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Southern Ohio Medical Center: what a joint replacement costs

Portsmouth, OH 45662 · CMS Certification Number 360008. 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
—
No orthopedic surgery center within 25 miles
Outpatient here
$11,609
Medicare allowed amount, 112 cases, APC 5115
Inpatient here
$17,995
Avg total payment (incl. patient share), 19 Medicare stays, MS-DRG 470

Medicare prices at Southern Ohio Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$17,995$106,9475.9×$11,609
Shoulder replacement———$16,281
Hip replacement after a fracture (DRG 522)$17,356$89,2475.1×—

Quality

Complications after hip or knee replacement: 4.2% (no different from the national rate). Readmissions: 6%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 237 beds

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

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Questions

How much does Medicare pay Southern Ohio Medical Center for a knee or hip replacement?

In 2024 the average total payment to Southern Ohio Medical Center for an inpatient hip or knee replacement stay was $17,995 (MS-DRG 470, 19 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,609 per outpatient case (APC 5115, 112 cases).

What is Southern Ohio Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $106,947, 5.9× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

How does Southern Ohio Medical Center compare with other Ohio hospitals?

Southern Ohio Medical Center's average total payment per Medicare stay is higher than 93% of the 42 Ohio hospitals that report inpatient hip or knee replacement.