Akron, OH 44309 · CMS Certification Number 360020. 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 | $16,365 | $118,089 | 7.2× | $10,631 |
| Shoulder replacement | — | — | — | $14,249 |
| Hip replacement after a fracture (DRG 522) | $17,617 | $89,281 | 5.1× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $27,866 | 1.7× | $25,386–$34,105 | 7 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| MultiPlan/PHCS (rental network) | $51,653 | 3.2× | 1 |
| Elevance/Anthem/Empire | $34,105 | 2.1× | 1 |
| Cigna | $31,375 | 1.9× | 1 |
| UnitedHealthcare | $28,631 | 1.7× | 1 |
| Summacare | $27,866 | 1.7× | 1 |
| Aetna | $26,746 | 1.6× | 1 |
| Medical Mutual | $26,444 | 1.6× | 1 |
| The Health Plan | $25,386 | 1.6× | 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: 3.5% (no different from the national rate). Readmissions: 5.2%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 1093 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 Summa Health System for an inpatient hip or knee replacement stay was $16,365 (MS-DRG 470, 18 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $10,631 per outpatient case (APC 5115, 155 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $118,089, 7.2× 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. Surgery Center at Akron General Health & Wellness, an orthopedic surgery center 7.2 mi away, is paid about $8,087 by Medicare for a knee replacement (CPT 27447), $8,278 less than an inpatient stay at Summa Health System. Not every patient is a surgery-center candidate.
Summa Health System's average total payment per Medicare stay is higher than 79% 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 $27,866 across 7 insurers, ranging from $25,386 to $34,105.