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Prairie Lakes Hospital: what a joint replacement costs

Watertown, SD 57201 · CMS Certification Number 430005. 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
$8,196
Sanford Clinic Watertown Surgical Center, same ZIP
Outpatient here
$12,882
111 Medicare cases, APC 5115
Inpatient here
$15,073
29 Medicare stays, MS-DRG 470

Medicare prices at Prairie Lakes Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$15,073$62,3594.1×$12,882
Shoulder replacement———$18,669
Hip replacement after a fracture (DRG 522)$16,710$53,8543.2×—

Quality

Complications after hip or knee replacement: 3.9% (no different from the national rate). Readmissions: 5%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 81 beds

South Dakota has no certificate-of-need law.

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Questions

How much does Medicare pay Prairie Lakes Hospital for a knee or hip replacement?

In 2024 Medicare paid Prairie Lakes Hospital an average of $15,073 per inpatient hip or knee replacement stay (MS-DRG 470, 29 stays) and $12,882 per outpatient case (APC 5115, 111 cases).

What is Prairie Lakes Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $62,359, 4.1× 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 Prairie Lakes Hospital?

Yes for Medicare facility payments. Sanford Clinic Watertown Surgical Center, an orthopedic surgery center same ZIP away, is paid about $8,196 by Medicare for a knee replacement (CPT 27447), $6,877 less than an inpatient stay at Prairie Lakes Hospital. Not every patient is a surgery-center candidate.

How does Prairie Lakes Hospital compare with other South Dakota hospitals?

Medicare paid Prairie Lakes Hospital more than 56% of the 9 South Dakota hospitals that report inpatient hip or knee replacement.