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Atrium Medical Center: what a joint replacement costs

Franklin, OH 45005 · CMS Certification Number 360076. 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
$8,643
Cvp Surgery Center at Middletown, same ZIP
Outpatient here
$11,073
Medicare allowed amount, 105 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Atrium Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,073
Shoulder replacement———$16,148
Hip replacement after a fracture (DRG 522)$14,055$89,8606.4×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$42,141—$33,671–$59,2143
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Medical Mutual$59,214—1
UnitedHealthcare$42,141—1
Elevance/Anthem/Empire$33,671—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

Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 328 beds

Ohio has a certificate-of-need program that does not cover surgery centers.

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Questions

How much does Medicare pay Atrium Medical Center for a knee or hip replacement?

The Medicare allowed amount averaged $11,073 per outpatient hip or knee replacement case (APC 5115, 105 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Atrium Medical Center?

Yes for Medicare facility payments. Cvp Surgery Center at Middletown, an orthopedic surgery center same ZIP away, is paid about $8,643 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Atrium Medical Center 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 $42,141 across 3 insurers, ranging from $33,671 to $59,214.