Toledo, OH 43608 · CMS Certification Number 360112. 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 | $16,596 | $122,871 | 7.4× | $11,645 |
| Shoulder replacement | — | — | — | $16,307 |
| Hip replacement after a fracture (DRG 522) | $20,750 | $136,346 | 6.6× | — |
Complications after hip or knee replacement: 4.7% (no different from the national rate). Readmissions: 5.5%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 568 beds
Ohio has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Mercy Health St Vincent Medical Center an average of $16,596 per inpatient hip or knee replacement stay (MS-DRG 470, 22 stays) and $11,645 per outpatient case (APC 5115, 312 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $122,871, 7.4× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Toledo Clinic Inc, an orthopedic surgery center 6.5 mi away, is paid about $8,367 by Medicare for a knee replacement (CPT 27447), $8,229 less than an inpatient stay at Mercy Health St Vincent Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Mercy Health St Vincent Medical Center more than 83% of the 42 Ohio hospitals that report inpatient hip or knee replacement.