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Sky Lakes Medical Center: what a joint replacement costs

Klamath Falls, OR 97601 · CMS Certification Number 380050. 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
$9,143
Klamath Surgery Center, same ZIP
Outpatient here
$17,077
Medicare allowed amount, 140 cases, APC 5115
Inpatient here
$21,325
Avg total payment (incl. patient share), 19 Medicare stays, MS-DRG 470

Medicare prices at Sky Lakes Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$21,325$71,8713.4×$17,077
Shoulder replacement———$24,168

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$19,7330.9×$10,415–$44,83511
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Regence BlueShield$44,8352.1×1
Providence Health Plan$31,0481.5×1
Moda Health$26,0001.2×1
Alignment Health Plan$19,7330.9×1
Cigna$19,7330.9×1
Humana$19,7330.9×1
Kaiser Permanente$19,7330.9×1
Pacificsource Med Adv PPO$19,7330.9×1
Pyramid Todays Option Premier$19,7330.9×1
Scan Health Plan$19,7330.9×1
Cco Cascade Health Alliance$10,4150.5×1

From the hospital's price-transparency file (2026-03-25); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-03-25); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 3.4% (no different from the national rate). Readmissions: 5.3%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 176 beds

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

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Questions

How much does Medicare pay Sky Lakes Medical Center for a knee or hip replacement?

In 2024 the average total payment to Sky Lakes Medical Center for an inpatient hip or knee replacement stay was $21,325 (MS-DRG 470, 19 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $17,077 per outpatient case (APC 5115, 140 cases).

What is Sky Lakes Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $71,871, 3.4× 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 Sky Lakes Medical Center?

Yes for Medicare facility payments. Klamath Surgery Center, an orthopedic surgery center same ZIP away, is paid about $9,143 by Medicare for a knee replacement (CPT 27447), $12,182 less than an inpatient stay at Sky Lakes Medical Center. Not every patient is a surgery-center candidate.

How does Sky Lakes Medical Center compare with other Oregon hospitals?

Sky Lakes Medical Center's average total payment per Medicare stay is higher than 92% of the 13 Oregon hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Sky Lakes Medical Center 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 $19,733 across 11 insurers, ranging from $10,415 to $44,835.