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Mercy Hospital Oklahoma City, Inc: what a joint replacement costs

Oklahoma City, OK 73120 · CMS Certification Number 370013. 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
$8,530
Oklahoma Surgicare, 2.3 mi
Outpatient here
$11,102
340 Medicare cases, APC 5115
Inpatient here
$13,184
33 Medicare stays, MS-DRG 470

Medicare prices at Mercy Hospital Oklahoma City, Inc

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$13,184$38,3042.9×$11,102
Shoulder replacement———$15,834
Hip replacement after a fracture (DRG 522)$14,348$47,1713.3×—

Quality

Complications after hip or knee replacement: 4.9% (no different from the national rate). Readmissions: 6.1%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 385 beds

Oklahoma has a certificate-of-need program that does not cover surgery centers.

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Questions

How much does Medicare pay Mercy Hospital Oklahoma City, Inc for a knee or hip replacement?

In 2024 Medicare paid Mercy Hospital Oklahoma City, Inc an average of $13,184 per inpatient hip or knee replacement stay (MS-DRG 470, 33 stays) and $11,102 per outpatient case (APC 5115, 340 cases).

What is Mercy Hospital Oklahoma City, Inc's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $38,304, 2.9× 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 Mercy Hospital Oklahoma City, Inc?

Yes for Medicare facility payments. Oklahoma Surgicare, an orthopedic surgery center 2.3 mi away, is paid about $8,530 by Medicare for a knee replacement (CPT 27447), $4,654 less than an inpatient stay at Mercy Hospital Oklahoma City, Inc. Not every patient is a surgery-center candidate.

How does Mercy Hospital Oklahoma City, Inc compare with other Oklahoma hospitals?

Medicare paid Mercy Hospital Oklahoma City, Inc less than 65% of the 26 Oklahoma hospitals that report inpatient hip or knee replacement.