Price AtlasInteractive atlas · All states · techysurgeon.comMercy Health - West Hospital: what a joint replacement costs
Cincinnati, OH 45211 · CMS Certification Number 360234. 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 Mercy Health - West Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $11,132 |
| Shoulder replacement | — | — | — | $16,174 |
| Hip replacement after a fracture (DRG 522) | $14,228 | $72,436 | 5.1× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $30,852 | — | $14,711–$36,578 | 8 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $36,578 | — | 1 |
| BCBS (other) | $36,105 | — | 1 |
| Elevance/Anthem/Empire | $36,105 | — | 1 |
| Medical Mutual | $33,163 | — | 1 |
| Cigna | $28,540 | — | 1 |
| Aetna | $26,866 | — | 1 |
| Devoted Health Plan | $14,858 | — | 1 |
| Paramount Elite | $14,711 | — | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 4.5% (no different from the national rate). Readmissions: 6.7%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 297 beds
Ohio has a certificate-of-need program that does not cover surgery centers.
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Questions
How much does Medicare pay Mercy Health - West Hospital for a knee or hip replacement?
The Medicare allowed amount averaged $11,132 per outpatient hip or knee replacement case (APC 5115, 98 cases) in 2024. Inpatient stays were too few to report.
Is a knee replacement cheaper at a surgery center near Mercy Health - West Hospital?
Yes for Medicare facility payments. Beacon West Surgical Center, an orthopedic surgery center 5.2 mi away, is paid about $8,643 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.
What do commercial insurers pay Mercy Health - West 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 $30,852 across 8 insurers, ranging from $14,711 to $36,578.