Price AtlasInteractive atlas · All states · techysurgeon.comAdena Regional Medical Center: what a joint replacement costs
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.
Medicare prices at Adena Regional Medical Center
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $36,159 | 2.5× | $16,113–$43,442 | 6 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Sidecar Health | $43,442 | 2.9× | 1 |
| Medical Mutual of Ohio | $40,578 | 2.8× | 1 |
| Elevance/Anthem/Empire | $38,695 | 2.6× | 1 |
| UnitedHealthcare | $33,623 | 2.3× | 1 |
| Care Source Just4Me | $31,594 | 2.1× | 1 |
| Gateway Health | $16,113 | 1.1× | 1 |
From the hospital's price-transparency file (2026-08-19); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-08-19); commercial plans, dollar-amount contracts only.
Quality
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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Questions
How much does Medicare pay Adena Regional Medical Center for a knee or hip replacement?
In 2024 the average total payment to Adena Regional Medical Center for an inpatient hip or knee replacement stay was $14,753 (MS-DRG 470, 14 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,373 per outpatient case (APC 5115, 74 cases).
What is Adena Regional Medical Center's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $122,585, 8.3× 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 Adena Regional Medical Center?
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.
How does Adena Regional Medical Center compare with other Ohio hospitals?
Adena Regional Medical Center's average total payment per Medicare stay is higher than 52% of the 42 Ohio hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Adena Regional Medical Center 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 $36,159 across 6 insurers, ranging from $16,113 to $43,442.