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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $11,850 | $74,891 | 6.3× | $10,936 |
| Shoulder replacement | $15,668 | $88,085 | 5.6× | $15,301 |
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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In 2024 the average total payment to Institute for Orthopaedic Surgery for an inpatient hip or knee replacement stay was $11,850 (MS-DRG 470, 151 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $10,936 per outpatient case (APC 5115, 361 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $74,891, 6.3× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Institute for Orthopaedic Surgery's average total payment per Medicare stay is lower than 90% of the 42 Ohio hospitals that report inpatient hip or knee replacement.