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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,367 | $103,204 | 7.7× | $11,408 |
| Shoulder replacement | — | — | — | $16,279 |
| Hip replacement after a fracture (DRG 522) | $14,393 | $78,123 | 5.4× | — |
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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In 2024 the average total payment to Marion General Hospital for an inpatient hip or knee replacement stay was $13,367 (MS-DRG 470, 24 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,408 per outpatient case (APC 5115, 100 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $103,204, 7.7× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Marion General Hospital's average total payment per Medicare stay is lower than 62% of the 42 Ohio hospitals that report inpatient hip or knee replacement.