Price AtlasInteractive atlas · All states · techysurgeon.comMount Carmel New Albany Surgical Hospital: what a joint replacement costs
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.
Medicare prices at Mount Carmel New Albany Surgical Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $12,371 | $90,997 | 7.4× | $11,647 |
| Shoulder replacement | — | — | — | $16,630 |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $51,689 | 4.2× | $21,779–$51,689 | 24 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| BCBS (other) | $51,689 | 4.2× | 1 |
| BCBS AZ | $51,689 | 4.2× | 1 |
| BCBS MN | $51,689 | 4.2× | 1 |
| BCBS Michigan | $51,689 | 4.2× | 1 |
| BCBS NC | $51,689 | 4.2× | 1 |
| BCBS TN | $51,689 | 4.2× | 1 |
| CareFirst BCBS | $51,689 | 4.2× | 1 |
| Elevance/Anthem/Empire | $51,689 | 4.2× | 1 |
| Excellus BCBS | $51,689 | 4.2× | 1 |
| Highmark BCBS | $51,689 | 4.2× | 1 |
| Horizon BCBS NJ | $51,689 | 4.2× | 1 |
| Independence Blue Cross | $51,689 | 4.2× | 1 |
| Premera Blue Cross | $51,689 | 4.2× | 1 |
| Regence BlueShield | $51,689 | 4.2× | 1 |
| Wellmark BCBS | $51,689 | 4.2× | 1 |
| Western & Southern Financial Group | $43,581 | 3.5× | 1 |
| UnitedHealthcare | $43,470 | 3.5× | 1 |
| Cigna | $40,373 | 3.3× | 1 |
| HealthPartners | $40,373 | 3.3× | 1 |
| Aetna | $40,057 | 3.2× | 1 |
| Medical Mutual | $31,431 | 2.5× | 1 |
| Quality Care Partners | $29,863 | 2.4× | 1 |
| Custom Design Benefits | $27,616 | 2.2× | 1 |
| Oscar | $21,779 | 1.8× | 1 |
From the hospital's price-transparency file (2026-03-31); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-03-31); commercial plans, dollar-amount contracts only.
Quality
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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Questions
How much does Medicare pay Mount Carmel New Albany Surgical Hospital for a knee or hip replacement?
In 2024 the average total payment to Mount Carmel New Albany Surgical Hospital for an inpatient hip or knee replacement stay was $12,371 (MS-DRG 470, 50 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,647 per outpatient case (APC 5115, 660 cases).
What is Mount Carmel New Albany Surgical Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $90,997, 7.4× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Is a knee replacement cheaper at a surgery center near Mount Carmel New Albany Surgical Hospital?
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.
How does Mount Carmel New Albany Surgical Hospital compare with other Ohio hospitals?
Mount Carmel New Albany Surgical Hospital's average total payment per Medicare stay is lower than 81% of the 42 Ohio hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Mount Carmel New Albany Surgical Hospital 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 $51,689 across 24 insurers, ranging from $21,779 to $51,689.