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The Jewish Hospital-Mercy Health: what a joint replacement costs

Cincinnati, OH 45236 · CMS Certification Number 360016. 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
Summit Surgical Center, 4.6 mi
Outpatient here
$11,172
113 Medicare cases, APC 5115
Inpatient here
$17,162
16 Medicare stays, MS-DRG 470

Medicare prices at The Jewish Hospital-Mercy Health

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$17,162$97,4195.7×$11,172
Shoulder replacement$21,854$114,2835.2×$16,174

Quality

Complications after hip or knee replacement: 4.1% (no different from the national rate). Readmissions: 5.9%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 209 beds

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

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Questions

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

In 2024 Medicare paid The Jewish Hospital-Mercy Health an average of $17,162 per inpatient hip or knee replacement stay (MS-DRG 470, 16 stays) and $11,172 per outpatient case (APC 5115, 113 cases).

What is The Jewish Hospital-Mercy Health's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $97,419, 5.7× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

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

Yes for Medicare facility payments. Summit Surgical Center, an orthopedic surgery center 4.6 mi away, is paid about $8,643 by Medicare for a knee replacement (CPT 27447), $8,519 less than an inpatient stay at The Jewish Hospital-Mercy Health. Not every patient is a surgery-center candidate.

How does The Jewish Hospital-Mercy Health compare with other Ohio hospitals?

Medicare paid The Jewish Hospital-Mercy Health more than 86% of the 42 Ohio hospitals that report inpatient hip or knee replacement.