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Lutheran 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.

Surgery center nearby
$8,388
Northeast Ohio Surgery Center, 9.6 mi
Outpatient here
$11,118
624 Medicare cases, APC 5115
Inpatient here
$14,904
38 Medicare stays, MS-DRG 470

Medicare prices at Lutheran Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,904$50,0313.4×$11,118
Shoulder replacement————

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 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).

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× what Medicare paid. 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?

Medicare paid Lutheran Hospital more than 57% of the 42 Ohio hospitals that report inpatient hip or knee replacement.