Dayton, OH 45405 · CMS Certification Number 360133. 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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $16,180 | $115,060 | 7.1× | $11,242 |
| Shoulder replacement | — | — | — | $16,279 |
| Hip replacement after a fracture (DRG 522) | $19,912 | $110,535 | 5.6× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $36,580 | 2.3× | $31,988–$42,415 | 6 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Custom Design Benefits | $42,415 | 2.6× | 1 |
| UnitedHealthcare | $39,673 | 2.5× | 1 |
| Cigna | $38,234 | 2.4× | 1 |
| Elevance/Anthem/Empire | $34,925 | 2.2× | 1 |
| Aetna | $32,854 | 2.0× | 1 |
| Medical Mutual | $31,988 | 2.0× | 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.
Complications after hip or knee replacement: 4.4% (no different from the national rate). Readmissions: 5.2%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 417 beds
Ohio has a certificate-of-need program that does not cover surgery centers.
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In 2024 the average total payment to Kettering Health Dayton for an inpatient hip or knee replacement stay was $16,180 (MS-DRG 470, 13 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,242 per outpatient case (APC 5115, 337 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $115,060, 7.1× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Greater Dayton Surgery Center, an orthopedic surgery center 6.9 mi away, is paid about $8,469 by Medicare for a knee replacement (CPT 27447), $7,711 less than an inpatient stay at Kettering Health Dayton. Not every patient is a surgery-center candidate.
Kettering Health Dayton's average total payment per Medicare stay is higher than 76% of the 42 Ohio hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $36,580 across 6 insurers, ranging from $31,988 to $42,415.