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Marymount Hospital: what a joint replacement costs

Garfield Heights, OH 44125 · CMS Certification Number 360143. 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
$8,388
Northeast Ohio Surgery Center, 6.7 mi
Outpatient here
$11,059
Medicare allowed amount, 176 cases, APC 5115
Inpatient here
$12,546
Avg total payment (incl. patient share), 15 Medicare stays, MS-DRG 470

Medicare prices at Marymount Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$12,546$58,8434.7×$11,059
Shoulder replacement———$15,877

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$19,6481.6×$13,021–$60,6009
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Medical Benefit$60,6004.8×1
Cigna$32,8882.6×1
Aetna$30,4392.4×1
UnitedHealthcare$20,5421.6×1
MMO$19,6481.6×1
Elevance/Anthem/Empire$16,7431.3×1
Pphp$15,1551.2×1
Valor$13,7771.1×1
Humana$13,0211.0×1

From the hospital's price-transparency file (2026-06-15); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-06-15); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 3.4% (no different from the national rate). Readmissions: 6.2%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 349 beds

Ohio has a certificate-of-need program that does not cover surgery centers.

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Questions

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

In 2024 the average total payment to Marymount Hospital for an inpatient hip or knee replacement stay was $12,546 (MS-DRG 470, 15 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,059 per outpatient case (APC 5115, 176 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $58,843, 4.7× 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 Marymount Hospital?

Yes for Medicare facility payments. Northeast Ohio Surgery Center, an orthopedic surgery center 6.7 mi away, is paid about $8,388 by Medicare for a knee replacement (CPT 27447), $4,158 less than an inpatient stay at Marymount Hospital. Not every patient is a surgery-center candidate.

How does Marymount Hospital compare with other Ohio hospitals?

Marymount Hospital's average total payment per Medicare stay is lower than 79% of the 42 Ohio hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Marymount 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 $19,648 across 9 insurers, ranging from $13,021 to $60,600.