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Riverside Methodist Hospital: what a joint replacement costs

Columbus, OH 43214 · CMS Certification Number 360006. 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
$8,816
Ohio Surgery Center, same ZIP
Outpatient here
$11,754
379 Medicare cases, APC 5115
Inpatient here
$15,687
82 Medicare stays, MS-DRG 470

Medicare prices at Riverside Methodist Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$15,687$93,2185.9×$11,754
Shoulder replacement$19,725$110,5165.6×$16,630
Hip replacement after a fracture (DRG 522)$16,676$84,1075.0×—

Quality

Complications after hip or knee replacement: 3.8% (no different from the national rate). Readmissions: 5.8%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 1000 beds

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

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Questions

How much does Medicare pay Riverside Methodist Hospital for a knee or hip replacement?

In 2024 Medicare paid Riverside Methodist Hospital an average of $15,687 per inpatient hip or knee replacement stay (MS-DRG 470, 82 stays) and $11,754 per outpatient case (APC 5115, 379 cases).

What is Riverside Methodist Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $93,218, 5.9× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

Is a knee replacement cheaper at a surgery center near Riverside Methodist Hospital?

Yes for Medicare facility payments. Ohio Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,816 by Medicare for a knee replacement (CPT 27447), $6,871 less than an inpatient stay at Riverside Methodist Hospital. Not every patient is a surgery-center candidate.

How does Riverside Methodist Hospital compare with other Ohio hospitals?

Medicare paid Riverside Methodist Hospital more than 69% of the 42 Ohio hospitals that report inpatient hip or knee replacement.