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Firelands Regional Medical Center: what a joint replacement costs

Sandusky, OH 44870 · CMS Certification Number 360025. 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
Erie Shores Surgery Center, same ZIP
Outpatient here
$11,186
Medicare allowed amount, 80 cases, APC 5115
Inpatient here
$14,092
Avg total payment (incl. patient share), 20 Medicare stays, MS-DRG 470

Medicare prices at Firelands Regional Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$14,092$82,8645.9×$11,186
Shoulder replacement———$15,826
Hip replacement after a fracture (DRG 522)$14,262$48,2593.4×—

Quality

Complications after hip or knee replacement: 4% (no different from the national rate). Readmissions: 5.6%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 400 beds

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

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Questions

How much does Medicare pay Firelands Regional Medical Center for a knee or hip replacement?

In 2024 the average total payment to Firelands Regional Medical Center for an inpatient hip or knee replacement stay was $14,092 (MS-DRG 470, 20 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,186 per outpatient case (APC 5115, 80 cases).

What is Firelands Regional Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $82,864, 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.

Is a knee replacement cheaper at a surgery center near Firelands Regional Medical Center?

Yes for Medicare facility payments. Erie Shores Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,086 by Medicare for a knee replacement (CPT 27447), $6,006 less than an inpatient stay at Firelands Regional Medical Center. Not every patient is a surgery-center candidate.

How does Firelands Regional Medical Center compare with other Ohio hospitals?

Firelands Regional Medical Center's average total payment per Medicare stay is lower than 55% of the 42 Ohio hospitals that report inpatient hip or knee replacement.