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Marion General Hospital: what a joint replacement costs

Marion, OH 43302 · CMS Certification Number 360011. 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
$8,086
New Horizons Surgery Center, same ZIP
Outpatient here
$11,408
100 Medicare cases, APC 5115
Inpatient here
$13,367
24 Medicare stays, MS-DRG 470

Medicare prices at Marion General Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$13,367$103,2047.7×$11,408
Shoulder replacement———$16,279
Hip replacement after a fracture (DRG 522)$14,393$78,1235.4×—

Quality

Complications after hip or knee replacement: 4.2% (no different from the national rate). Readmissions: 6.9%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 389 beds

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

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Questions

How much does Medicare pay Marion General Hospital for a knee or hip replacement?

In 2024 Medicare paid Marion General Hospital an average of $13,367 per inpatient hip or knee replacement stay (MS-DRG 470, 24 stays) and $11,408 per outpatient case (APC 5115, 100 cases).

What is Marion General Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $103,204, 7.7× 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 Marion General Hospital?

Yes for Medicare facility payments. New Horizons Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,086 by Medicare for a knee replacement (CPT 27447), $5,281 less than an inpatient stay at Marion General Hospital. Not every patient is a surgery-center candidate.

How does Marion General Hospital compare with other Ohio hospitals?

Medicare paid Marion General Hospital less than 62% of the 42 Ohio hospitals that report inpatient hip or knee replacement.