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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 outpatient allowed
Hospital, overnight
$14,679
Median inpatient paid, 42 hospitals

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

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Lowest Medicare payment

HospitalCityInpatient paidList priceOutpatient
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 Medicare payment

HospitalCityInpatient paidList priceOutpatient
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 Medicare paid Ohio hospitals a median $14,679 per inpatient hip or knee replacement stay (MS-DRG 470, 42 hospitals) and a median $11,186 per outpatient case. An orthopedic surgery center is paid about $8,388 for a knee.

Which Ohio hospitals does Medicare pay least for a joint replacement?

Southwest General Health Center ($11,654), Surgical Hospital at Southwoods ($11,755), Crystal Clinic Orthopaedic Center ($11,829).

What do Ohio hospitals list for a joint replacement?

The median list (chargemaster) price is $61,270, about 4.2× what Medicare pays.

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.