Price AtlasInteractive atlas · All states · techysurgeon.comMercy Health - Fairfield Hospital: what a joint replacement costs
Fairfield, OH 45014 · CMS Certification Number 360056. 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 Mercy Health - Fairfield Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $11,029 |
| Shoulder replacement | — | — | — | $16,174 |
| Hip replacement after a fracture (DRG 522) | $13,689 | $75,297 | 5.5× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $30,852 | — | $14,302–$36,578 | 6 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $36,578 | — | 1 |
| Elevance/Anthem/Empire | $36,323 | — | 1 |
| Medical Mutual | $33,163 | — | 1 |
| Cigna | $28,540 | — | 1 |
| Aetna | $26,866 | — | 1 |
| Paramount Elite | $14,302 | — | 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: 4.3% (no different from the national rate). Readmissions: 5.1%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 271 beds
Ohio has a certificate-of-need program that does not cover surgery centers.
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Questions
How much does Medicare pay Mercy Health - Fairfield Hospital for a knee or hip replacement?
The Medicare allowed amount averaged $11,029 per outpatient hip or knee replacement case (APC 5115, 97 cases) in 2024. Inpatient stays were too few to report.
Is a knee replacement cheaper at a surgery center near Mercy Health - Fairfield Hospital?
Yes for Medicare facility payments. West Chester Surgical Suites LLC, an orthopedic surgery center 7.6 mi away, is paid about $8,643 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.
What do commercial insurers pay Mercy Health - Fairfield Hospital 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 $30,852 across 6 insurers, ranging from $14,302 to $36,578.