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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $17,162 | $97,419 | 5.7× | $11,172 |
| Shoulder replacement | $21,854 | $114,283 | 5.2× | $16,174 |
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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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).
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.
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.
Medicare paid The Jewish Hospital-Mercy Health more than 86% of the 42 Ohio hospitals that report inpatient hip or knee replacement.