West Chester, OH 45069 · CMS Certification Number 360354. 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 | $14,084 | $62,130 | 4.4× | $11,254 |
| Shoulder replacement | $18,149 | $90,686 | 5.0× | $15,427 |
| Hip replacement after a fracture (DRG 522) | $13,673 | $83,174 | 6.1× | — |
Complications after hip or knee replacement: 5.1% (no different from the national rate). Readmissions: 6%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 162 beds
Ohio has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid West Chester Hospital, LLC an average of $14,084 per inpatient hip or knee replacement stay (MS-DRG 470, 20 stays) and $11,254 per outpatient case (APC 5115, 110 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $62,130, 4.4× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. West Chester Surgical Suites LLC, an orthopedic surgery center same ZIP away, is paid about $8,643 by Medicare for a knee replacement (CPT 27447), $5,441 less than an inpatient stay at West Chester Hospital, LLC. Not every patient is a surgery-center candidate.
Medicare paid West Chester Hospital, LLC less than 57% of the 42 Ohio hospitals that report inpatient hip or knee replacement.