Price AtlasInteractive atlas · All states · techysurgeon.comMercy Health - Springfield Regional Medical Center: what a joint replacement costs
Springfield, OH 45504 · CMS Certification Number 360086. 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 - Springfield Regional Medical Center
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $11,430 |
| Shoulder replacement | — | — | — | $15,409 |
| Hip replacement after a fracture (DRG 522) | $16,801 | $69,200 | 4.1× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $31,807 | — | $14,774–$41,450 | 7 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| BCBS (other) | $41,450 | — | 1 |
| Elevance/Anthem/Empire | $41,450 | — | 1 |
| UnitedHealthcare | $39,718 | — | 1 |
| Medical Mutual | $31,807 | — | 1 |
| Aetna | $26,642 | — | 1 |
| Devoted Health Plan | $14,922 | — | 1 |
| Paramount Elite | $14,774 | — | 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: 4.5% (no different from the national rate). Readmissions: 5.6%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 254 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 - Springfield Regional Medical Center for a knee or hip replacement?
The Medicare allowed amount averaged $11,430 per outpatient hip or knee replacement case (APC 5115, 37 cases) in 2024. Inpatient stays were too few to report.
Is a knee replacement cheaper at a surgery center near Mercy Health - Springfield Regional Medical Center?
Yes for Medicare facility payments. Springfield Regional Outpatient Surgery Center LLC, an orthopedic surgery center 5.3 mi away, is paid about $8,231 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.
What do commercial insurers pay Mercy Health - Springfield Regional Medical Center 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 $31,807 across 7 insurers, ranging from $14,774 to $41,450.