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Ohio: one knee, three prices

What Medicare pays Ohio hospitals and surgery centers for knee, hip and shoulder replacement, what hospitals list, and which cost the most and the least.

Surgery center
$8,388
Median Medicare knee rate, 58 orthopedic surgery centers
Hospital, same day
$11,186
Median Medicare allowed amount
Hospital, overnight
$14,679
Median avg total payment (incl. patient share), 42 hospitals

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

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Lowest average total payment per stay

HospitalCityInpatient avg total paymentList priceOutpatient allowed
Southwest General Health CenterMiddleburg Heights$11,654$49,796$11,032
Surgical Hospital at SouthwoodsYoungstown$11,755$58,318$11,075
Crystal Clinic Orthopaedic CenterAkron$11,829$57,231$11,101
Institute for Orthopaedic SurgeryLima$11,850$74,891$10,936
Medina HospitalMedina$12,315$60,301$11,177
Lake HealthConcord$12,320$68,356$10,808
Blanchard Valley HospitalFindlay$12,367$43,937$11,172
Mount Carmel New Albany Surgical HospitalNew Albany$12,371$90,997$11,647
Marymount HospitalGarfield Heights$12,546$58,843$11,059
Mercy Medical CenterCanton$12,666$59,315$10,917

Highest average total payment per stay

HospitalCityInpatient avg total paymentList priceOutpatient allowed
Uh St John Medical CenterWestlake$21,370$70,039$11,080
Cleveland ClinicCleveland$19,467$73,325$10,998
Van Wert County HospitalVan Wert$18,865$35,380$11,747
Southern Ohio Medical CenterPortsmouth$17,995$106,947$11,609
Ohio State University HospitalsColumbus$17,665$82,987$11,737
Grant Medical CenterColumbus$17,293$100,460$11,754
The Jewish Hospital-Mercy HealthCincinnati$17,162$97,419$11,172
Mercy Health St Vincent Medical CenterToledo$16,596$122,871$11,645
Dublin Methodist HospitalDublin$16,430$112,833$11,701
Summa Health SystemAkron$16,365$118,089$10,631

Every Ohio hospital (105)

Orthopedic surgery centers (58)

Questions

How much does Medicare pay for a knee replacement in Ohio?

In 2024 the median average total payment to Ohio hospitals was $14,679 per Medicare inpatient hip or knee replacement stay (MS-DRG 470, 42 hospitals; Medicare's payment plus the patient's share), and the median Medicare allowed amount was $11,186 per outpatient case. An orthopedic surgery center is paid about $8,388 for a knee.

Which Ohio hospitals have the lowest Medicare payment for a joint replacement?

Southwest General Health Center ($11,654), Surgical Hospital at Southwoods ($11,755), Crystal Clinic Orthopaedic Center ($11,829) (average total payment per inpatient stay, patient share included).

What do Ohio hospitals list for a joint replacement?

The median list (chargemaster) price is $61,270, about 4.2× the median average total payment for a Medicare stay.

Does Ohio have a certificate-of-need law?

Ohio has a certificate-of-need program that does not cover surgery centers. CON applies only to long-term care beds and facilities.