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Duncan Regional Hospital, Inc: what a joint replacement costs

Duncan, OK 73533 · CMS Certification Number 370023. 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
—
No orthopedic surgery center within 25 miles
Outpatient here
$11,958
112 Medicare cases, APC 5115
Inpatient here
$12,954
12 Medicare stays, MS-DRG 470

Medicare prices at Duncan Regional Hospital, Inc

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$12,954$81,4266.3×$11,958
Shoulder replacement———$16,307
Hip replacement after a fracture (DRG 522)$14,600$83,3245.7×—

Quality

Complications after hip or knee replacement: 4.4% (no different from the national rate). Readmissions: 5.9%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 110 beds

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

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Questions

How much does Medicare pay Duncan Regional Hospital, Inc for a knee or hip replacement?

In 2024 Medicare paid Duncan Regional Hospital, Inc an average of $12,954 per inpatient hip or knee replacement stay (MS-DRG 470, 12 stays) and $11,958 per outpatient case (APC 5115, 112 cases).

What is Duncan Regional Hospital, Inc's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $81,426, 6.3× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

How does Duncan Regional Hospital, Inc compare with other Oklahoma hospitals?

Medicare paid Duncan Regional Hospital, Inc less than 73% of the 26 Oklahoma hospitals that report inpatient hip or knee replacement.