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University of Cincinnati Medical Center, LLC: what a joint replacement costs

Cincinnati, OH 45219 · CMS Certification Number 360003. 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
Heritage Development Partners, LLC, 7.2 mi
Outpatient here
$11,432
Medicare allowed amount, 35 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at University of Cincinnati Medical Center, LLC

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,432
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$22,278$99,6374.5×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$38,960—$27,829–$38,96015
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Cincinnati Public Library$38,960—1
Great Parks of Hamilton County$38,960—1
Green Township$38,960—1
Health Ohio Network$38,960—1
Madtree Brewing$38,960—1
Magellan Health$38,960—1
Ohio Valley Goodwill$38,960—1
Skilled Care Pharmacy$38,960—1
Springfield Township$38,960—1
Stock Material Handling Systems$38,960—1
Watson Gravel$38,960—1
UnitedHealthcare$35,363—1
Elevance/Anthem/Empire$35,204—1
Aetna$33,715—1
Humana$27,829—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: 4.2% (no different from the national rate). Readmissions: 6.5%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 771 beds

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

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Questions

How much does Medicare pay University of Cincinnati Medical Center, LLC for a knee or hip replacement?

The Medicare allowed amount averaged $11,432 per outpatient hip or knee replacement case (APC 5115, 35 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near University of Cincinnati Medical Center, LLC?

Yes for Medicare facility payments. Heritage Development Partners, LLC, an orthopedic surgery center 7.2 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 University of Cincinnati Medical Center, 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 $38,960 across 15 insurers, ranging from $27,829 to $38,960.