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Summa Health System: what a joint replacement costs

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.

Surgery center nearby
$8,087
Surgery Center at Akron General Health & Wellness, 7.2 mi
Outpatient here
$10,631
Medicare allowed amount, 155 cases, APC 5115
Inpatient here
$16,365
Avg total payment (incl. patient share), 18 Medicare stays, MS-DRG 470

Medicare prices at Summa Health System

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$16,365$118,0897.2×$10,631
Shoulder replacement———$14,249
Hip replacement after a fracture (DRG 522)$17,617$89,2815.1×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$27,8661.7×$25,386–$34,1057
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
MultiPlan/PHCS (rental network)$51,6533.2×1
Elevance/Anthem/Empire$34,1052.1×1
Cigna$31,3751.9×1
UnitedHealthcare$28,6311.7×1
Summacare$27,8661.7×1
Aetna$26,7461.6×1
Medical Mutual$26,4441.6×1
The Health Plan$25,3861.6×1

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.

Quality

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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Questions

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

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).

What is Summa Health System's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Summa Health System?

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.

How does Summa Health System compare with other Ohio hospitals?

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.

What do commercial insurers pay Summa 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 $27,866 across 7 insurers, ranging from $25,386 to $34,105.