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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
46 Medicare cases, APC 5115
Inpatient here
$13,343
26 Medicare stays, MS-DRG 470

Medicare prices at Northeastern Health System

OperationInpatient paidList priceList ÷ paidOutpatient 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 Medicare paid Northeastern Health System an average of $13,343 per inpatient hip or knee replacement stay (MS-DRG 470, 26 stays) and $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× what Medicare paid. 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?

Medicare paid Northeastern Health System less than 58% of the 26 Oklahoma hospitals that report inpatient hip or knee replacement.