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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,159 | $94,998 | 7.2× | $11,067 |
| Shoulder replacement | — | — | — | $15,794 |
| Hip replacement after a fracture (DRG 522) | $14,323 | $122,141 | 8.5× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $23,117 | 1.8× | $14,423–$42,290 | 6 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $42,290 | 3.2× | 1 |
| BCBS OK | $31,516 | 2.4× | 1 |
| Aetna | $26,162 | 2.0× | 1 |
| Cigna | $20,072 | 1.5× | 1 |
| Healthcare Highway | $17,308 | 1.3× | 1 |
| Indian Health Benefits | $14,423 | 1.1× | 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.
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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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).
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.
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.
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.