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St Mary's Medical Center: what a joint replacement costs

Huntington, WV 25702 · CMS Certification Number 510007. 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
$8,334
Three Gables Surgical and Diagnostic Center , 5.0 mi
Outpatient here
$10,836
Medicare allowed amount, 132 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at St Mary's Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$10,836
Shoulder replacement———$15,547
Hip replacement after a fracture (DRG 522)$15,398$70,5934.6×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$28,380—$20,772–$35,9892
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Highmark BCBS$35,989—1
Peia$20,772—1

From the hospital's price-transparency file (2026-01-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-01-01); commercial plans, dollar-amount contracts only.

Quality

Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 440 beds

West Virginia requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay St Mary's Medical Center for a knee or hip replacement?

The Medicare allowed amount averaged $10,836 per outpatient hip or knee replacement case (APC 5115, 132 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near St Mary's Medical Center?

Yes for Medicare facility payments. Three Gables Surgical and Diagnostic Center , an orthopedic surgery center 5.0 mi away, is paid about $8,334 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay St Mary's 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 $28,380 across 2 insurers, ranging from $20,772 to $35,989.