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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $12,367 | $43,937 | 3.6× | $11,172 |
| Shoulder replacement | — | — | — | $15,871 |
| Hip replacement after a fracture (DRG 522) | $13,698 | $44,430 | 3.2× | — |
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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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).
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.
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.
Medicare paid Blanchard Valley Hospital less than 83% of the 42 Ohio hospitals that report inpatient hip or knee replacement.