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Ssm Health St Anthony Hospital - Midwest: what a joint replacement costs

Midwest City, OK 73110 · CMS Certification Number 370094. 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
$8,530
Physicians Surgical Center, LLC, 9.0 mi
Outpatient here
$11,326
31 Medicare cases, APC 5115
Inpatient here
$14,272
21 Medicare stays, MS-DRG 470

Medicare prices at Ssm Health St Anthony Hospital - Midwest

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,272$144,04010.1×$11,326
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$14,894$153,45710.3×—

Quality

Complications after hip or knee replacement: 4.3% (no different from the national rate). Readmissions: 6.5%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 255 beds

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

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Questions

How much does Medicare pay Ssm Health St Anthony Hospital - Midwest for a knee or hip replacement?

In 2024 Medicare paid Ssm Health St Anthony Hospital - Midwest an average of $14,272 per inpatient hip or knee replacement stay (MS-DRG 470, 21 stays) and $11,326 per outpatient case (APC 5115, 31 cases).

What is Ssm Health St Anthony Hospital - Midwest's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $144,040, 10.1× what Medicare paid. 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 Ssm Health St Anthony Hospital - Midwest?

Yes for Medicare facility payments. Physicians Surgical Center, LLC, an orthopedic surgery center 9.0 mi away, is paid about $8,530 by Medicare for a knee replacement (CPT 27447), $5,742 less than an inpatient stay at Ssm Health St Anthony Hospital - Midwest. Not every patient is a surgery-center candidate.

How does Ssm Health St Anthony Hospital - Midwest compare with other Oklahoma hospitals?

Medicare paid Ssm Health St Anthony Hospital - Midwest more than 62% of the 26 Oklahoma hospitals that report inpatient hip or knee replacement.