Columbus, OH 43210 · CMS Certification Number 360085. 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 | $17,665 | $82,987 | 4.7× | $11,737 |
| Shoulder replacement | $22,603 | $111,575 | 4.9× | $16,690 |
| Hip replacement after a fracture (DRG 522) | $19,929 | $110,841 | 5.6× | — |
Complications after hip or knee replacement: 3.9% (no different from the national rate). Readmissions: 6.7%. Overall Care Compare rating: 3 of 5 stars. Government · Acute · 971 beds
Ohio has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Ohio State University Hospitals an average of $17,665 per inpatient hip or knee replacement stay (MS-DRG 470, 49 stays) and $11,737 per outpatient case (APC 5115, 171 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $82,987, 4.7× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Ohio Surgery Center, an orthopedic surgery center 3.1 mi away, is paid about $8,816 by Medicare for a knee replacement (CPT 27447), $8,849 less than an inpatient stay at Ohio State University Hospitals. Not every patient is a surgery-center candidate.
Medicare paid Ohio State University Hospitals more than 90% of the 42 Ohio hospitals that report inpatient hip or knee replacement.