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Wood County Hospital: what a joint replacement costs

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.

Surgery center nearby
$8,367
Wildwood Surgical Center, 16.6 mi
Outpatient here
$11,063
Medicare allowed amount, 62 cases, APC 5115
Inpatient here
$13,061
Avg total payment (incl. patient share), 48 Medicare stays, MS-DRG 470

Medicare prices at Wood County Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$13,061$38,7013.0×$11,063
Shoulder replacement———$15,871

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$15,0211.2×$14,306–$21,8673
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Elevance/Anthem/Empire$21,8671.7×1
Valor$15,0211.2×1
Perennial$14,3061.1×1

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.

Quality

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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Questions

How much does Medicare pay Wood County Hospital for a knee or hip replacement?

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).

What is Wood County Hospital's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Wood County Hospital?

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.

How does Wood County Hospital compare with other Ohio hospitals?

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.

What do commercial insurers pay Wood County Hospital for a 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.