Muskogee, OK 74401 · CMS Certification Number 370025. 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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,207 | $79,602 | 6.0× | $10,782 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $14,376 | $76,005 | 5.3× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $20,428 | 1.5× | $14,257–$29,512 | 8 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Quicktrip | $29,512 | 2.2× | 1 |
| UnitedHealthcare | $28,858 | 2.2× | 1 |
| BCBS OK | $27,412 | 2.1× | 1 |
| Healthcare Solutions Group | $20,446 | 1.5× | 1 |
| Healthchoice | $20,409 | 1.5× | 1 |
| Community Care | $20,387 | 1.5× | 1 |
| BCBS (other) | $14,257 | 1.1× | 1 |
| Indian Health Services | $14,257 | 1.1× | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 4.1% (no different from the national rate). Readmissions: 6.6%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 325 beds
Oklahoma has a certificate-of-need program that does not cover surgery centers.
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In 2024 the average total payment to Saint Francis Hospital Muskogee for an inpatient hip or knee replacement stay was $13,207 (MS-DRG 470, 21 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $10,782 per outpatient case (APC 5115, 50 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $79,602, 6.0× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Saint Francis Hospital Muskogee's average total payment per Medicare stay is lower than 62% of the 26 Oklahoma hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $20,428 across 8 insurers, ranging from $14,257 to $29,512.