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Adena 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.

Surgery center nearby
$8,086
Ohio Valley Surgery Center, LLC, same ZIP
Outpatient here
$11,373
74 Medicare cases, APC 5115
Inpatient here
$14,753
14 Medicare stays, MS-DRG 470

Medicare prices at Adena Regional Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,753$122,5858.3×$11,373
Shoulder replacement———$16,279
Hip replacement after a fracture (DRG 522)$16,488$114,3816.9×—

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 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).

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× what Medicare paid. 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?

Medicare paid Adena Regional Medical Center more than 52% of the 42 Ohio hospitals that report inpatient hip or knee replacement.