Bowling Green, OH 43402 · CMS Certification Number 360029. 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 | $13,061 | $38,701 | 3.0× | $11,063 |
| Shoulder replacement | — | — | — | $15,871 |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $15,021 | 1.2× | $14,306–$21,867 | 3 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Elevance/Anthem/Empire | $21,867 | 1.7× | 1 |
| Valor | $15,021 | 1.2× | 1 |
| Perennial | $14,306 | 1.1× | 1 |
From the hospital's price-transparency file (2024-06-30); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2024-06-30); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 4.5% (no different from the national rate). Readmissions: 6.1%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 168 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 Wood County Hospital for an inpatient hip or knee replacement stay was $13,061 (MS-DRG 470, 48 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,063 per outpatient case (APC 5115, 62 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $38,701, 3.0× 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. Wildwood Surgical Center, an orthopedic surgery center 16.6 mi away, is paid about $8,367 by Medicare for a knee replacement (CPT 27447), $4,694 less than an inpatient stay at Wood County Hospital. Not every patient is a surgery-center candidate.
Wood County Hospital's average total payment per Medicare stay is lower than 64% of the 42 Ohio hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $15,021 across 3 insurers, ranging from $14,306 to $21,867.