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Upper Valley Medical Center: what a joint replacement costs

Troy, OH 45373 · CMS Certification Number 360174. 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, 22.0 mi
Outpatient here
$11,242
17 Medicare cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Upper Valley Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement———$11,242
Shoulder replacement———$15,905

Quality

Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 178 beds

Ohio has a certificate-of-need program that does not cover surgery centers.

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Questions

How much does Medicare pay Upper Valley Medical Center for a knee or hip replacement?

Medicare allowed an average of $11,242 per outpatient hip or knee replacement case (APC 5115, 17 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Upper Valley Medical Center?

Yes for Medicare facility payments. Greater Dayton Surgery Center, an orthopedic surgery center 22.0 mi away, is paid about $8,469 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.