Price AtlasInteractive atlas · All states · techysurgeon.comMetrohealth 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.
Medicare prices at Metrohealth System
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $12,770 | $41,646 | 3.3× | $4,762 |
| Shoulder replacement | — | — | — | $6,378 |
| Hip replacement after a fracture (DRG 522) | $20,195 | $74,791 | 3.7× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $26,688 | 2.1× | $11,573–$35,768 | 9 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Health E Ohio | $35,768 | 2.8× | 1 |
| Clarity Health | $30,999 | 2.4× | 1 |
| Metrohealth | $29,806 | 2.3× | 1 |
| UnitedHealthcare | $26,908 | 2.1× | 1 |
| Elevance/Anthem/Empire | $26,688 | 2.1× | 1 |
| Cigna | $22,564 | 1.8× | 1 |
| Aetna | $21,874 | 1.7× | 1 |
| Medical Mutual | $21,860 | 1.7× | 1 |
| Ohio Health Choice | $11,573 | 0.9× | 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: 4.7% (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 the average total payment to Metrohealth System for an inpatient hip or knee replacement stay was $12,770 (MS-DRG 470, 13 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× 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 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?
Metrohealth System's average total payment per Medicare stay is lower than 67% of the 42 Ohio hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Metrohealth 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 $26,688 across 9 insurers, ranging from $11,573 to $35,768.