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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $17,162 | $97,419 | 5.7× | $11,172 |
| Shoulder replacement | $21,854 | $114,283 | 5.2× | $16,174 |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $30,852 | 1.8× | $14,247–$44,741 | 8 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| BCBS (other) | $44,741 | 2.6× | 1 |
| Elevance/Anthem/Empire | $44,741 | 2.6× | 1 |
| UnitedHealthcare | $36,578 | 2.1× | 1 |
| Medical Mutual | $33,163 | 1.9× | 1 |
| Cigna | $28,540 | 1.7× | 1 |
| Aetna | $26,866 | 1.6× | 1 |
| Devoted Health Plan | $16,999 | 1.0× | 1 |
| Paramount Elite | $14,247 | 0.8× | 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.
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 the average total payment to The Jewish Hospital-Mercy Health for an inpatient hip or knee replacement stay was $17,162 (MS-DRG 470, 16 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× the average total payment for a Medicare stay. 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.
The Jewish Hospital-Mercy Health's average total payment per Medicare stay is higher than 86% of the 42 Ohio hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $30,852 across 8 insurers, ranging from $14,247 to $44,741.