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Fairview Hospital: what a joint replacement costs

Cleveland, OH 44111 · CMS Certification Number 360077. 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, 14.4 mi
Outpatient here
$11,222
Medicare allowed amount, 34 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Fairview Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,222
Shoulder replacement———$15,877
Hip replacement after a fracture (DRG 522)$15,215$64,4214.2×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$17,783—$12,492–$60,6008
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Medical Benefit$60,600—1
Aetna$35,522—1
UnitedHealthcare$22,852—1
MMO$18,856—1
Pphp$16,710—1
Valor$15,191—1
Humana$14,119—1
Elevance/Anthem/Empire$12,492—1

From the hospital's price-transparency file (2026-06-15); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-06-15); commercial plans, dollar-amount contracts only.

Quality

Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 468 beds

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

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Questions

How much does Medicare pay Fairview Hospital for a knee or hip replacement?

The Medicare allowed amount averaged $11,222 per outpatient hip or knee replacement case (APC 5115, 34 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Fairview Hospital?

Yes for Medicare facility payments. Northeast Ohio Surgery Center, an orthopedic surgery center 14.4 mi away, is paid about $8,388 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Fairview 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 $17,783 across 8 insurers, ranging from $12,492 to $60,600.