Price AtlasInteractive atlas · All states · techysurgeon.comMercy Health St Vincent Medical Center: what a joint replacement costs
Toledo, OH 43608 · CMS Certification Number 360112. 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 Mercy Health St Vincent Medical Center
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $16,596 | $122,871 | 7.4× | $11,645 |
| Shoulder replacement | — | — | — | $16,307 |
| Hip replacement after a fracture (DRG 522) | $20,750 | $136,346 | 6.6× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $32,030 | 1.9× | $15,972–$54,006 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $54,006 | 3.3× | 1 |
| Cigna | $36,183 | 2.2× | 1 |
| BCBS (other) | $32,030 | 1.9× | 1 |
| Aetna | $26,545 | 1.6× | 1 |
| Devoted Health Plan | $15,972 | 1.0× | 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
Complications after hip or knee replacement: 4.7% (no different from the national rate). Readmissions: 5.5%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 568 beds
Ohio has a certificate-of-need program that does not cover surgery centers.
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Questions
How much does Medicare pay Mercy Health St Vincent Medical Center for a knee or hip replacement?
In 2024 the average total payment to Mercy Health St Vincent Medical Center for an inpatient hip or knee replacement stay was $16,596 (MS-DRG 470, 22 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,645 per outpatient case (APC 5115, 312 cases).
What is Mercy Health St Vincent Medical Center's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $122,871, 7.4× 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 Mercy Health St Vincent Medical Center?
Yes for Medicare facility payments. Toledo Clinic Inc, an orthopedic surgery center 6.5 mi away, is paid about $8,367 by Medicare for a knee replacement (CPT 27447), $8,229 less than an inpatient stay at Mercy Health St Vincent Medical Center. Not every patient is a surgery-center candidate.
How does Mercy Health St Vincent Medical Center compare with other Ohio hospitals?
Mercy Health St Vincent Medical Center's average total payment per Medicare stay is higher than 83% of the 42 Ohio hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Mercy Health St Vincent Medical Center 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 $32,030 across 5 insurers, ranging from $15,972 to $54,006.