Price AtlasInteractive atlas · All states · techysurgeon.comKettering Health Miamisburg: what a joint replacement costs
Miamisburg, OH 45342 · CMS Certification Number 360239. 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 Kettering Health Miamisburg
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $11,714 |
| Shoulder replacement | — | — | — | $16,200 |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $35,771 | — | $31,988–$39,673 | 6 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $39,673 | — | 1 |
| Cigna | $38,234 | — | 1 |
| Custom Design Benefits | $36,617 | — | 1 |
| Elevance/Anthem/Empire | $34,925 | — | 1 |
| Aetna | $32,854 | — | 1 |
| Medical Mutual | $31,988 | — | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
Quality
Readmissions: 5.9%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 190 beds
Ohio has a certificate-of-need program that does not cover surgery centers.
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Questions
How much does Medicare pay Kettering Health Miamisburg for a knee or hip replacement?
The Medicare allowed amount averaged $11,714 per outpatient hip or knee replacement case (APC 5115, 247 cases) in 2024. Inpatient stays were too few to report.
Is a knee replacement cheaper at a surgery center near Kettering Health Miamisburg?
Yes for Medicare facility payments. Vertrae Surgery Center LLC, an orthopedic surgery center same ZIP away, is paid about $8,469 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.
What do commercial insurers pay Kettering Health Miamisburg 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 $35,771 across 6 insurers, ranging from $31,988 to $39,673.