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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
198 Medicare cases, APC 5115
Inpatient here
$13,159
26 Medicare stays, MS-DRG 470

Medicare prices at St Mary's Regional Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient 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×—

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 Medicare paid St Mary's Regional Medical Center an average of $13,159 per inpatient hip or knee replacement stay (MS-DRG 470, 26 stays) and $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× what Medicare paid. 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?

Medicare paid St Mary's Regional Medical Center less than 69% of the 26 Oklahoma hospitals that report inpatient hip or knee replacement.