Chillicothe, OH 45601 · CMS Certification Number 360159. 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 | $14,753 | $122,585 | 8.3× | $11,373 |
| Shoulder replacement | — | — | — | $16,279 |
| Hip replacement after a fracture (DRG 522) | $16,488 | $114,381 | 6.9× | — |
Complications after hip or knee replacement: 3.5% (no different from the national rate). Readmissions: 5.4%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 261 beds
Ohio has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Adena Regional Medical Center an average of $14,753 per inpatient hip or knee replacement stay (MS-DRG 470, 14 stays) and $11,373 per outpatient case (APC 5115, 74 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $122,585, 8.3× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Ohio Valley Surgery Center, LLC, an orthopedic surgery center same ZIP away, is paid about $8,086 by Medicare for a knee replacement (CPT 27447), $6,667 less than an inpatient stay at Adena Regional Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Adena Regional Medical Center more than 52% of the 42 Ohio hospitals that report inpatient hip or knee replacement.