Cincinnati, OH 45220 · CMS Certification Number 360134. 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 | $15,607 | $52,104 | 3.3× | $11,326 |
| Shoulder replacement | $20,333 | $61,646 | 3.0× | $16,174 |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $36,178 | 2.3× | $22,242–$47,079 | 9 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| MedBen | $47,079 | 3.0× | 1 |
| Custom Design Benefits | $42,304 | 2.7× | 1 |
| Imagine Health | $40,181 | 2.6× | 1 |
| UnitedHealthcare | $39,872 | 2.6× | 1 |
| Elevance/Anthem/Empire | $36,178 | 2.3× | 1 |
| Medical Mutual of Ohio | $34,386 | 2.2× | 1 |
| Aetna | $33,740 | 2.2× | 1 |
| Cigna | $29,546 | 1.9× | 1 |
| Oscar | $22,242 | 1.4× | 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.
Complications after hip or knee replacement: 4.1% (no different from the national rate). Readmissions: 7.1%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 672 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 Good Samaritan Hospital for an inpatient hip or knee replacement stay was $15,607 (MS-DRG 470, 22 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,326 per outpatient case (APC 5115, 137 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $52,104, 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. Heritage Development Partners, LLC, an orthopedic surgery center 8.4 mi away, is paid about $8,643 by Medicare for a knee replacement (CPT 27447), $6,964 less than an inpatient stay at Good Samaritan Hospital. Not every patient is a surgery-center candidate.
Good Samaritan Hospital's average total payment per Medicare stay is higher than 64% 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 $36,178 across 9 insurers, ranging from $22,242 to $47,079.