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Blanchard Valley Hospital: what a joint replacement costs

Findlay, OH 45840 · CMS Certification Number 360095. 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
$8,086
Nwo Surgery Center LLC, same ZIP
Outpatient here
$11,172
210 Medicare cases, APC 5115
Inpatient here
$12,367
18 Medicare stays, MS-DRG 470

Medicare prices at Blanchard Valley Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$12,367$43,9373.6×$11,172
Shoulder replacement———$15,871
Hip replacement after a fracture (DRG 522)$13,698$44,4303.2×—

Quality

Complications after hip or knee replacement: 7.2% (no different from the national rate). Readmissions: 7%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 239 beds

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

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Questions

How much does Medicare pay Blanchard Valley Hospital for a knee or hip replacement?

In 2024 Medicare paid Blanchard Valley Hospital an average of $12,367 per inpatient hip or knee replacement stay (MS-DRG 470, 18 stays) and $11,172 per outpatient case (APC 5115, 210 cases).

What is Blanchard Valley Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $43,937, 3.6× 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 Blanchard Valley Hospital?

Yes for Medicare facility payments. Nwo Surgery Center LLC, an orthopedic surgery center same ZIP away, is paid about $8,086 by Medicare for a knee replacement (CPT 27447), $4,281 less than an inpatient stay at Blanchard Valley Hospital. Not every patient is a surgery-center candidate.

How does Blanchard Valley Hospital compare with other Ohio hospitals?

Medicare paid Blanchard Valley Hospital less than 83% of the 42 Ohio hospitals that report inpatient hip or knee replacement.