Tulsa, OK 74104 · CMS Certification Number 370001. 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 | $14,391 | $119,913 | 8.3× | $10,899 |
| Shoulder replacement | — | — | — | $15,398 |
| Hip replacement after a fracture (DRG 522) | $15,710 | $119,347 | 7.6× | — |
Complications after hip or knee replacement: 4% (no different from the national rate). Readmissions: 6.8%. Overall Care Compare rating: 3 of 5 stars. For-profit · Acute · 620 beds
Oklahoma has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Hillcrest Medical Center an average of $14,391 per inpatient hip or knee replacement stay (MS-DRG 470, 21 stays) and $10,899 per outpatient case (APC 5115, 113 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $119,913, 8.3× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Union Pines Surgery Center, LLC, an orthopedic surgery center 6.4 mi away, is paid about $8,248 by Medicare for a knee replacement (CPT 27447), $6,143 less than an inpatient stay at Hillcrest Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Hillcrest Medical Center more than 65% of the 26 Oklahoma hospitals that report inpatient hip or knee replacement.