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Lake Health: what a joint replacement costs

Concord, OH 44077 · CMS Certification Number 360098. 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
$8,388
Mentor Surgery Center, 6.3 mi
Outpatient here
$10,808
Medicare allowed amount, 139 cases, APC 5115
Inpatient here
$12,320
Avg total payment (incl. patient share), 12 Medicare stays, MS-DRG 470

Medicare prices at Lake Health

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$12,320$68,3565.5×$10,808
Shoulder replacement———$15,230
Hip replacement after a fracture (DRG 522)$13,668$63,5974.7×—

Quality

Complications after hip or knee replacement: 5.8% (no different from the national rate). Readmissions: 6%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 399 beds

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

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Questions

How much does Medicare pay Lake Health for a knee or hip replacement?

In 2024 the average total payment to Lake Health for an inpatient hip or knee replacement stay was $12,320 (MS-DRG 470, 12 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $10,808 per outpatient case (APC 5115, 139 cases).

What is Lake Health's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $68,356, 5.5× the average total payment for a Medicare stay. 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 Lake Health?

Yes for Medicare facility payments. Mentor Surgery Center, an orthopedic surgery center 6.3 mi away, is paid about $8,388 by Medicare for a knee replacement (CPT 27447), $3,932 less than an inpatient stay at Lake Health. Not every patient is a surgery-center candidate.

How does Lake Health compare with other Ohio hospitals?

Lake Health's average total payment per Medicare stay is lower than 86% of the 42 Ohio hospitals that report inpatient hip or knee replacement.