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Bay Area Hospital: what a joint replacement costs

Coos Bay, OR 97420 · CMS Certification Number 380090. 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
$9,143
North Bend Medical Center Ambulatory Surgery Center, same ZIP
Outpatient here
$14,353
42 Medicare cases, APC 5115
Inpatient here
$20,958
44 Medicare stays, MS-DRG 470

Medicare prices at Bay Area Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$20,958$51,0202.4×$14,353
Shoulder replacement———$20,311
Hip replacement after a fracture (DRG 522)$23,208$70,6183.0×—

Quality

Complications after hip or knee replacement: 6.7% (no different from the national rate). Readmissions: 9.2%. Overall Care Compare rating: 2 of 5 stars. Government · Acute · 172 beds

Oregon has a certificate-of-need program that does not cover surgery centers.

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Questions

How much does Medicare pay Bay Area Hospital for a knee or hip replacement?

In 2024 Medicare paid Bay Area Hospital an average of $20,958 per inpatient hip or knee replacement stay (MS-DRG 470, 44 stays) and $14,353 per outpatient case (APC 5115, 42 cases).

What is Bay Area Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $51,020, 2.4× what Medicare paid. 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 Bay Area Hospital?

Yes for Medicare facility payments. North Bend Medical Center Ambulatory Surgery Center, an orthopedic surgery center same ZIP away, is paid about $9,143 by Medicare for a knee replacement (CPT 27447), $11,815 less than an inpatient stay at Bay Area Hospital. Not every patient is a surgery-center candidate.

How does Bay Area Hospital compare with other Oregon hospitals?

Medicare paid Bay Area Hospital more than 85% of the 13 Oregon hospitals that report inpatient hip or knee replacement.