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Hillcrest 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.

Surgery center nearby
$8,388
Northern Ohio Surgery Center LLC, same ZIP
Outpatient here
$11,175
404 Medicare cases, APC 5115
Inpatient here
$12,677
56 Medicare stays, MS-DRG 470

Medicare prices at Hillcrest Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$12,677$60,4104.8×$11,175
Shoulder replacement———$15,877
Hip replacement after a fracture (DRG 522)$15,018$67,0724.5×—

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 Medicare paid Hillcrest Hospital an average of $12,677 per inpatient hip or knee replacement stay (MS-DRG 470, 56 stays) and $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× 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 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?

Medicare paid Hillcrest Hospital less than 74% of the 42 Ohio hospitals that report inpatient hip or knee replacement.