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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient 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× | — |
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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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).
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.
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.
Medicare paid Hillcrest Hospital less than 74% of the 42 Ohio hospitals that report inpatient hip or knee replacement.