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Thomas Memorial Hospital: what a joint replacement costs

South Charleston, WV 25309 · CMS Certification Number 510029. 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
—
No orthopedic surgery center within 25 miles
Outpatient here
$10,884
256 Medicare cases, APC 5115
Inpatient here
$14,650
27 Medicare stays, MS-DRG 470

Medicare prices at Thomas Memorial Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,650$72,1314.9×$10,884
Shoulder replacement———$15,680
Hip replacement after a fracture (DRG 522)$13,923$80,6765.8×—

Quality

Complications after hip or knee replacement: 3.6% (no different from the national rate). Readmissions: 5.9%. Overall Care Compare rating: 1 of 5 stars. Nonprofit · Acute · 266 beds

West Virginia requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Thomas Memorial Hospital for a knee or hip replacement?

In 2024 Medicare paid Thomas Memorial Hospital an average of $14,650 per inpatient hip or knee replacement stay (MS-DRG 470, 27 stays) and $10,884 per outpatient case (APC 5115, 256 cases).

What is Thomas Memorial Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $72,131, 4.9× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

How does Thomas Memorial Hospital compare with other West Virginia hospitals?

Medicare paid Thomas Memorial Hospital more than 80% of the 10 West Virginia hospitals that report inpatient hip or knee replacement.