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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,184 | $38,304 | 2.9× | $11,102 |
| Shoulder replacement | — | — | — | $15,834 |
| Hip replacement after a fracture (DRG 522) | $14,348 | $47,171 | 3.3× | — |
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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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).
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.
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.
Medicare paid Mercy Hospital Oklahoma City, Inc less than 65% of the 26 Oklahoma hospitals that report inpatient hip or knee replacement.