New Albany, OH 43054 · CMS Certification Number 360266. 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 | $12,371 | $90,997 | 7.4× | $11,647 |
| Shoulder replacement | — | — | — | $16,630 |
Complications after hip or knee replacement: 4.5% (no different from the national rate). Readmissions: 5.5%. For-profit · Acute · 42 beds
Ohio has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Mount Carmel New Albany Surgical Hospital an average of $12,371 per inpatient hip or knee replacement stay (MS-DRG 470, 50 stays) and $11,647 per outpatient case (APC 5115, 660 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $90,997, 7.4× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Central Ohio Surgical Institute, an orthopedic surgery center same ZIP away, is paid about $8,816 by Medicare for a knee replacement (CPT 27447), $3,555 less than an inpatient stay at Mount Carmel New Albany Surgical Hospital. Not every patient is a surgery-center candidate.
Medicare paid Mount Carmel New Albany Surgical Hospital less than 81% of the 42 Ohio hospitals that report inpatient hip or knee replacement.