Wooster, OH 44691 · CMS Certification Number 360036. 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 | $12,750 | $38,971 | 3.1× | $11,245 |
| Shoulder replacement | — | — | — | $15,909 |
| Hip replacement after a fracture (DRG 522) | $15,401 | $32,434 | 2.1× | — |
Complications after hip or knee replacement: 4.1% (no different from the national rate). Readmissions: 6.5%. Overall Care Compare rating: 4 of 5 stars. Government · Acute · 207 beds
Ohio has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Wooster Community Hospital an average of $12,750 per inpatient hip or knee replacement stay (MS-DRG 470, 13 stays) and $11,245 per outpatient case (APC 5115, 48 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $38,971, 3.1× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Cleveland Clinic Wooster Outpatient Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,086 by Medicare for a knee replacement (CPT 27447), $4,664 less than an inpatient stay at Wooster Community Hospital. Not every patient is a surgery-center candidate.
Medicare paid Wooster Community Hospital less than 69% of the 42 Ohio hospitals that report inpatient hip or knee replacement.