Major hip and knee joint replacement or reattachment of lower extremity without major complications in Ohio
What 42 hospitals in Ohio charged and were paid for a Medicare hospital stay for major hip and knee joint replacement or reattachment of lower extremity without major complications (DRG 470), from 2024 Medicare claims.
Average charge
$70,129
Hospital list price billed
Average payment
$14,132
Medicare + patient + other payers
Medicare paid
$11,851
Average per stay
State rank
#9 of 48
1 = lowest average payment
Hospitals in Ohio billed an average of $70,129 for major hip and knee joint replacement or reattachment of lower extremity without major complications, about 5.0 times the average total payment of $14,132. That payment is 18% below the U.S. average of $17,318.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $14,132Billed $70,129
About 20¢ was paid for every $1 hospitals in Ohio billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Ohio:
Ohio hospitals: major hip and knee joint replacement or reattachment of lower extremity without major complications
Every Ohio hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Crystal Clinic Orthopaedic CenterAkron | 304 | $57,231 | $11,829 | $10,171 |
| Institute for Orthopedic SurgeryLima | 151 | $74,891 | $11,850 | $10,348 |
| Cleveland Clinic - Main CampusCleveland | 136 | $73,325 | $19,467 | $14,291 |
| Riverside Methodist HospitalColumbus | 82 | $93,218 | $15,687 | $12,967 |
| Surgical Hospital at SouthwoodsYoungstown | 69 | $58,318 | $11,755 | $10,202 |
| Southwest General Health CenterMiddleburg Heights | 67 | $49,796 | $11,654 | $9,802 |
| Hillcrest HospitalCleveland | 56 | $60,410 | $12,677 | $11,042 |
| Grant Medical CenterColumbus | 52 | $100,460 | $17,293 | $14,747 |
| Mount Carmel New Albany Surgical HospitalNew Albany | 50 | $90,997 | $12,371 | $10,772 |
| Ohio State University HospitalsColumbus | 49 | $82,987 | $17,665 | $14,018 |
| Wood County HospitalBowling Green | 48 | $38,701 | $13,061 | $11,429 |
| Bethesda North HospitalCincinnati | 43 | $54,380 | $14,604 | $11,332 |
| Medina HospitalMedina | 39 | $60,301 | $12,315 | $10,202 |
| Lutheran HospitalCleveland | 38 | $50,031 | $14,904 | $12,461 |
| Miami Valley HospitalDayton | 35 | $105,306 | $14,491 | $12,772 |
| Toledo Hospital theToledo | 33 | $104,117 | $15,775 | $13,129 |
| Ashtabula County Medical CenterAshtabula | 32 | $51,450 | $14,762 | $13,232 |
| Cleveland Clinic - Akron GeneralAkron | 30 | $60,295 | $15,177 | $13,151 |
| Mercy Medical CenterCanton | 25 | $59,315 | $12,666 | $11,049 |
| Marion General HospitalMarion | 24 | $103,204 | $13,367 | $11,731 |
| Fairfield Medical CenterLancaster | 23 | $56,531 | $13,560 | $11,765 |
| Mercy St Vincent Medical CenterToledo | 22 | $122,871 | $16,596 | $13,500 |
| Good Samaritan HospitalCincinnati | 22 | $52,104 | $15,607 | $13,368 |
| University Hospitals - Elyria Medical CenterElyria | 22 | $56,960 | $12,696 | $11,138 |
| Firelands Community HospitalSandusky | 20 | $82,864 | $14,092 | $12,401 |
| West Chester Medical CenterWest Chester | 20 | $62,130 | $14,084 | $10,681 |
| Southern Ohio Medical CenterPortsmouth | 19 | $106,947 | $17,995 | $16,588 |
| Summa Health System - Akron CampusAkron | 18 | $118,089 | $16,365 | $14,623 |
| Blanchard Valley Health AssnFindlay | 18 | $43,937 | $12,367 | $10,877 |
| Jewish Hospital, LLCCincinnati | 16 | $97,419 | $17,162 | $12,720 |
| Christ HospitalCincinnati | 16 | $66,660 | $15,679 | $11,695 |
| Dublin Methodist HospitalDublin | 16 | $112,833 | $16,430 | $12,749 |
| Marymount HospitalGarfield Heights | 15 | $58,843 | $12,546 | $11,006 |
| Adena Regional Medical CenterChillicothe | 14 | $122,585 | $14,753 | $12,777 |
| Trinity Medical Ctr East&Trinity Medical Ctr WestSteubenville | 14 | $38,200 | $14,977 | $13,018 |
| Wooster Community HospitalWooster | 13 | $38,971 | $12,750 | $11,118 |
| Metrohealth SystemCleveland | 13 | $41,646 | $12,770 | $10,628 |
| St John Medical CenterWestlake | 13 | $70,039 | $21,370 | $18,075 |
| Kettering Health DaytonDayton | 13 | $115,060 | $16,180 | $14,387 |
| Lake Hospital SystemPainesville | 12 | $68,356 | $12,320 | $10,688 |
| Van Wert County HospitalVan Wert | 11 | $35,380 | $18,865 | $17,233 |
| Alliance Community HospitalAlliance | 11 | $48,292 | $15,790 | $13,610 |
Lowest and highest payments in Ohio
Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Southwest General Health CenterMiddleburg Heights, OH | $11,654 |
|---|---|
| Surgical Hospital at SouthwoodsYoungstown, OH | $11,755 |
| Crystal Clinic Orthopaedic CenterAkron, OH | $11,829 |
| Institute for Orthopedic SurgeryLima, OH | $11,850 |
| Medina HospitalMedina, OH | $12,315 |
Highest
| St John Medical CenterWestlake, OH | $21,370 |
|---|---|
| Cleveland Clinic - Main CampusCleveland, OH | $19,467 |
| Van Wert County HospitalVan Wert, OH | $18,865 |
| Southern Ohio Medical CenterPortsmouth, OH | $17,995 |
| Ohio State University HospitalsColumbus, OH | $17,665 |
Major hip and knee joint replacement or reattachment of lower extremity without major complications in other states
Questions
How much does major hip and knee joint replacement or reattachment of lower extremity without major complications cost in Ohio?
In 2024 Medicare data, a hospital stay for major hip and knee joint replacement or reattachment of lower extremity without major complications (DRG 470) at 42 hospitals in Ohio was billed at $70,129 on average, while the average total payment was $14,132, of which Medicare paid $11,851. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Ohio, average charges were 5.0 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.