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Knee replacement in Ohio: what insurers pay

Posted commercial rates at 15 Ohio hospitals, each next to its own Medicare base rate.

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CPT 27447

HospitalMedian across insurers× MedicareInsurersFile date
Cleveland Clinic (main campus) Cleveland$11,5530.9×12026-06-16
Medina Hospital Medina$16,7741.4×22026-06-15
Cleveland Clinic Lutheran Hospital Cleveland$18,4121.5×22026-06-15
Marymount Hospital Garfield Heights$18,4121.5×22026-06-15
Cleveland Clinic Hillcrest Hospital Mayfield Heights$21,0041.7×22026-06-15
Cleveland Clinic Fairview Hospital Cleveland$21,0041.7×22026-06-15
University Hospitals Ahuja Medical Center Beachwood$21,0281.7×12026-07-14
University Hospitals St. John Medical Center Westlake$22,4451.9×32026-07-14
University Hospitals - Elyria Medical Center Elyria$23,2221.9×42026-07-14
Bethesda North Cincinnati$23,4931.9×42026-04-01
MetroHealth System Cleveland$27,4152.3×22026-04-01
University Hospitals Cleveland Medical Center Cleveland$35,5562.9×12026-07-14
Mount Carmel New Albany Surgical Hospital New Albany$46,1783.7×182026-03-31
Mount Carmel East Columbus$46,1783.7×172026-03-31

MS-DRG 470

HospitalMedian across insurers× MedicareInsurersFile date
Cleveland Clinic Hillcrest Hospital Mayfield Heights$18,0201.4×42026-06-15
Cleveland Clinic Fairview Hospital Cleveland$18,4861.4×42026-06-15
Cleveland Clinic Lutheran Hospital Cleveland$20,5421.6×52026-06-15
Marymount Hospital Garfield Heights$20,5421.6×52026-06-15
Cleveland Clinic (main campus) Cleveland$23,1001.8×52026-06-16
University Hospitals - Elyria Medical Center Elyria$23,1781.8×42026-07-14
MetroHealth System Cleveland$24,6261.9×42026-04-01
Medina Hospital Medina$25,4902.0×42026-06-15
University Hospitals Ahuja Medical Center Beachwood$25,8852.0×22026-07-14
University Hospitals St. John Medical Center Westlake$30,4312.4×42026-07-14
Bethesda North Cincinnati$33,7402.5×52026-04-01
University Hospitals Cleveland Medical Center Cleveland$35,5972.8×42026-07-14
Ohio State University Hospitals Columbus$39,2073.0×32026-07-01
Mount Carmel New Albany Surgical Hospital New Albany$51,6893.9×202026-03-31
Mount Carmel East Columbus$51,6893.9×192026-03-31

MS-DRG 469

HospitalMedian across insurers× MedicareInsurersFile date
Cleveland Clinic Hillcrest Hospital Mayfield Heights$22,0651.1×42026-06-15
Marymount Hospital Garfield Heights$22,1571.1×52026-06-15
Cleveland Clinic Fairview Hospital Cleveland$22,8131.1×42026-06-15
Cleveland Clinic Lutheran Hospital Cleveland$24,7021.2×52026-06-15
University Hospitals - Elyria Medical Center Elyria$27,6741.4×42026-07-14
Cleveland Clinic (main campus) Cleveland$28,9111.4×52026-06-16
Medina Hospital Medina$31,1141.5×42026-06-15
University Hospitals St. John Medical Center Westlake$37,5721.8×42026-07-14
MetroHealth System Cleveland$38,7241.9×42026-04-01
University Hospitals Ahuja Medical Center Beachwood$40,7042.0×22026-07-14
University Hospitals Cleveland Medical Center Cleveland$51,1032.5×42026-07-14
Bethesda North Cincinnati$53,0572.5×52026-04-01
Ohio State University Hospitals Columbus$67,2763.2×32026-07-01
Mount Carmel New Albany Surgical Hospital New Albany$81,2813.9×202026-03-31
Mount Carmel East Columbus$81,2813.9×192026-03-31

Questions

How much do insurers pay for knee replacement in Ohio?

15 Ohio hospitals post usable commercial rates for knee replacement in their federal price-transparency files. For CPT 27447, hospital outpatient, the median across 14 hospitals is $21,737, 1.8× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.