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Toledo Clinic Inc: surgery-center prices

An orthopedic ambulatory surgery center in Toledo, OH 43623. What Medicare pays here for knee, hip and shoulder replacement, and how that compares with the hospitals nearby.

Knee (CPT 27447)
$8,367
Medicare rate here
Hip (CPT 27130)
$8,542
Medicare rate here
Shoulder (CPT 23472)
$12,938
Medicare rate here

Nearest hospitals

HospitalDistanceInpatient paidOutpatient allowedList price
Toledo Hospital the2.9 mi$15,775$11,258$104,117
Mercy Health St Vincent Medical Center6.5 mi$16,596$11,645$122,871
Wood County Hospital20.3 mi$13,061$11,063$38,701

10 operating rooms · Proprietary · certified since 1984 · ASC-17 hospital visits after orthopedic surgery: 2.2% (No Different Than the National Rate)

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Questions

How much does Medicare pay Toledo Clinic Inc for a knee replacement?

About $8,367 for a total knee replacement (CPT 27447), $8,542 for a total hip (CPT 27130) and $12,938 for a total shoulder (CPT 23472): Medicare's CY2024 national surgery-center rates adjusted by the local wage index (0.8494).

How does that compare with the nearest hospital?

Toledo Hospital the (2.9 mi) was paid an average of $15,775 per inpatient hip or knee replacement stay in 2024, $7,408 more than this surgery center's knee rate.

Does Ohio require a certificate of need for surgery centers?

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