Price AtlasInteractive atlas · All states · techysurgeon.comMercy Health-Lorain Hospital: what a joint replacement costs
Lorain, OH 44053 · CMS Certification Number 360172. 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 Mercy Health-Lorain Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $11,022 |
| Shoulder replacement | — | — | — | $15,877 |
| Hip replacement after a fracture (DRG 522) | $14,573 | $86,426 | 5.9× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $31,738 | — | $14,158–$37,881 | 8 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| BCBS (other) | $37,881 | — | 1 |
| Elevance/Anthem/Empire | $37,881 | — | 1 |
| UnitedHealthcare | $32,963 | — | 1 |
| Medical Mutual | $32,374 | — | 1 |
| Cigna | $31,102 | — | 1 |
| Aetna | $26,642 | — | 1 |
| Devoted Health Plan | $14,299 | — | 1 |
| Paramount Elite | $14,158 | — | 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: 4.6% (no different from the national rate). Readmissions: 5.6%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 317 beds
Ohio has a certificate-of-need program that does not cover surgery centers.
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Questions
How much does Medicare pay Mercy Health-Lorain Hospital for a knee or hip replacement?
The Medicare allowed amount averaged $11,022 per outpatient hip or knee replacement case (APC 5115, 48 cases) in 2024. Inpatient stays were too few to report.
Is a knee replacement cheaper at a surgery center near Mercy Health-Lorain Hospital?
Yes for Medicare facility payments. University Hospitals Amherst Beaver Creek Surgery Center, an orthopedic surgery center 4.8 mi away, is paid about $8,388 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.
What do commercial insurers pay Mercy Health-Lorain 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 $31,738 across 8 insurers, ranging from $14,158 to $37,881.