Westlake, OH 44145 · CMS Certification Number 360123. 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 | $21,370 | $70,039 | 3.3× | $11,080 |
| Shoulder replacement | — | — | — | $15,877 |
| Hip replacement after a fracture (DRG 522) | $24,306 | $61,989 | 2.6× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $24,445 | 1.1× | $10,978–$40,846 | 10 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $40,846 | 1.9× | 1 |
| Elevance/Anthem/Empire | $34,299 | 1.6× | 1 |
| Aetna | $26,563 | 1.2× | 1 |
| SummaCare | $26,079 | 1.2× | 1 |
| The Health Plan | $24,835 | 1.2× | 1 |
| AultCare | $24,055 | 1.1× | 1 |
| Medical Mutual of Ohio | $23,716 | 1.1× | 1 |
| Cigna | $18,517 | 0.9× | 1 |
| University Health Employee Plan (Contigo) | $18,286 | 0.9× | 1 |
| JP Farley | $10,978 | 0.5× | 1 |
From the hospital's price-transparency file (2026-07-14); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-07-14); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 5.2% (no different from the national rate). Readmissions: 5.8%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 240 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 Uh St John Medical Center for an inpatient hip or knee replacement stay was $21,370 (MS-DRG 470, 13 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,080 per outpatient case (APC 5115, 202 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $70,039, 3.3× 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. University Hospitals Amherst Beaver Creek Surgery Center, an orthopedic surgery center 18.0 mi away, is paid about $8,388 by Medicare for a knee replacement (CPT 27447), $12,982 less than an inpatient stay at Uh St John Medical Center. Not every patient is a surgery-center candidate.
Uh St John Medical Center's average total payment per Medicare stay is higher than 100% 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 $24,445 across 10 insurers, ranging from $10,978 to $40,846.