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 paid | List price | List ÷ paid | Outpatient 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× | — |
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 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).
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.
Medicare paid St Mary's Regional Medical Center less than 69% of the 26 Oklahoma hospitals that report inpatient hip or knee replacement.