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 paid | List price | List ÷ paid | Outpatient 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× | — |
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 Medicare paid Kettering Health Dayton an average of $16,180 per inpatient hip or knee replacement stay (MS-DRG 470, 13 stays) and $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× what Medicare paid. 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.
Medicare paid Kettering Health Dayton more than 76% of the 42 Ohio hospitals that report inpatient hip or knee replacement.