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Bethesda North: what a joint replacement costs

Cincinnati, OH 45242 · CMS Certification Number 360179. 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
$8,643
Summit Surgical Center, 3.4 mi
Outpatient here
$11,432
214 Medicare cases, APC 5115
Inpatient here
$14,604
43 Medicare stays, MS-DRG 470

Medicare prices at Bethesda North

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,604$54,3803.7×$11,432
Shoulder replacement$17,835$76,2974.3×$16,174
Hip replacement after a fracture (DRG 522)$14,964$51,7393.5×—

Quality

Complications after hip or knee replacement: 4.4% (no different from the national rate). Readmissions: 6.4%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 465 beds

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

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Questions

How much does Medicare pay Bethesda North for a knee or hip replacement?

In 2024 Medicare paid Bethesda North an average of $14,604 per inpatient hip or knee replacement stay (MS-DRG 470, 43 stays) and $11,432 per outpatient case (APC 5115, 214 cases).

What is Bethesda North's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $54,380, 3.7× 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 Bethesda North?

Yes for Medicare facility payments. Summit Surgical Center, an orthopedic surgery center 3.4 mi away, is paid about $8,643 by Medicare for a knee replacement (CPT 27447), $5,961 less than an inpatient stay at Bethesda North. Not every patient is a surgery-center candidate.

How does Bethesda North compare with other Ohio hospitals?

Medicare paid Bethesda North less than 50% of the 42 Ohio hospitals that report inpatient hip or knee replacement.