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Kettering Health Dayton: what a joint replacement costs

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.

Surgery center nearby
$8,469
Greater Dayton Surgery Center, 6.9 mi
Outpatient here
$11,242
Medicare allowed amount, 337 cases, APC 5115
Inpatient here
$16,180
Avg total payment (incl. patient share), 13 Medicare stays, MS-DRG 470

Medicare prices at Kettering Health Dayton

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$16,180$115,0607.1×$11,242
Shoulder replacement———$16,279
Hip replacement after a fracture (DRG 522)$19,912$110,5355.6×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$36,5802.3×$31,988–$42,4156
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Custom Design Benefits$42,4152.6×1
UnitedHealthcare$39,6732.5×1
Cigna$38,2342.4×1
Elevance/Anthem/Empire$34,9252.2×1
Aetna$32,8542.0×1
Medical Mutual$31,9882.0×1

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.

Quality

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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Questions

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

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).

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

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.

Is a knee replacement cheaper at a surgery center near Kettering Health Dayton?

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.

How does Kettering Health Dayton compare with other Ohio hospitals?

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.

What do commercial insurers pay Kettering Health Dayton 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 $36,580 across 6 insurers, ranging from $31,988 to $42,415.