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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $26,821 | 1.9× | $26,189–$34,875 | 14 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Elevance/Anthem/Empire | $34,875 | 2.5× | 1 |
| UnitedHealthcare | $27,631 | 2.0× | 1 |
| Cincinnati Public Library | $26,821 | 1.9× | 1 |
| Great Parks of Hamilton County | $26,821 | 1.9× | 1 |
| Green Township | $26,821 | 1.9× | 1 |
| Health Ohio Network | $26,821 | 1.9× | 1 |
| Madtree Brewing | $26,821 | 1.9× | 1 |
| Magellan Health | $26,821 | 1.9× | 1 |
| Ohio Valley Goodwill | $26,821 | 1.9× | 1 |
| Skilled Care Pharmacy | $26,821 | 1.9× | 1 |
| Springfield Township | $26,821 | 1.9× | 1 |
| Stock Material Handling Systems | $26,821 | 1.9× | 1 |
| Watson Gravel | $26,821 | 1.9× | 1 |
| Aetna | $26,189 | 1.9× | 1 |
From the hospital's price-transparency file (2026-07-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-07-01); commercial plans, dollar-amount contracts only.
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.
Open the interactive price tagBuild a reportAll Ohio hospitals
In 2024 the average total payment to West Chester Hospital, LLC for an inpatient hip or knee replacement stay was $14,084 (MS-DRG 470, 20 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× the average total payment for a Medicare stay. 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.
West Chester Hospital, LLC's average total payment per Medicare stay is lower than 57% of the 42 Ohio hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $26,821 across 14 insurers, ranging from $26,189 to $34,875.