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Cleveland Clinic: what a joint replacement costs

Cleveland, OH 44195 · CMS Certification Number 360180. 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, 6.2 mi
Outpatient here
$10,998
255 Medicare cases, APC 5115
Inpatient here
$19,467
136 Medicare stays, MS-DRG 470

Medicare prices at Cleveland Clinic

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$19,467$73,3253.8×$10,998
Shoulder replacement$25,919$88,7303.4×$15,877

Quality

Complications after hip or knee replacement: 3.6% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 1267 beds

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

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Questions

How much does Medicare pay Cleveland Clinic for a knee or hip replacement?

In 2024 Medicare paid Cleveland Clinic an average of $19,467 per inpatient hip or knee replacement stay (MS-DRG 470, 136 stays) and $10,998 per outpatient case (APC 5115, 255 cases).

What is Cleveland Clinic's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $73,325, 3.8× 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 Cleveland Clinic?

Yes for Medicare facility payments. Northeast Ohio Surgery Center, an orthopedic surgery center 6.2 mi away, is paid about $8,388 by Medicare for a knee replacement (CPT 27447), $11,079 less than an inpatient stay at Cleveland Clinic. Not every patient is a surgery-center candidate.

How does Cleveland Clinic compare with other Ohio hospitals?

Medicare paid Cleveland Clinic more than 98% of the 42 Ohio hospitals that report inpatient hip or knee replacement.