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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,092 | $82,864 | 5.9× | $11,186 |
| Shoulder replacement | — | — | — | $15,826 |
| Hip replacement after a fracture (DRG 522) | $14,262 | $48,259 | 3.4× | — |
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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In 2024 Medicare paid Firelands Regional Medical Center an average of $14,092 per inpatient hip or knee replacement stay (MS-DRG 470, 20 stays) and $11,186 per outpatient case (APC 5115, 80 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $82,864, 5.9× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Medicare paid Firelands Regional Medical Center less than 55% of the 42 Ohio hospitals that report inpatient hip or knee replacement.