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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,604 | $54,380 | 3.7× | $11,432 |
| Shoulder replacement | $17,835 | $76,297 | 4.3× | $16,174 |
| Hip replacement after a fracture (DRG 522) | $14,964 | $51,739 | 3.5× | — |
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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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).
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.
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.
Medicare paid Bethesda North less than 50% of the 42 Ohio hospitals that report inpatient hip or knee replacement.