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University Hospitals Ahuja Medical Center: what a joint replacement costs

Beachwood, OH 44122 · CMS Certification Number 360359. 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
Northeast Ohio Surgery Center, same ZIP
Outpatient here
$11,092
Medicare allowed amount, 147 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at University Hospitals Ahuja Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,092
Shoulder replacement$17,857$80,6504.5×$15,748
Hip replacement after a fracture (DRG 522)$14,067$65,5274.7×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$25,021—$18,286–$38,00210
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
UnitedHealthcare$38,002—1
Medical Mutual of Ohio$28,658—1
SummaCare$26,079—1
Aetna$25,236—1
Elevance/Anthem/Empire$25,207—1
The Health Plan$24,835—1
AultCare$24,055—1
Cigna$23,147—1
JP Farley$23,037—1
University Health Employee Plan (Contigo)$18,286—1

From the hospital's price-transparency file (2026-07-14); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-07-14); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 5.8% (no different from the national rate). Readmissions: 6.3%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 144 beds

Ohio has a certificate-of-need program that does not cover surgery centers.

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Questions

How much does Medicare pay University Hospitals Ahuja Medical Center for a knee or hip replacement?

The Medicare allowed amount averaged $11,092 per outpatient hip or knee replacement case (APC 5115, 147 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near University Hospitals Ahuja Medical Center?

Yes for Medicare facility payments. Northeast Ohio Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,388 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay University Hospitals Ahuja Medical Center 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 $25,021 across 10 insurers, ranging from $18,286 to $38,002.