Price AtlasInteractive atlas · All states · techysurgeon.comCleveland 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.
Medicare prices at Cleveland Clinic
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $19,467 | $73,325 | 3.8× | $10,998 |
| Shoulder replacement | $25,919 | $88,730 | 3.4× | $15,877 |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $39,466 | 2.0× | $17,013–$67,900 | 14 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $67,900 | 3.5× | 1 |
| Medical Benefit | $60,600 | 3.1× | 1 |
| Ohio Healthy | $60,600 | 3.1× | 1 |
| Parkview Health Plan | $60,600 | 3.1× | 1 |
| Quality Care Partners | $48,700 | 2.5× | 1 |
| The Health Plan | $46,100 | 2.4× | 1 |
| Aetna | $41,163 | 2.1× | 1 |
| Cc Ehp | $37,769 | 1.9× | 1 |
| Cigna | $23,100 | 1.2× | 1 |
| MMO | $21,326 | 1.1× | 1 |
| Pphp | $19,956 | 1.0× | 1 |
| Valor | $18,142 | 0.9× | 1 |
| Elevance/Anthem/Empire | $17,927 | 0.9× | 1 |
| Humana | $17,013 | 0.9× | 1 |
From the hospital's price-transparency file (2026-06-16); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-06-16); commercial plans, dollar-amount contracts only.
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 the average total payment to Cleveland Clinic for an inpatient hip or knee replacement stay was $19,467 (MS-DRG 470, 136 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× 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 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?
Cleveland Clinic's average total payment per Medicare stay is higher than 98% of the 42 Ohio hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Cleveland Clinic 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 $39,466 across 14 insurers, ranging from $17,013 to $67,900.