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Miami 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.

Surgery center nearby
$8,469
Greater Dayton Surgery Center, 3.1 mi
Outpatient here
$11,413
425 Medicare cases, APC 5115
Inpatient here
$14,491
35 Medicare stays, MS-DRG 470

Medicare prices at Miami Valley Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,491$105,3067.3×$11,413
Shoulder replacement———$15,917
Hip replacement after a fracture (DRG 522)$17,082$98,2285.8×—

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 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).

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× what Medicare paid. 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?

Medicare paid Miami Valley Hospital less than 52% of the 42 Ohio hospitals that report inpatient hip or knee replacement.