Price AtlasInteractive atlas · All states · techysurgeon.comLutheran Hospital: what a joint replacement costs
Cleveland, OH 44113 · CMS Certification Number 360087. 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 Lutheran Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,904 | $50,031 | 3.4× | $11,118 |
| Shoulder replacement | — | — | — | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $19,648 | 1.3× | $14,861–$60,600 | 9 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Medical Benefit | $60,600 | 4.1× | 1 |
| Cigna | $32,888 | 2.2× | 1 |
| Aetna | $30,439 | 2.0× | 1 |
| UnitedHealthcare | $20,542 | 1.4× | 1 |
| MMO | $19,648 | 1.3× | 1 |
| Pphp | $17,664 | 1.2× | 1 |
| Elevance/Anthem/Empire | $16,743 | 1.1× | 1 |
| Valor | $16,058 | 1.1× | 1 |
| Humana | $14,861 | 1.0× | 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
Complications after hip or knee replacement: 3.9% (no different from the national rate). Readmissions: 6.4%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 203 beds
Ohio has a certificate-of-need program that does not cover surgery centers.
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Questions
How much does Medicare pay Lutheran Hospital for a knee or hip replacement?
In 2024 the average total payment to Lutheran Hospital for an inpatient hip or knee replacement stay was $14,904 (MS-DRG 470, 38 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,118 per outpatient case (APC 5115, 624 cases).
What is Lutheran Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $50,031, 3.4× 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 Lutheran Hospital?
Yes for Medicare facility payments. Northeast Ohio Surgery Center, an orthopedic surgery center 9.6 mi away, is paid about $8,388 by Medicare for a knee replacement (CPT 27447), $6,516 less than an inpatient stay at Lutheran Hospital. Not every patient is a surgery-center candidate.
How does Lutheran Hospital compare with other Ohio hospitals?
Lutheran Hospital's average total payment per Medicare stay is higher than 57% of the 42 Ohio hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Lutheran 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 $19,648 across 9 insurers, ranging from $14,861 to $60,600.