Ohio / Mount Carmel New Albany Surgical Hospital
CMS certification 360266 · New Albany, OH
Mount Carmel New Albany Surgical Hospital: charges and Medicare payments
Mount Carmel New Albany Surgical Hospital reported 261 Medicare inpatient stays across 7 DRGs in 2024. Across them it charged 4.71 times what it was paid — among the higher ratios in Ohio, number 28 of 104 hospitals with at least 100 stays (state median 4.01×, national 4.15×). Its most frequent stay was DRG 468, Revision of Hip or Knee Replacement without CC/MCC: 86 stays at an average charge of $113,127, 9% below the national average. It also billed 934 outpatient services, charging 6.66 times what Medicare paid.
- 1Medicare inpatient stays 261
- 2Charge ÷ paid, inpatient 4.71×
- 3Rank in OH (highest ratio = 1) 28 of 104
- 4CMS price-transparency actions 0
Inpatient stays
For the 7 DRGs that can be compared with the national average, Mount Carmel New Albany Surgical Hospital charged more than the national average in 1 (14%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 468 Revision of Hip or Knee Replacement without CC/MCC | 86 | $113,127 | -9% | $20,638 |
| 467 Revision of Hip or Knee Replacement with CC | 50 | $136,176 | -14% | $24,985 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 50 | $90,997 | -2% | $12,371 |
| 460 Spinal Fusion except Cervical without MCC | 29 | $86,491 | -49% | $31,390 |
| 472 Cervical Spinal Fusion with CC | 18 | $97,342 | -32% | $28,484 |
| 489 Knee Procedures without Principal Diagnosis of Infection... | 15 | $62,453 | +2% | $9,363 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 13 | $142,321 | -49% | $59,173 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 5 Musculoskeletal Procedures | 660 | $68,423 | $11,647 |
| Level 6 Musculoskeletal Procedures | 121 | $83,661 | $16,630 |
| Level 4 Musculoskeletal Procedures | 87 | $47,982 | $6,339 |
| Level 3 Musculoskeletal Procedures | 29 | $37,572 | $2,894 |
| Level 1 Breast/Lymphatic Surgery and Related Procedures | 19 | $19,351 | $3,409 |
| Level 5 Neurostimulator and Related Procedures | 18 | $113,455 | $27,688 |
Against the Ohio average
For Revision of Hip or Knee Replacement without CC/MCC (DRG 468), Mount Carmel New Albany Surgical Hospital charged $113,127 on average, 11% more than the Ohio average of $102,022, and was paid $20,638 against a state average of $21,333. For Revision of Hip or Knee Replacement with CC (DRG 467), Mount Carmel New Albany Surgical Hospital charged $136,176 on average, 12% more than the Ohio average of $122,073, and was paid $24,985 against a state average of $27,659. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Mount Carmel New Albany Surgical Hospital charged $90,997 on average, 27% more than the Ohio average of $71,769, and was paid $12,371 against a state average of $14,325. For Spinal Fusion except Cervical without MCC (DRG 460), Mount Carmel New Albany Surgical Hospital charged $86,491 on average, 32% less than the Ohio average of $126,933, and was paid $31,390 against a state average of $30,370. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $68,423 was 17% above the state average of $58,420. For Level 6 Musculoskeletal Procedures (outpatient APC 5116), its average charge of $83,661 was 7% above the state average of $78,314. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $47,982 was 18% above the state average of $40,587. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $37,572 was 84% above the state average of $20,370.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.