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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,272 | $144,040 | 10.1× | $11,326 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $14,894 | $153,457 | 10.3× | — |
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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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).
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.
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.
Medicare paid Ssm Health St Anthony Hospital - Midwest more than 62% of the 26 Oklahoma hospitals that report inpatient hip or knee replacement.