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.
Missouri has a certificate-of-need program that does not cover surgery centers.
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| Hospital | City | Inpatient paid | List price | Outpatient |
|---|---|---|---|---|
| Boone Hospital Center | Columbia | $11,930 | $52,372 | $11,100 |
| Belton Regional Medical Center | Belton | $12,291 | $136,253 | $11,480 |
| Barnes-Jewish St Peters Hospital | Saint Peters | $12,300 | $47,591 | $11,542 |
| Missouri Baptist Medical Center | Town and Country | $12,630 | $56,388 | $11,341 |
| Ssm Health St Clare Hospital - Fenton | Fenton | $12,902 | $52,784 | $11,066 |
| Liberty Hospital | Liberty | $13,257 | $72,542 | $11,380 |
| Freeman Health System - Freeman West | Joplin | $13,372 | $78,009 | $10,819 |
| Centerpoint Medical Center | Independence | $13,408 | $141,973 | $11,480 |
| North Kansas City Hospital | North Kansas City | $13,418 | $62,831 | $11,391 |
| St Lukes Hospital | Chesterfield | $13,420 | $46,643 | $11,611 |
| Hospital | City | Inpatient paid | List price | Outpatient |
|---|---|---|---|---|
| Northeast Regional Medical Center | Kirksville | $22,454 | $141,742 | $12,037 |
| Barnes Jewish Hospital | Saint Louis | $20,098 | $87,909 | $11,333 |
| Western Missouri Medical Center | Warrensburg | $20,014 | $45,575 | $11,837 |
| St Lukes Hospital of Kansas City | Kansas City | $19,888 | $112,930 | $11,390 |
| Ssm Health St Mary's Hospital - St Louis | Richmond Heights | $18,589 | $52,750 | $11,490 |
| Golden Valley Memorial Hospital | Clinton | $17,703 | $44,977 | $12,292 |
| Phelps Health | Rolla | $17,076 | $100,322 | $12,232 |
| University of Missouri Health Care | Columbia | $16,853 | $99,913 | $10,934 |
| Cameron Regional Medical Center | Cameron | $15,865 | $65,701 | $11,051 |
| Progress West Hospital | O Fallon | $15,256 | $53,173 | $11,554 |
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.
Boone Hospital Center ($11,930), Belton Regional Medical Center ($12,291), Barnes-Jewish St Peters Hospital ($12,300).
The median list (chargemaster) price is $60,018, about 4.2× what Medicare pays.
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).