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Lima Memorial Health System: what a joint replacement costs

Lima, OH 45804 · CMS Certification Number 360009. 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
$11,506
Medicare allowed amount, 11 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Lima Memorial Health System

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,506
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$31,096—$30,897–$31,2942
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Medical Mutual$31,294—1
Elevance/Anthem/Empire$30,897—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

Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 285 beds

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

Open the interactive price tagBuild a reportAll Ohio hospitals

Questions

How much does Medicare pay Lima Memorial Health System for a knee or hip replacement?

The Medicare allowed amount averaged $11,506 per outpatient hip or knee replacement case (APC 5115, 11 cases) in 2024. Inpatient stays were too few to report.

What do commercial insurers pay Lima Memorial Health System 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 $31,096 across 2 insurers, ranging from $30,897 to $31,294.