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Saint Francis Hospital Muskogee: what a joint replacement costs

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.

Surgery center nearby
—
No orthopedic surgery center within 25 miles
Outpatient here
$10,782
Medicare allowed amount, 50 cases, APC 5115
Inpatient here
$13,207
Avg total payment (incl. patient share), 21 Medicare stays, MS-DRG 470

Medicare prices at Saint Francis Hospital Muskogee

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$13,207$79,6026.0×$10,782
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$14,376$76,0055.3×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$20,4281.5×$14,257–$29,5128
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Quicktrip$29,5122.2×1
UnitedHealthcare$28,8582.2×1
BCBS OK$27,4122.1×1
Healthcare Solutions Group$20,4461.5×1
Healthchoice$20,4091.5×1
Community Care$20,3871.5×1
BCBS (other)$14,2571.1×1
Indian Health Services$14,2571.1×1

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.

Quality

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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Questions

How much does Medicare pay Saint Francis Hospital Muskogee for a knee or hip replacement?

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).

What is Saint Francis Hospital Muskogee's list price for a joint replacement?

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.

How does Saint Francis Hospital Muskogee compare with other Oklahoma hospitals?

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.

What do commercial insurers pay Saint Francis Hospital Muskogee for a 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.