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Saint Francis Hospital, Inc: what a joint replacement costs

Tulsa, OK 74136 · CMS Certification Number 370091. 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
$8,248
Memorial Surgery Center, L L C, 3.9 mi
Outpatient here
$11,034
Medicare allowed amount, 442 cases, APC 5115
Inpatient here
$14,870
Avg total payment (incl. patient share), 57 Medicare stays, MS-DRG 470

Medicare prices at Saint Francis Hospital, Inc

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$14,870$66,8424.5×$11,034
Shoulder replacement$18,449$76,1234.1×$15,593
Hip replacement after a fracture (DRG 522)$15,384$69,8124.5×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$36,9232.5×$15,185–$37,7223
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
UnitedHealthcare$37,7222.5×1
BCBS OK$36,9232.5×1
BCBS (other)$15,1851.0×1

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 4.1% (no different from the national rate). Readmissions: 5.5%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 1088 beds

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

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Questions

How much does Medicare pay Saint Francis Hospital, Inc for a knee or hip replacement?

In 2024 the average total payment to Saint Francis Hospital, Inc for an inpatient hip or knee replacement stay was $14,870 (MS-DRG 470, 57 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,034 per outpatient case (APC 5115, 442 cases).

What is Saint Francis Hospital, Inc's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $66,842, 4.5× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

Is a knee replacement cheaper at a surgery center near Saint Francis Hospital, Inc?

Yes for Medicare facility payments. Memorial Surgery Center, L L C, an orthopedic surgery center 3.9 mi away, is paid about $8,248 by Medicare for a knee replacement (CPT 27447), $6,622 less than an inpatient stay at Saint Francis Hospital, Inc. Not every patient is a surgery-center candidate.

How does Saint Francis Hospital, Inc compare with other Oklahoma hospitals?

Saint Francis Hospital, Inc's average total payment per Medicare stay is higher than 73% of the 26 Oklahoma hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Saint Francis Hospital, Inc for a hip or knee replacement?

From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $36,923 across 3 insurers, ranging from $15,185 to $37,722.