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Mercy Health-Anderson Hospital: what a joint replacement costs

Cincinnati, OH 45255 · CMS Certification Number 360001. 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
Wellington Specialty Surgery Center LLC, 2.6 mi
Outpatient here
$10,603
Medicare allowed amount, 65 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Mercy Health-Anderson Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$10,603
Shoulder replacement———$15,055
Hip replacement after a fracture (DRG 522)$14,480$77,7985.4×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$36,466—$26,866–$36,5785
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
UnitedHealthcare$36,578—1
BCBS (other)$36,466—1
Elevance/Anthem/Empire$36,466—1
Cigna$28,540—1
Aetna$26,866—1

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 3.6% (no different from the national rate). Readmissions: 5.5%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 226 beds

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

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Questions

How much does Medicare pay Mercy Health-Anderson Hospital for a knee or hip replacement?

The Medicare allowed amount averaged $10,603 per outpatient hip or knee replacement case (APC 5115, 65 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Mercy Health-Anderson Hospital?

Yes for Medicare facility payments. Wellington Specialty Surgery Center LLC, an orthopedic surgery center 2.6 mi away, is paid about $8,643 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Mercy Health-Anderson Hospital 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 $36,466 across 5 insurers, ranging from $26,866 to $36,578.