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 paid | List price | List ÷ paid | Outpatient 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× | — |
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 Medicare paid Uh St John Medical Center an average of $21,370 per inpatient hip or knee replacement stay (MS-DRG 470, 13 stays) and $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× what Medicare paid. 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.
Medicare paid Uh St John Medical Center more than 100% of the 42 Ohio hospitals that report inpatient hip or knee replacement.