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Northeastern Health System: what a joint replacement costs

Tahlequah, OK 74465 · CMS Certification Number 370089. 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
$11,750
Medicare allowed amount, 46 cases, APC 5115
Inpatient here
$13,343
Avg total payment (incl. patient share), 26 Medicare stays, MS-DRG 470

Medicare prices at Northeastern Health System

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$13,343$47,1233.5×$11,750
Shoulder replacement———$16,607

Quality

Complications after hip or knee replacement: 4.1% (no different from the national rate). Readmissions: 5.4%. Overall Care Compare rating: 2 of 5 stars. Government · Acute · 98 beds

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

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Questions

How much does Medicare pay Northeastern Health System for a knee or hip replacement?

In 2024 the average total payment to Northeastern Health System for an inpatient hip or knee replacement stay was $13,343 (MS-DRG 470, 26 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,750 per outpatient case (APC 5115, 46 cases).

What is Northeastern Health System's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $47,123, 3.5× 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 Northeastern Health System compare with other Oklahoma hospitals?

Northeastern Health System's average total payment per Medicare stay is lower than 58% of the 26 Oklahoma hospitals that report inpatient hip or knee replacement.