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Mercy Health - Tiffin Hospital: what a joint replacement costs

Tiffin, OH 44883 · CMS Certification Number 360089. 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
—
No orthopedic surgery center within 25 miles
Outpatient here
$11,245
Medicare allowed amount, 59 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Mercy Health - Tiffin Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,245
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$14,345—$14,203–$25,0763
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
UnitedHealthcare$25,076—1
Devoted Health Plan$14,345—1
Paramount Elite$14,203—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

Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 120 beds

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

Open the interactive price tagBuild a reportAll Ohio hospitals

Questions

How much does Medicare pay Mercy Health - Tiffin Hospital for a knee or hip replacement?

The Medicare allowed amount averaged $11,245 per outpatient hip or knee replacement case (APC 5115, 59 cases) in 2024. Inpatient stays were too few to report.

What do commercial insurers pay Mercy Health - Tiffin 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 $14,345 across 3 insurers, ranging from $14,203 to $25,076.