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Metrohealth System: what a joint replacement costs

Cleveland, OH 44109 · CMS Certification Number 360059. 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
$8,388
Northeast Ohio Surgery Center, 9.8 mi
Outpatient here
$4,762
129 Medicare cases, APC 5115
Inpatient here
$12,770
13 Medicare stays, MS-DRG 470

Medicare prices at Metrohealth System

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$12,770$41,6463.3×$4,762
Shoulder replacement———$6,378
Hip replacement after a fracture (DRG 522)$20,195$74,7913.7×—

Quality

Complications after hip or knee replacement: 4.7% (no different from the national rate). Readmissions: 6.4%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 702 beds

Ohio has a certificate-of-need program that does not cover surgery centers.

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Questions

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

In 2024 Medicare paid Metrohealth System an average of $12,770 per inpatient hip or knee replacement stay (MS-DRG 470, 13 stays) and $4,762 per outpatient case (APC 5115, 129 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $41,646, 3.3× what Medicare paid. 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 Metrohealth System?

Yes for Medicare facility payments. Northeast Ohio Surgery Center, an orthopedic surgery center 9.8 mi away, is paid about $8,388 by Medicare for a knee replacement (CPT 27447), $4,382 less than an inpatient stay at Metrohealth System. Not every patient is a surgery-center candidate.

How does Metrohealth System compare with other Ohio hospitals?

Medicare paid Metrohealth System less than 67% of the 42 Ohio hospitals that report inpatient hip or knee replacement.