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St Mary's Regional Medical Center: what a joint replacement costs

Enid, OK 73701 · CMS Certification Number 370026. 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
$11,067
Medicare allowed amount, 198 cases, APC 5115
Inpatient here
$13,159
Avg total payment (incl. patient share), 26 Medicare stays, MS-DRG 470

Medicare prices at St Mary's Regional Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$13,159$94,9987.2×$11,067
Shoulder replacement———$15,794
Hip replacement after a fracture (DRG 522)$14,323$122,1418.5×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$23,1171.8×$14,423–$42,2906
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
UnitedHealthcare$42,2903.2×1
BCBS OK$31,5162.4×1
Aetna$26,1622.0×1
Cigna$20,0721.5×1
Healthcare Highway$17,3081.3×1
Indian Health Benefits$14,4231.1×1

From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 3.4% (no different from the national rate). Readmissions: 5.2%. Overall Care Compare rating: 3 of 5 stars. For-profit · Acute · 229 beds

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

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Questions

How much does Medicare pay St Mary's Regional Medical Center for a knee or hip replacement?

In 2024 the average total payment to St Mary's Regional Medical Center for an inpatient hip or knee replacement stay was $13,159 (MS-DRG 470, 26 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,067 per outpatient case (APC 5115, 198 cases).

What is St Mary's Regional Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $94,998, 7.2× 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 St Mary's Regional Medical Center compare with other Oklahoma hospitals?

St Mary's Regional Medical Center's average total payment per Medicare stay is lower than 69% of the 26 Oklahoma hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay St Mary's Regional Medical Center 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 $23,117 across 6 insurers, ranging from $14,423 to $42,290.