Oklahoma City, OK 73102 · CMS Certification Number 370037. 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 | $15,217 | $62,646 | 4.1× | $11,191 |
| Shoulder replacement | — | — | — | $15,528 |
| Hip replacement after a fracture (DRG 522) | $15,774 | $60,401 | 3.8× | — |
Complications after hip or knee replacement: 3.8% (no different from the national rate). Readmissions: 5%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 686 beds
Oklahoma has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Ssm Health St Anthony Hospital - Oklahoma City an average of $15,217 per inpatient hip or knee replacement stay (MS-DRG 470, 130 stays) and $11,191 per outpatient case (APC 5115, 567 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $62,646, 4.1× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Mercy Hospital Oklahoma City Outpatient Surgery, L, an orthopedic surgery center 4.5 mi away, is paid about $8,530 by Medicare for a knee replacement (CPT 27447), $6,687 less than an inpatient stay at Ssm Health St Anthony Hospital - Oklahoma City. Not every patient is a surgery-center candidate.
Medicare paid Ssm Health St Anthony Hospital - Oklahoma City more than 85% of the 26 Oklahoma hospitals that report inpatient hip or knee replacement.