Medina, OH 44256 · CMS Certification Number 360091. 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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $12,315 | $60,301 | 4.9× | $11,177 |
| Shoulder replacement | — | — | — | $15,877 |
| Hip replacement after a fracture (DRG 522) | $13,158 | $62,260 | 4.7× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $20,095 | 1.6× | $12,813–$60,600 | 8 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Medical Benefit | $60,600 | 4.9× | 1 |
| Cigna | $32,888 | 2.7× | 1 |
| Aetna | $30,439 | 2.5× | 1 |
| UnitedHealthcare | $20,542 | 1.7× | 1 |
| MMO | $19,648 | 1.6× | 1 |
| Elevance/Anthem/Empire | $14,200 | 1.2× | 1 |
| Pphp | $14,094 | 1.1× | 1 |
| Valor | $12,813 | 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.
Complications after hip or knee replacement: 3.8% (no different from the national rate). Readmissions: 6%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 157 beds
Ohio has a certificate-of-need program that does not cover surgery centers.
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In 2024 the average total payment to Medina Hospital for an inpatient hip or knee replacement stay was $12,315 (MS-DRG 470, 39 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,177 per outpatient case (APC 5115, 213 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $60,301, 4.9× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Surgery Center at Akron General Health & Wellness, an orthopedic surgery center 11.9 mi away, is paid about $8,087 by Medicare for a knee replacement (CPT 27447), $4,228 less than an inpatient stay at Medina Hospital. Not every patient is a surgery-center candidate.
Medina Hospital's average total payment per Medicare stay is lower than 88% of the 42 Ohio hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $20,095 across 8 insurers, ranging from $12,813 to $60,600.