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Community Hospital, LLC: what a joint replacement costs

Oklahoma City, OK 73159 · CMS Certification Number 370203. 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, 6.8 mi
Outpatient here
$11,162
704 Medicare cases, APC 5115
Inpatient here
$12,538
34 Medicare stays, MS-DRG 470

Medicare prices at Community Hospital, LLC

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$12,538$111,0708.9×$11,162
Shoulder replacement———$16,023

Quality

Complications after hip or knee replacement: 4.5% (no different from the national rate). Readmissions: 5.1%. Overall Care Compare rating: 4 of 5 stars. Physician-owned · Acute · 45 beds

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

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Questions

How much does Medicare pay Community Hospital, LLC for a knee or hip replacement?

In 2024 Medicare paid Community Hospital, LLC an average of $12,538 per inpatient hip or knee replacement stay (MS-DRG 470, 34 stays) and $11,162 per outpatient case (APC 5115, 704 cases).

What is Community Hospital, LLC's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $111,070, 8.9× 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 Community Hospital, LLC?

Yes for Medicare facility payments. Physicians Surgical Center, LLC, an orthopedic surgery center 6.8 mi away, is paid about $8,530 by Medicare for a knee replacement (CPT 27447), $4,008 less than an inpatient stay at Community Hospital, LLC. Not every patient is a surgery-center candidate.

How does Community Hospital, LLC compare with other Oklahoma hospitals?

Medicare paid Community Hospital, LLC less than 88% of the 26 Oklahoma hospitals that report inpatient hip or knee replacement.