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Good Samaritan Hospital: what a joint replacement costs

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.

Surgery center nearby
$8,643
Heritage Development Partners, LLC, 8.4 mi
Outpatient here
$11,326
Medicare allowed amount, 137 cases, APC 5115
Inpatient here
$15,607
Avg total payment (incl. patient share), 22 Medicare stays, MS-DRG 470

Medicare prices at Good Samaritan Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$15,607$52,1043.3×$11,326
Shoulder replacement$20,333$61,6463.0×$16,174

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$36,1782.3×$22,242–$47,0799
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
MedBen$47,0793.0×1
Custom Design Benefits$42,3042.7×1
Imagine Health$40,1812.6×1
UnitedHealthcare$39,8722.6×1
Elevance/Anthem/Empire$36,1782.3×1
Medical Mutual of Ohio$34,3862.2×1
Aetna$33,7402.2×1
Cigna$29,5461.9×1
Oscar$22,2421.4×1

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.

Quality

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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Questions

How much does Medicare pay Good Samaritan Hospital for a knee or hip replacement?

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).

What is Good Samaritan Hospital's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Good Samaritan Hospital?

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.

How does Good Samaritan Hospital compare with other Ohio hospitals?

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.

What do commercial insurers pay Good Samaritan Hospital 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 $36,178 across 9 insurers, ranging from $22,242 to $47,079.