Price AtlasInteractive atlas · All states · techysurgeon.comBethesda North: what a joint replacement costs
Cincinnati, OH 45242 · CMS Certification Number 360179. 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 Bethesda North
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,604 | $54,380 | 3.7× | $11,432 |
| Shoulder replacement | $17,835 | $76,297 | 4.3× | $16,174 |
| Hip replacement after a fracture (DRG 522) | $14,964 | $51,739 | 3.5× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $33,740 | 2.3× | $19,189–$39,872 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $39,872 | 2.7× | 1 |
| Elevance/Anthem/Empire | $36,178 | 2.5× | 1 |
| Aetna | $33,740 | 2.3× | 1 |
| Cigna | $29,546 | 2.0× | 1 |
| Oscar | $19,189 | 1.3× | 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: 4.4% (no different from the national rate). Readmissions: 6.4%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 465 beds
Ohio has a certificate-of-need program that does not cover surgery centers.
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Questions
How much does Medicare pay Bethesda North for a knee or hip replacement?
In 2024 the average total payment to Bethesda North for an inpatient hip or knee replacement stay was $14,604 (MS-DRG 470, 43 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,432 per outpatient case (APC 5115, 214 cases).
What is Bethesda North's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $54,380, 3.7× 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 Bethesda North?
Yes for Medicare facility payments. Summit Surgical Center, an orthopedic surgery center 3.4 mi away, is paid about $8,643 by Medicare for a knee replacement (CPT 27447), $5,961 less than an inpatient stay at Bethesda North. Not every patient is a surgery-center candidate.
How does Bethesda North compare with other Ohio hospitals?
Bethesda North's average total payment per Medicare stay is lower than 50% of the 42 Ohio hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Bethesda North 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 $33,740 across 5 insurers, ranging from $19,189 to $39,872.