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Mercy Health - Defiance Hospital: what a joint replacement costs

Defiance, OH 43512 · CMS Certification Number 360270. 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
—
No orthopedic surgery center within 25 miles
Outpatient here
$11,747
Medicare allowed amount, 22 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Mercy Health - Defiance Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,747
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$25,076—$13,783–$36,3345
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
BCBS (other)$36,334—1
Elevance/Anthem/Empire$36,334—1
UnitedHealthcare$25,076—1
Devoted Health Plan$13,921—1
Paramount Elite$13,783—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

Overall Care Compare rating: 4 of 5 stars. For-profit · Acute · 23 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 - Defiance Hospital for a knee or hip replacement?

The Medicare allowed amount averaged $11,747 per outpatient hip or knee replacement case (APC 5115, 22 cases) in 2024. Inpatient stays were too few to report.

What do commercial insurers pay Mercy Health - Defiance 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 $25,076 across 5 insurers, ranging from $13,783 to $36,334.