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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $19,467 | $73,325 | 3.8× | $10,998 |
| Shoulder replacement | $25,919 | $88,730 | 3.4× | $15,877 |
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.
Open the interactive price tagBuild a reportAll Ohio hospitals
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).
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.
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.
Medicare paid Cleveland Clinic more than 98% of the 42 Ohio hospitals that report inpatient hip or knee replacement.