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West Chester Hospital, LLC: what a joint replacement costs

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.

Surgery center nearby
$8,643
West Chester Surgical Suites LLC, same ZIP
Outpatient here
$11,254
Medicare allowed amount, 110 cases, APC 5115
Inpatient here
$14,084
Avg total payment (incl. patient share), 20 Medicare stays, MS-DRG 470

Medicare prices at West Chester Hospital, LLC

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$14,084$62,1304.4×$11,254
Shoulder replacement$18,149$90,6865.0×$15,427
Hip replacement after a fracture (DRG 522)$13,673$83,1746.1×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$26,8211.9×$26,189–$34,87514
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Elevance/Anthem/Empire$34,8752.5×1
UnitedHealthcare$27,6312.0×1
Cincinnati Public Library$26,8211.9×1
Great Parks of Hamilton County$26,8211.9×1
Green Township$26,8211.9×1
Health Ohio Network$26,8211.9×1
Madtree Brewing$26,8211.9×1
Magellan Health$26,8211.9×1
Ohio Valley Goodwill$26,8211.9×1
Skilled Care Pharmacy$26,8211.9×1
Springfield Township$26,8211.9×1
Stock Material Handling Systems$26,8211.9×1
Watson Gravel$26,8211.9×1
Aetna$26,1891.9×1

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.

Quality

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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Questions

How much does Medicare pay West Chester Hospital, LLC for a knee or hip replacement?

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).

What is West Chester Hospital, LLC's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near West Chester Hospital, LLC?

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.

How does West Chester Hospital, LLC compare with other Ohio hospitals?

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.

What do commercial insurers pay West Chester Hospital, LLC 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 $26,821 across 14 insurers, ranging from $26,189 to $34,875.