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Toledo Hospital the: what a joint replacement costs

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.

Surgery center nearby
$8,367
Toledo Clinic Inc, 2.9 mi
Outpatient here
$11,258
746 Medicare cases, APC 5115
Inpatient here
$15,775
33 Medicare stays, MS-DRG 470

Medicare prices at Toledo Hospital the

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$15,775$104,1176.6×$11,258
Shoulder replacement———$15,201
Hip replacement after a fracture (DRG 522)$16,629$103,3096.2×—

Quality

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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Questions

How much does Medicare pay Toledo Hospital the for a knee or hip replacement?

In 2024 Medicare paid Toledo Hospital the an average of $15,775 per inpatient hip or knee replacement stay (MS-DRG 470, 33 stays) and $11,258 per outpatient case (APC 5115, 746 cases).

What is Toledo Hospital the's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $104,117, 6.6× 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 Toledo Hospital the?

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.

How does Toledo Hospital the compare with other Ohio hospitals?

Medicare paid Toledo Hospital the more than 71% of the 42 Ohio hospitals that report inpatient hip or knee replacement.