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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,687 | $93,218 | 5.9× | $11,754 |
| Shoulder replacement | $19,725 | $110,516 | 5.6× | $16,630 |
| Hip replacement after a fracture (DRG 522) | $16,676 | $84,107 | 5.0× | — |
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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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).
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.
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.
Medicare paid Riverside Methodist Hospital more than 69% of the 42 Ohio hospitals that report inpatient hip or knee replacement.