Price AtlasInteractive atlas · All states · techysurgeon.comHillcrest Hospital: what a joint replacement costs
Mayfield Heights, OH 44124 · CMS Certification Number 360230. 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 Hillcrest Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $12,677 | $60,410 | 4.8× | $11,175 |
| Shoulder replacement | — | — | — | $15,877 |
| Hip replacement after a fracture (DRG 522) | $15,018 | $67,072 | 4.5× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $17,126 | 1.4× | $12,492–$60,600 | 8 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Medical Benefit | $60,600 | 4.8× | 1 |
| Aetna | $35,522 | 2.8× | 1 |
| UnitedHealthcare | $22,852 | 1.8× | 1 |
| MMO | $18,856 | 1.5× | 1 |
| Pphp | $15,395 | 1.2× | 1 |
| Valor | $13,995 | 1.1× | 1 |
| Humana | $13,189 | 1.0× | 1 |
| Elevance/Anthem/Empire | $12,492 | 1.0× | 1 |
From the hospital's price-transparency file (2026-06-15); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-06-15); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 3% (no different from the national rate). Readmissions: 5.3%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 532 beds
Ohio has a certificate-of-need program that does not cover surgery centers.
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Questions
How much does Medicare pay Hillcrest Hospital for a knee or hip replacement?
In 2024 the average total payment to Hillcrest Hospital for an inpatient hip or knee replacement stay was $12,677 (MS-DRG 470, 56 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,175 per outpatient case (APC 5115, 404 cases).
What is Hillcrest Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $60,410, 4.8× 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 Hillcrest Hospital?
Yes for Medicare facility payments. Northern Ohio Surgery Center LLC, an orthopedic surgery center same ZIP away, is paid about $8,388 by Medicare for a knee replacement (CPT 27447), $4,289 less than an inpatient stay at Hillcrest Hospital. Not every patient is a surgery-center candidate.
How does Hillcrest Hospital compare with other Ohio hospitals?
Hillcrest Hospital's average total payment per Medicare stay is lower than 74% of the 42 Ohio hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Hillcrest 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 $17,126 across 8 insurers, ranging from $12,492 to $60,600.