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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
176 Medicare cases, APC 5115
Inpatient here
$12,546
15 Medicare stays, MS-DRG 470

Medicare prices at Marymount Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$12,546$58,8434.7×$11,059
Shoulder replacement———$15,877

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 Medicare paid Marymount Hospital an average of $12,546 per inpatient hip or knee replacement stay (MS-DRG 470, 15 stays) and $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× what Medicare paid. 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?

Medicare paid Marymount Hospital less than 79% of the 42 Ohio hospitals that report inpatient hip or knee replacement.