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Institute for Orthopaedic Surgery: what a joint replacement costs

Lima, OH 45804 · CMS Certification Number 360263. 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
—
No orthopedic surgery center within 25 miles
Outpatient here
$10,936
361 Medicare cases, APC 5115
Inpatient here
$11,850
151 Medicare stays, MS-DRG 470

Medicare prices at Institute for Orthopaedic Surgery

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$11,850$74,8916.3×$10,936
Shoulder replacement$15,668$88,0855.6×$15,301

Quality

Complications after hip or knee replacement: 4.7% (no different from the national rate). Readmissions: 6.2%. For-profit · Acute · 3 beds

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

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Questions

How much does Medicare pay Institute for Orthopaedic Surgery for a knee or hip replacement?

In 2024 Medicare paid Institute for Orthopaedic Surgery an average of $11,850 per inpatient hip or knee replacement stay (MS-DRG 470, 151 stays) and $10,936 per outpatient case (APC 5115, 361 cases).

What is Institute for Orthopaedic Surgery's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $74,891, 6.3× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

How does Institute for Orthopaedic Surgery compare with other Ohio hospitals?

Medicare paid Institute for Orthopaedic Surgery less than 90% of the 42 Ohio hospitals that report inpatient hip or knee replacement.