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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,904 | $50,031 | 3.4× | $11,118 |
| Shoulder replacement | — | — | — | — |
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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In 2024 Medicare paid Lutheran Hospital an average of $14,904 per inpatient hip or knee replacement stay (MS-DRG 470, 38 stays) and $11,118 per outpatient case (APC 5115, 624 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $50,031, 3.4× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Medicare paid Lutheran Hospital more than 57% of the 42 Ohio hospitals that report inpatient hip or knee replacement.