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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $17,995 | $106,947 | 5.9× | $11,609 |
| Shoulder replacement | — | — | — | $16,281 |
| Hip replacement after a fracture (DRG 522) | $17,356 | $89,247 | 5.1× | — |
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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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).
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.
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.