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Ohio State University Hospitals: what a joint replacement costs

Columbus, OH 43210 · CMS Certification Number 360085. 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
$8,816
Ohio Surgery Center, 3.1 mi
Outpatient here
$11,737
Medicare allowed amount, 171 cases, APC 5115
Inpatient here
$17,665
Avg total payment (incl. patient share), 49 Medicare stays, MS-DRG 470

Medicare prices at Ohio State University Hospitals

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$17,665$82,9874.7×$11,737
Shoulder replacement$22,603$111,5754.9×$16,690
Hip replacement after a fracture (DRG 522)$19,929$110,8415.6×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$34,9482.0×$12,121–$42,7835
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Elevance/Anthem/Empire$42,7832.4×1
Aetna$39,2072.2×1
MMO$34,9482.0×1
UnitedHealthcare$34,6602.0×1
Ohio Dept of Health$12,1210.7×1

From the hospital's price-transparency file (2026-07-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-07-01); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 3.9% (no different from the national rate). Readmissions: 6.7%. Overall Care Compare rating: 3 of 5 stars. Government · Acute · 971 beds

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

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Questions

How much does Medicare pay Ohio State University Hospitals for a knee or hip replacement?

In 2024 the average total payment to Ohio State University Hospitals for an inpatient hip or knee replacement stay was $17,665 (MS-DRG 470, 49 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,737 per outpatient case (APC 5115, 171 cases).

What is Ohio State University Hospitals's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $82,987, 4.7× 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 Ohio State University Hospitals?

Yes for Medicare facility payments. Ohio Surgery Center, an orthopedic surgery center 3.1 mi away, is paid about $8,816 by Medicare for a knee replacement (CPT 27447), $8,849 less than an inpatient stay at Ohio State University Hospitals. Not every patient is a surgery-center candidate.

How does Ohio State University Hospitals compare with other Ohio hospitals?

Ohio State University Hospitals's average total payment per Medicare stay is higher than 90% of the 42 Ohio hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Ohio State University Hospitals 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 $34,948 across 5 insurers, ranging from $12,121 to $42,783.