,670 by Medicare for a knee replacement (CPT 27447), $6,608 less than an inpatient stay at Saint Rose Dominican Hospitals - Siena Campus. Not every patient is a surgery-center candidate.
Medicare paid Saint Rose Dominican Hospitals - Siena Campus less than 89% of the 9 Nevada hospitals that report inpatient hip or knee replacement.