Toledo, OH 43606 · CMS Certification Number 360068. 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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,775 | $104,117 | 6.6× | $11,258 |
| Shoulder replacement | — | — | — | $15,201 |
| Hip replacement after a fracture (DRG 522) | $16,629 | $103,309 | 6.2× | — |
Complications after hip or knee replacement: 5.4% (no different from the national rate). Readmissions: 7.1%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 794 beds
Ohio has a certificate-of-need program that does not cover surgery centers.
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In 2024 the average total payment to Toledo Hospital the for an inpatient hip or knee replacement stay was $15,775 (MS-DRG 470, 33 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,258 per outpatient case (APC 5115, 746 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $104,117, 6.6× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Toledo Clinic Inc, an orthopedic surgery center 2.9 mi away, is paid about $8,367 by Medicare for a knee replacement (CPT 27447), $7,408 less than an inpatient stay at Toledo Hospital the. Not every patient is a surgery-center candidate.
Toledo Hospital the's average total payment per Medicare stay is higher than 71% of the 42 Ohio hospitals that report inpatient hip or knee replacement.