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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient 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× | — |
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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In 2024 Medicare paid Miami Valley Hospital an average of $14,491 per inpatient hip or knee replacement stay (MS-DRG 470, 35 stays) and $11,413 per outpatient case (APC 5115, 425 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $105,306, 7.3× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Medicare paid Miami Valley Hospital less than 52% of the 42 Ohio hospitals that report inpatient hip or knee replacement.