Price AtlasInteractive atlas · All states · techysurgeon.comUniversity Hospitals - Elyria Medical Center: what a joint replacement costs
Elyria, OH 44035 · CMS Certification Number 360145. 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.
Medicare prices at University Hospitals - Elyria Medical Center
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $12,696 | $56,960 | 4.5× | $11,008 |
| Shoulder replacement | — | — | — | $15,877 |
| Hip replacement after a fracture (DRG 522) | $13,155 | $60,782 | 4.6× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $24,445 | 1.9× | $17,939–$27,140 | 10 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Elevance/Anthem/Empire | $27,140 | 2.1× | 1 |
| Aetna | $26,563 | 2.1× | 1 |
| SummaCare | $26,079 | 2.1× | 1 |
| Medical Mutual of Ohio | $25,973 | 2.0× | 1 |
| The Health Plan | $24,835 | 2.0× | 1 |
| AultCare | $24,055 | 1.9× | 1 |
| JP Farley | $21,175 | 1.7× | 1 |
| UnitedHealthcare | $19,792 | 1.6× | 1 |
| University Health Employee Plan (Contigo) | $18,286 | 1.4× | 1 |
| Cigna | $17,939 | 1.4× | 1 |
From the hospital's price-transparency file (2026-07-14); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-07-14); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 4.7% (no different from the national rate). Readmissions: 7.1%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 400 beds
Ohio has a certificate-of-need program that does not cover surgery centers.
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Questions
How much does Medicare pay University Hospitals - Elyria Medical Center for a knee or hip replacement?
In 2024 the average total payment to University Hospitals - Elyria Medical Center for an inpatient hip or knee replacement stay was $12,696 (MS-DRG 470, 22 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,008 per outpatient case (APC 5115, 130 cases).
What is University Hospitals - Elyria Medical Center's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $56,960, 4.5× 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 University Hospitals - Elyria Medical Center?
Yes for Medicare facility payments. University Hospitals Amherst Beaver Creek Surgery Center, an orthopedic surgery center 6.4 mi away, is paid about $8,388 by Medicare for a knee replacement (CPT 27447), $4,308 less than an inpatient stay at University Hospitals - Elyria Medical Center. Not every patient is a surgery-center candidate.
How does University Hospitals - Elyria Medical Center compare with other Ohio hospitals?
University Hospitals - Elyria Medical Center's average total payment per Medicare stay is lower than 71% of the 42 Ohio hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay University Hospitals - Elyria Medical Center 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 $24,445 across 10 insurers, ranging from $17,939 to $27,140.