DRG 470 · Musculoskeletal

Hip & Knee Replacement Cost in Missouri — Compare All Hospitals

Major joint replacement or reattachment of the lower extremity — most commonly elective hip or knee replacement surgery.

State average
$55,493
gross charge · DRG 470
Hospitals
12
with published pricing
Price range
$28,934 – $81,293
low to high
Lowest $28,934 Highest $81,293

Missouri hospitals price hip & knee replacement (Medicare DRG 470) anywhere from $28,934 to $81,293 — a $52,359 gap between the cheapest and most expensive option. The cheapest is Mercy Hospital Springfield in Springfield; the most expensive is Mercy Hospital Southeast in Cape Girardeau. The state average sits at $55,493.

Gross charges are the hospital's list price for the facility part of your stay — the room, operating-room time, nursing, and equipment. Insurance plans negotiate substantial discounts, Medicare and Medicaid pay fixed federal rates, and uninsured patients can usually qualify for a cash-pay discount. But the gross charge still works as a useful benchmark: a hospital that lists hip & knee replacement at twice the price of another typically negotiates higher rates with insurers too, and quotes more for uninsured patients.

If you're scheduling hip & knee replacement in Missouri, sort the list below by price, then click each hospital name to see its quality profile — CMS overall star rating, surgical-safety measures, readmission rates, patient-experience scores. The cheapest hospital isn't always the right call. Teaching hospitals often charge more because they take complex cases, and a higher-rated community hospital may deliver equivalent outcomes for a straightforward case at a lower price. Use the price column to narrow the field; use the quality data to make the final call.

Pricing comes from each hospital's Machine-Readable File (MRF), published under the federal Hospital Price Transparency Rule. Missouri hospitals missing from the list either don't perform hip & knee replacement in volume, haven't published a usable price for DRG 470 in their most recent MRF, or fell below our data-quality thresholds (we filter out clearly erroneous entries like $0 charges). The list refreshes as hospitals update their files.

What this hospital charge usually covers

The gross-charge number above is the hospital's facility bill for hip & knee replacement. Here's what's typically inside that price (typical inpatient stay: 1–3 days):

Included in the hospital bill

  • Operating room time and surgical-team facility fees
  • Inpatient room, nursing, and routine medications during the stay
  • Implant-related facility charges (varies by hospital — sometimes itemized separately)
  • Recovery-room and immediate post-op monitoring
  • On-site physical therapy started during admission

Usually billed separately

  • Surgeon and anesthesiologist professional fees (billed separately, often by an unaffiliated practice)
  • Pre-surgical imaging (MRI/X-ray) and lab work
  • Outpatient physical therapy after discharge
  • Home health visits or skilled nursing facility stays if needed

Quality signals to check before picking a hospital

Price alone won't tell you which hospital does hip & knee replacement best. These are the CMS quality measures that matter most for this specific procedure. Click any hospital below for its full profile, then look for these:

Hip/Knee Complications

Tracks how often patients have a serious surgical or medical complication within 90 days — the single most direct quality signal for this surgery.

Hip/Knee Readmissions

How often patients return to the hospital within 30 days of discharge. Lower means better recovery planning and follow-up.

Surgical-Site Infection (SSI)

Joint replacements carry a real infection risk because implants can't fight bacteria the way native tissue can. Lower SIR is better.

Patient Experience (HCAHPS)

Communication with nurses, pain control, and discharge planning directly affect recovery for major orthopedic surgery.

When the cheapest hospital may not be the best fit

The list below sorts by price. For hip & knee replacement, the lowest price isn't automatically the best fit — these are situations where it's worth weighing additional factors against price. None of the below is medical advice; talk to your doctor about what applies to your specific situation.

Questions to ask your hospital or insurer

The gross charge is the starting point. These are the procedure-specific questions to ask before you commit:

Hospitals ranked by gross charge

  1. 1

    Mercy Hospital Springfield

    Springfield, MO

    41 Medicare stays/yr
    Gross charge $28,934
    Medicare pays (avg) $12,093
  2. 2

    Parkland Health Center

    Farmington, MO

    Gross charge $48,415
    Cash pay $29,049
  3. 3

    Fitzgibbon Hospital

    Marshall, MO

    Gross charge $48,646
    Cash pay $38,917
  4. 4

    Truman Medical Center Hospital Hill

    Kansas City, MO

    Gross charge $52,273
    Cash pay $28,750
  5. 5

    University Health Lakewood Medical Center

    Kansas City, MO

    Gross charge $52,273
    Cash pay $28,750
  6. 6

    Progress West Hospital

    Ofallon, MO

    16 Medicare stays/yr
    Gross charge $54,557
    Cash pay $32,734
    Medicare pays (avg) $10,299
  7. 7

    Barnes-Jewish St. Peters Hospital

    Saint Peters, MO

    26 Medicare stays/yr
    Gross charge $55,479
    Cash pay $33,287
    Medicare pays (avg) $10,721
  8. 8

    Lake Regional Hospital

    Osage Beach, MO

    Gross charge $56,356
    Cash pay $21,415
  9. 9

    Christian Hospital

    Saint Louis, MO

    19 Medicare stays/yr
    Gross charge $61,663
    Cash pay $36,998
    Medicare pays (avg) $12,741
  10. 10

    Missouri Baptist Medical Center

    Saint Louis, MO

    59 Medicare stays/yr
    Gross charge $61,953
    Cash pay $37,172
    Medicare pays (avg) $10,024
  11. 11

    Barnes-Jewish West County Hospital

    Creve Coeur, MO

    31 Medicare stays/yr
    Gross charge $64,078
    Cash pay $38,447
    Medicare pays (avg) $11,664
  12. 12

    Mercy Hospital Southeast

    Cape Girardeau, MO

    Gross charge $81,293
    Cash pay $52,840
  13. 13

    Mosaic Life Care at St Joseph

    Saint Joseph, MO

    Gross charge
  14. 14

    Northeast Regional Medical Center

    Kirksville, MO

    13 Medicare stays/yr
    Gross charge
    Medicare pays (avg) $19,520
  15. 15

    Research Medical Center (Acute Care)

    Kansas City, MO

    Gross charge
  16. 16

    Moberly Regional Medical Center

    Moberly, MO

    Gross charge
  17. 17

    St. Joseph Medical Center

    Kansas City, MO

    Gross charge
    Cash pay $16,533
  18. 18

    Centerpoint Medical Center (Acute Care)

    Independence, MO

    17 Medicare stays/yr
    Gross charge
    Medicare pays (avg) $11,860
  19. 19

    Nkc Health

    North Kansas City, MO

    106 Medicare stays/yr
    Gross charge
    Medicare pays (avg) $11,898
  20. 20

    Poplar Bluff Regional Medical Center

    Poplar Bluff, MO

    Gross charge
  21. 21

    University of Missouri Health Care

    Columbia, MO

    36 Medicare stays/yr
    Gross charge
    Medicare pays (avg) $14,576
  22. 22

    Golden Valley Memorial Healthcare

    Clinton, MO

    24 Medicare stays/yr
    Gross charge
    Medicare pays (avg) $13,083
  23. 23

    Liberty Hospital

    Liberty, MO

    24 Medicare stays/yr
    Gross charge
    Medicare pays (avg) $10,838
  24. 24

    Lee's Summit Medical Center

    Lees Summit, MO

    17 Medicare stays/yr
    Gross charge
    Medicare pays (avg) $9,679
  25. 25

    St. Mary's Medical Center

    Blue Springs, MO

    Gross charge
    Cash pay $16,690
  26. 26

    Citizens Memorial Hospital

    Bolivar, MO

    Gross charge
  27. 27

    Belton Regional Medical Center

    Belton, MO

    13 Medicare stays/yr
    Gross charge
    Medicare pays (avg) $10,785
  28. 28

    Lafayette Regional Health Center

    Lexington, MO

    Gross charge
  29. 29

    Cass Regional Medical Center

    Harrisonville, MO

    Gross charge
  30. 30
    Gross charge
  31. 31
    Gross charge
  32. 32
    Gross charge
  33. 33

    Ssm Health St. Mary's Hospital - Jefferson City

    Jefferson City, MO

    Gross charge
  34. 34

    Boone Hospital Center (Acute Care)

    Columbia, MO

    64 Medicare stays/yr
    Gross charge
    Medicare pays (avg) $10,105
  35. 35

    SSM Health St. Mary's Hospital - St. Louis

    Saint Louis, MO

    11 Medicare stays/yr
    Gross charge
    Medicare pays (avg) $14,994
  36. 36

    SSM Health DePaul Hospital - St. Louis

    Bridgeton, MO

    32 Medicare stays/yr
    Gross charge
    Medicare pays (avg) $12,367
  37. 37

    SSM Health Saint Louis University Hospital

    Saint Louis, MO

    Gross charge
  38. 38

    Saint Francis Medical Center

    Cape Girardeau, MO

    Gross charge
  39. 39

    SSM Health St. Joseph Hospital - Lake Saint Louis

    Lake Saint Louis, MO

    Gross charge

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