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Every commercial insurer rate these hospitals posted, as a dollar amount and as a multiple of the hospital's own Medicare base rate.
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CPT 27236
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Cleveland Clinic (main campus) median $7,208 · local Medicare $6,865 · file 2026-06-16 | |||
| Pphp | $7,551 | 1.1× | 1 |
| Valor | $6,865 | 1.0× | 1 |
| Cleveland Clinic Lutheran Hospital median $7,551 · local Medicare $6,865 · file 2026-06-15 | |||
| Elevance/Anthem/Empire | $14,862 | 2.2× | 1 |
| Pphp | $7,551 | 1.1× | 1 |
| Valor | $6,865 | 1.0× | 1 |
| Marymount Hospital median $7,551 · local Medicare $6,865 · file 2026-06-15 | |||
| Elevance/Anthem/Empire | $14,862 | 2.2× | 1 |
| Pphp | $7,551 | 1.1× | 1 |
| Valor | $6,865 | 1.0× | 1 |
| University Hospitals Ahuja Medical Center median $7,606 · local Medicare $6,865 · file 2026-07-14 | |||
| Aetna | $5,582 | 0.8× | 2 |
| Elevance/Anthem/Empire | $3,862 | 0.6× | 2 |
| Medical Mutual of Ohio | $13,901 | 2.0× | 3 |
| UnitedHealthcare | $9,630 | 1.4× | 2 |
| University Hospitals - Elyria Medical Center median $8,512 · local Medicare $6,865 · file 2026-07-14 | |||
| Aetna | $5,958 | 0.9× | 1 |
| Medical Mutual of Ohio | $8,512 | 1.2× | 3 |
| UnitedHealthcare | $9,257 | 1.3× | 2 |
| University Hospitals St. John Medical Center median $9,141 · local Medicare $6,865 · file 2026-07-14 | |||
| Aetna | $5,958 | 0.9× | 1 |
| Medical Mutual of Ohio | $9,339 | 1.4× | 3 |
| UnitedHealthcare | $9,141 | 1.3× | 2 |
| Medina Hospital median $9,792 · local Medicare $6,865 · file 2026-06-15 | |||
| Elevance/Anthem/Empire | $13,010 | 1.9× | 3 |
| MMO | $12,034 | 1.8× | 1 |
| Pphp | $7,551 | 1.1× | 1 |
| Valor | $6,865 | 1.0× | 1 |
| MetroHealth System median $12,107 · local Medicare $6,865 · file 2026-04-01 | |||
| Aetna | $3,908 | 0.6× | 1 |
| Cigna | $5,081 | 0.7× | 1 |
| Clarity Health | $17,849 | 2.6× | 1 |
| Elevance/Anthem/Empire | $26,173 | 3.8× | 1 |
| Health E Ohio | $14,416 | 2.1× | 1 |
| Medical Mutual | $12,107 | 1.8× | 4 |
| UnitedHealthcare | $6,700 | 1.0× | 1 |
| Cleveland Clinic Fairview Hospital median $12,191 · local Medicare $6,865 · file 2026-06-15 | |||
| Elevance/Anthem/Empire | $16,831 | 2.5× | 2 |
| MMO | $18,879 | 2.8× | 1 |
| Pphp | $7,551 | 1.1× | 1 |
| Valor | $6,865 | 1.0× | 1 |
| Cleveland Clinic Hillcrest Hospital median $12,191 · local Medicare $6,865 · file 2026-06-15 | |||
| Elevance/Anthem/Empire | $16,831 | 2.5× | 2 |
| MMO | $18,879 | 2.8× | 1 |
| Pphp | $7,551 | 1.1× | 1 |
| Valor | $6,865 | 1.0× | 1 |
MS-DRG 522
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Cleveland Clinic Hillcrest Hospital median $16,862 · local Medicare $14,221 · file 2026-06-15 | |||
| Aetna | $24,049 | 1.7× | 3 |
| Elevance/Anthem/Empire | $12,225 | 0.9× | 2 |
| Humana | $14,710 | 1.0× | 1 |
| MMO | $18,856 | 1.3× | 1 |
| Pphp | $16,862 | 1.2× | 1 |
| UnitedHealthcare | $35,319 | 2.5× | 1 |
| Valor | $15,329 | 1.1× | 1 |
| Cleveland Clinic Fairview Hospital median $18,281 · local Medicare $14,221 · file 2026-06-15 | |||
| Aetna | $24,049 | 1.7× | 3 |
| Elevance/Anthem/Empire | $12,225 | 0.9× | 2 |
| Humana | $15,732 | 1.1× | 1 |
| MMO | $18,856 | 1.3× | 1 |
| Pphp | $18,281 | 1.3× | 1 |
| UnitedHealthcare | $35,319 | 2.5× | 1 |
| Valor | $16,619 | 1.2× | 1 |
| Cleveland Clinic (main campus) median $20,570 · local Medicare $14,221 · file 2026-06-16 | |||
| Aetna | $37,553 | 2.6× | 3 |
| Cigna | $18,150 | 1.3× | 1 |
| Elevance/Anthem/Empire | $17,927 | 1.3× | 2 |
| Humana | $18,928 | 1.3× | 1 |
| MMO | $21,326 | 1.5× | 1 |
| Pphp | $21,794 | 1.5× | 1 |
| UnitedHealthcare | $56,843 | 4.0× | 2 |
| Valor | $19,813 | 1.4× | 1 |
| Medina Hospital median $23,319 · local Medicare $14,221 · file 2026-06-15 | |||
| Aetna | $29,104 | 2.0× | 3 |
| Cigna | $36,107 | 2.5× | 1 |
| Elevance/Anthem/Empire | $23,319 | 1.6× | 3 |
| MMO | $19,648 | 1.4× | 1 |
| Pphp | $15,473 | 1.1× | 1 |
| UnitedHealthcare | $34,612 | 2.4× | 1 |
| Valor | $14,067 | 1.0× | 1 |
| Cleveland Clinic Lutheran Hospital median $23,573 · local Medicare $14,221 · file 2026-06-15 | |||
| Aetna | $29,104 | 2.0× | 3 |
| Cigna | $36,107 | 2.5× | 1 |
| Elevance/Anthem/Empire | $27,498 | 1.9× | 1 |
| Humana | $16,445 | 1.2× | 1 |
| MMO | $19,648 | 1.4× | 1 |
| Pphp | $19,201 | 1.4× | 1 |
| UnitedHealthcare | $34,612 | 2.4× | 1 |
| Valor | $17,455 | 1.2× | 1 |
| Marymount Hospital median $23,573 · local Medicare $14,221 · file 2026-06-15 | |||
| Aetna | $29,104 | 2.0× | 3 |
| Cigna | $36,107 | 2.5× | 1 |
| Elevance/Anthem/Empire | $27,498 | 1.9× | 1 |
| Humana | $14,491 | 1.0× | 1 |
| MMO | $19,648 | 1.4× | 1 |
| Pphp | $16,562 | 1.2× | 1 |
| UnitedHealthcare | $34,612 | 2.4× | 1 |
| Valor | $15,057 | 1.1× | 1 |
| University Hospitals St. John Medical Center median $26,037 · local Medicare $14,221 · file 2026-07-14 | |||
| Aetna | $29,163 | 2.1× | 1 |
| AultCare | $26,410 | 1.9× | 1 |
| Cigna | $20,330 | 1.4× | 1 |
| Elevance/Anthem/Empire | $13,236 | 0.9× | 1 |
| JP Farley | $10,978 | 0.8× | 1 |
| Medical Mutual of Ohio | $26,037 | 1.8× | 3 |
| SummaCare | $28,631 | 2.0× | 1 |
| The Health Plan | $27,265 | 1.9× | 1 |
| University Health Employee Plan (Contigo) | $20,076 | 1.4× | 1 |
| University Hospitals - Elyria Medical Center median $26,410 · local Medicare $14,221 · file 2026-07-14 | |||
| Aetna | $29,163 | 2.1× | 1 |
| AultCare | $26,410 | 1.9× | 1 |
| Cigna | $19,695 | 1.4× | 1 |
| Elevance/Anthem/Empire | $23,839 | 1.7× | 2 |
| JP Farley | $23,248 | 1.6× | 1 |
| Medical Mutual of Ohio | $28,515 | 2.0× | 4 |
| SummaCare | $28,631 | 2.0× | 1 |
| The Health Plan | $27,265 | 1.9× | 1 |
| University Health Employee Plan (Contigo) | $20,076 | 1.4× | 1 |
| University Hospitals Ahuja Medical Center median $27,470 · local Medicare $14,221 · file 2026-07-14 | |||
| Aetna | $27,706 | 1.9× | 2 |
| AultCare | $26,410 | 1.9× | 1 |
| Cigna | $25,412 | 1.8× | 1 |
| Elevance/Anthem/Empire | $27,674 | 1.9× | 2 |
| JP Farley | $25,292 | 1.8× | 1 |
| Medical Mutual of Ohio | $31,463 | 2.2× | 3 |
| SummaCare | $28,631 | 2.0× | 1 |
| The Health Plan | $27,265 | 1.9× | 1 |
| UnitedHealthcare | $30,500 | 2.1× | 2 |
| University Health Employee Plan (Contigo) | $20,076 | 1.4× | 1 |
| MetroHealth System median $29,300 · local Medicare $14,221 · file 2026-04-01 | |||
| Aetna | $24,015 | 1.7× | 2 |
| Cigna | $24,773 | 1.7× | 1 |
| Clarity Health | $33,356 | 2.3× | 1 |
| Elevance/Anthem/Empire | $29,300 | 2.1× | 1 |
| Health E Ohio | $38,487 | 2.7× | 1 |
| Medical Mutual | $24,000 | 1.7× | 2 |
| Metrohealth | $32,073 | 2.3× | 2 |
| Ohio Health Choice | $12,706 | 0.9× | 1 |
| UnitedHealthcare | $29,542 | 2.1× | 1 |
| University Hospitals Cleveland Medical Center median $35,733 · local Medicare $14,221 · file 2026-07-14 | |||
| Aetna | $34,384 | 2.4× | 2 |
| AultCare | $35,253 | 2.5× | 1 |
| Cigna | $36,213 | 2.5× | 1 |
| Elevance/Anthem/Empire | $35,144 | 2.5× | 2 |
| JP Farley | $29,881 | 2.1× | 1 |
| Medical Mutual of Ohio | $39,463 | 2.8× | 3 |
| SummaCare | $39,048 | 2.7× | 1 |
| The Health Plan | $37,070 | 2.6× | 1 |
| UnitedHealthcare | $45,247 | 3.2× | 2 |
| University Health Employee Plan (Contigo) | $24,887 | 1.8× | 1 |
MS-DRG 521
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Cleveland Clinic Hillcrest Hospital median $20,643 · local Medicare $19,274 · file 2026-06-15 | |||
| Aetna | $32,594 | 1.7× | 3 |
| Elevance/Anthem/Empire | $12,225 | 0.6× | 2 |
| Humana | $20,222 | 1.0× | 1 |
| MMO | $17,737 | 0.9× | 1 |
| Pphp | $22,707 | 1.2× | 1 |
| UnitedHealthcare | $47,869 | 2.5× | 1 |
| Valor | $20,643 | 1.1× | 1 |
| Cleveland Clinic Fairview Hospital median $22,311 · local Medicare $19,274 · file 2026-06-15 | |||
| Aetna | $32,594 | 1.7× | 3 |
| Elevance/Anthem/Empire | $12,225 | 0.6× | 2 |
| Humana | $21,573 | 1.1× | 1 |
| MMO | $17,737 | 0.9× | 1 |
| Pphp | $24,542 | 1.3× | 1 |
| UnitedHealthcare | $47,869 | 2.5× | 1 |
| Valor | $22,311 | 1.2× | 1 |
| Cleveland Clinic (main campus) median $26,169 · local Medicare $19,274 · file 2026-06-16 | |||
| Aetna | $50,897 | 2.6× | 3 |
| Cigna | $18,150 | 0.9× | 1 |
| Elevance/Anthem/Empire | $17,927 | 0.9× | 2 |
| Humana | $25,866 | 1.3× | 1 |
| MMO | $21,326 | 1.1× | 1 |
| Pphp | $29,120 | 1.5× | 1 |
| UnitedHealthcare | $77,042 | 4.0× | 2 |
| Valor | $26,472 | 1.4× | 1 |
| Marymount Hospital median $29,720 · local Medicare $19,274 · file 2026-06-15 | |||
| Aetna | $39,445 | 2.0× | 3 |
| Cigna | $48,937 | 2.5× | 1 |
| Elevance/Anthem/Empire | $37,270 | 1.9× | 1 |
| Humana | $19,818 | 1.0× | 1 |
| MMO | $19,648 | 1.0× | 1 |
| Pphp | $22,171 | 1.2× | 1 |
| UnitedHealthcare | $46,911 | 2.4× | 1 |
| Valor | $20,156 | 1.0× | 1 |
| Cleveland Clinic Lutheran Hospital median $31,298 · local Medicare $19,274 · file 2026-06-15 | |||
| Aetna | $39,445 | 2.0× | 3 |
| Cigna | $48,937 | 2.5× | 1 |
| Elevance/Anthem/Empire | $37,270 | 1.9× | 1 |
| Humana | $22,184 | 1.2× | 1 |
| MMO | $19,648 | 1.0× | 1 |
| Pphp | $25,326 | 1.3× | 1 |
| UnitedHealthcare | $46,911 | 2.4× | 1 |
| Valor | $23,023 | 1.2× | 1 |
| Medina Hospital median $31,605 · local Medicare $19,274 · file 2026-06-15 | |||
| Aetna | $39,445 | 2.0× | 3 |
| Cigna | $48,937 | 2.5× | 1 |
| Elevance/Anthem/Empire | $31,605 | 1.6× | 3 |
| MMO | $19,648 | 1.0× | 1 |
| Pphp | $20,972 | 1.1× | 1 |
| UnitedHealthcare | $46,911 | 2.4× | 1 |
| Valor | $19,065 | 1.0× | 1 |
| University Hospitals St. John Medical Center median $35,542 · local Medicare $19,274 · file 2026-07-14 | |||
| Aetna | $39,526 | 2.1× | 1 |
| AultCare | $35,794 | 1.9× | 1 |
| Cigna | $27,554 | 1.4× | 1 |
| Elevance/Anthem/Empire | $17,939 | 0.9× | 1 |
| Medical Mutual of Ohio | $35,289 | 1.8× | 3 |
| SummaCare | $38,805 | 2.0× | 1 |
| The Health Plan | $36,954 | 1.9× | 1 |
| University Health Employee Plan (Contigo) | $27,210 | 1.4× | 1 |
| University Hospitals - Elyria Medical Center median $35,794 · local Medicare $19,274 · file 2026-07-14 | |||
| Aetna | $39,526 | 2.1× | 1 |
| AultCare | $35,794 | 1.9× | 1 |
| Cigna | $26,693 | 1.4× | 1 |
| Elevance/Anthem/Empire | $32,310 | 1.7× | 2 |
| JP Farley | $31,509 | 1.6× | 1 |
| Medical Mutual of Ohio | $38,647 | 2.0× | 4 |
| SummaCare | $38,805 | 2.0× | 1 |
| The Health Plan | $36,954 | 1.9× | 1 |
| University Health Employee Plan (Contigo) | $27,210 | 1.4× | 1 |
| University Hospitals Ahuja Medical Center median $37,231 · local Medicare $19,274 · file 2026-07-14 | |||
| Aetna | $37,551 | 1.9× | 2 |
| AultCare | $35,794 | 1.9× | 1 |
| Cigna | $34,442 | 1.8× | 1 |
| Elevance/Anthem/Empire | $37,508 | 1.9× | 2 |
| JP Farley | $34,279 | 1.8× | 1 |
| Medical Mutual of Ohio | $42,643 | 2.2× | 3 |
| SummaCare | $38,805 | 2.0× | 1 |
| The Health Plan | $36,954 | 1.9× | 1 |
| UnitedHealthcare | $41,338 | 2.1× | 2 |
| University Health Employee Plan (Contigo) | $27,210 | 1.4× | 1 |
| MetroHealth System median $39,712 · local Medicare $19,274 · file 2026-04-01 | |||
| Aetna | $32,548 | 1.7× | 2 |
| Cigna | $33,576 | 1.7× | 1 |
| Clarity Health | $42,750 | 2.2× | 1 |
| Elevance/Anthem/Empire | $39,712 | 2.1× | 1 |
| Health E Ohio | $49,327 | 2.6× | 1 |
| Medical Mutual | $32,528 | 1.7× | 2 |
| Metrohealth | $41,106 | 2.1× | 2 |
| Ohio Health Choice | $17,221 | 0.9× | 1 |
| UnitedHealthcare | $40,039 | 2.1× | 1 |
| University Hospitals Cleveland Medical Center median $48,430 · local Medicare $19,274 · file 2026-07-14 | |||
| Aetna | $46,602 | 2.4× | 2 |
| AultCare | $47,780 | 2.5× | 1 |
| Cigna | $49,080 | 2.5× | 1 |
| Elevance/Anthem/Empire | $47,632 | 2.5× | 2 |
| JP Farley | $40,499 | 2.1× | 1 |
| Medical Mutual of Ohio | $53,486 | 2.8× | 3 |
| SummaCare | $52,924 | 2.7× | 1 |
| The Health Plan | $50,243 | 2.6× | 1 |
| UnitedHealthcare | $61,325 | 3.2× | 2 |
| University Health Employee Plan (Contigo) | $33,731 | 1.8× | 1 |
Questions
How much does hip fracture replacement cost with commercial insurance in Cleveland OH?
10 Cleveland OH hospitals post usable commercial rates for CPT 27236, hospital outpatient. The median across hospitals is $8,827; hospital medians range from $7,208 to $12,191. Your cost depends on your plan's deductible and coinsurance.