Price AtlasInteractive atlas · All states · techysurgeon.comMount Carmel East: what a joint replacement costs
Columbus, OH 43213 · CMS Certification Number 360035. 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.
Medicare prices at Mount Carmel East
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $11,390 |
| Shoulder replacement | — | — | — | $16,630 |
| Hip replacement after a fracture (DRG 522) | $15,550 | $107,403 | 6.9× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $51,689 | — | $21,779–$51,689 | 24 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| BCBS (other) | $51,689 | — | 1 |
| BCBS AZ | $51,689 | — | 1 |
| BCBS MN | $51,689 | — | 1 |
| BCBS Michigan | $51,689 | — | 1 |
| BCBS NC | $51,689 | — | 1 |
| BCBS TN | $51,689 | — | 1 |
| CareFirst BCBS | $51,689 | — | 1 |
| Elevance/Anthem/Empire | $51,689 | — | 1 |
| Excellus BCBS | $51,689 | — | 1 |
| Highmark BCBS | $51,689 | — | 1 |
| Horizon BCBS NJ | $51,689 | — | 1 |
| Independence Blue Cross | $51,689 | — | 1 |
| Premera Blue Cross | $51,689 | — | 1 |
| Regence BlueShield | $51,689 | — | 1 |
| Wellmark BCBS | $51,689 | — | 1 |
| Western & Southern Financial Group | $43,655 | — | 1 |
| UnitedHealthcare | $43,470 | — | 1 |
| Cigna | $40,373 | — | 1 |
| HealthPartners | $40,373 | — | 1 |
| Aetna | $40,057 | — | 1 |
| Quality Care Partners | $32,361 | — | 1 |
| Medical Mutual | $31,431 | — | 1 |
| Custom Design Benefits | $29,926 | — | 1 |
| Oscar | $21,779 | — | 1 |
From the hospital's price-transparency file (2026-03-31); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-03-31); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 4.2% (no different from the national rate). Readmissions: 6.3%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 937 beds
Ohio has a certificate-of-need program that does not cover surgery centers.
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Questions
How much does Medicare pay Mount Carmel East for a knee or hip replacement?
The Medicare allowed amount averaged $11,390 per outpatient hip or knee replacement case (APC 5115, 166 cases) in 2024. Inpatient stays were too few to report.
Is a knee replacement cheaper at a surgery center near Mount Carmel East?
Yes for Medicare facility payments. Orthopedic One Surgery Center at Easton, an orthopedic surgery center 3.9 mi away, is paid about $8,816 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.
What do commercial insurers pay Mount Carmel East 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 $51,689 across 24 insurers, ranging from $21,779 to $51,689.