Price AtlasInteractive atlas · All states · techysurgeon.comMiami Valley Hospital: what a joint replacement costs
Dayton, OH 45409 · CMS Certification Number 360051. 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.
Medicare prices at Miami Valley Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,491 | $105,306 | 7.3× | $11,413 |
| Shoulder replacement | — | — | — | $15,917 |
| Hip replacement after a fracture (DRG 522) | $17,082 | $98,228 | 5.8× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $40,263 | 2.8× | $38,385–$42,141 | 2 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $42,141 | 2.9× | 1 |
| Elevance/Anthem/Empire | $38,385 | 2.6× | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 3% (no different from the national rate). Readmissions: 6.4%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 970 beds
Ohio has a certificate-of-need program that does not cover surgery centers.
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Questions
How much does Medicare pay Miami Valley Hospital for a knee or hip replacement?
In 2024 the average total payment to Miami Valley Hospital for an inpatient hip or knee replacement stay was $14,491 (MS-DRG 470, 35 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,413 per outpatient case (APC 5115, 425 cases).
What is Miami Valley Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $105,306, 7.3× 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 Miami Valley Hospital?
Yes for Medicare facility payments. Greater Dayton Surgery Center, an orthopedic surgery center 3.1 mi away, is paid about $8,469 by Medicare for a knee replacement (CPT 27447), $6,022 less than an inpatient stay at Miami Valley Hospital. Not every patient is a surgery-center candidate.
How does Miami Valley Hospital compare with other Ohio hospitals?
Miami Valley Hospital's average total payment per Medicare stay is lower than 52% of the 42 Ohio hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Miami Valley 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 $40,263 across 2 insurers, ranging from $38,385 to $42,141.