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Alliance Community Hospital: what a joint replacement costs

Alliance, OH 44601 · CMS Certification Number 360131. 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
$7,897
Ohio Specialty Surgical Suites LLC, 15.9 mi
Outpatient here
$11,029
Medicare allowed amount, 57 cases, APC 5115
Inpatient here
$15,790
Avg total payment (incl. patient share), 11 Medicare stays, MS-DRG 470

Medicare prices at Alliance Community Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$15,790$48,2923.1×$11,029
Shoulder replacement———$15,826

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$15,9421.0×$12,667–$19,2835
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Aetna$19,2831.2×1
Elevance/Anthem/Empire$18,2281.2×1
The Health Plan$15,9421.0×1
UnitedHealthcare$15,4311.0×1
Cigna$12,6670.8×1

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 4.3% (no different from the national rate). Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 207 beds

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

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Questions

How much does Medicare pay Alliance Community Hospital for a knee or hip replacement?

In 2024 the average total payment to Alliance Community Hospital for an inpatient hip or knee replacement stay was $15,790 (MS-DRG 470, 11 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,029 per outpatient case (APC 5115, 57 cases).

What is Alliance Community Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $48,292, 3.1× 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 Alliance Community Hospital?

Yes for Medicare facility payments. Ohio Specialty Surgical Suites LLC, an orthopedic surgery center 15.9 mi away, is paid about $7,897 by Medicare for a knee replacement (CPT 27447), $7,893 less than an inpatient stay at Alliance Community Hospital. Not every patient is a surgery-center candidate.

How does Alliance Community Hospital compare with other Ohio hospitals?

Alliance Community Hospital's average total payment per Medicare stay is higher than 74% of the 42 Ohio hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Alliance Community Hospital for a hip or knee replacement?

From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $15,942 across 5 insurers, ranging from $12,667 to $19,283.