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Missouri: one knee, three prices

What Medicare pays Missouri hospitals and surgery centers for knee, hip and shoulder replacement, what hospitals list, and which cost the most and the least.

Surgery center
$8,800
Median Medicare knee rate, 31 orthopedic surgery centers
Hospital, same day
$11,480
Median outpatient allowed
Hospital, overnight
$14,232
Median inpatient paid, 32 hospitals

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

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Lowest Medicare payment

HospitalCityInpatient paidList priceOutpatient
Boone Hospital CenterColumbia$11,930$52,372$11,100
Belton Regional Medical CenterBelton$12,291$136,253$11,480
Barnes-Jewish St Peters HospitalSaint Peters$12,300$47,591$11,542
Missouri Baptist Medical CenterTown and Country$12,630$56,388$11,341
Ssm Health St Clare Hospital - FentonFenton$12,902$52,784$11,066
Liberty HospitalLiberty$13,257$72,542$11,380
Freeman Health System - Freeman WestJoplin$13,372$78,009$10,819
Centerpoint Medical CenterIndependence$13,408$141,973$11,480
North Kansas City HospitalNorth Kansas City$13,418$62,831$11,391
St Lukes HospitalChesterfield$13,420$46,643$11,611

Highest Medicare payment

HospitalCityInpatient paidList priceOutpatient
Northeast Regional Medical CenterKirksville$22,454$141,742$12,037
Barnes Jewish HospitalSaint Louis$20,098$87,909$11,333
Western Missouri Medical CenterWarrensburg$20,014$45,575$11,837
St Lukes Hospital of Kansas CityKansas City$19,888$112,930$11,390
Ssm Health St Mary's Hospital - St LouisRichmond Heights$18,589$52,750$11,490
Golden Valley Memorial HospitalClinton$17,703$44,977$12,292
Phelps HealthRolla$17,076$100,322$12,232
University of Missouri Health CareColumbia$16,853$99,913$10,934
Cameron Regional Medical CenterCameron$15,865$65,701$11,051
Progress West HospitalO Fallon$15,256$53,173$11,554

Every Missouri hospital (53)

Orthopedic surgery centers (31)

Questions

How much does Medicare pay for a knee replacement in Missouri?

In 2024 Medicare paid Missouri hospitals a median $14,232 per inpatient hip or knee replacement stay (MS-DRG 470, 32 hospitals) and a median $11,480 per outpatient case. An orthopedic surgery center is paid about $8,800 for a knee.

Which Missouri hospitals does Medicare pay least for a joint replacement?

Boone Hospital Center ($11,930), Belton Regional Medical Center ($12,291), Barnes-Jewish St Peters Hospital ($12,300).

What do Missouri hospitals list for a joint replacement?

The median list (chargemaster) price is $60,018, about 4.2× what Medicare pays.

Does Missouri have a certificate-of-need law?

Missouri has a certificate-of-need program that does not cover surgery centers. CON covers long-term care facilities and beds, new hospital construction, and major capital or equipment spending; freestanding ASCs are not covered (ASC review repealed in the early 2000s).