Revision of hip or knee replacement without complications in Ohio
What 12 hospitals in Ohio charged and were paid for a Medicare hospital stay for revision of hip or knee replacement without complications (DRG 468), from 2024 Medicare claims.
Average charge
$100,833
Hospital list price billed
Average payment
$21,538
Medicare + patient + other payers
Medicare paid
$16,495
Average per stay
State rank
#20 of 42
1 = lowest average payment
Hospitals in Ohio billed an average of $100,833 for revision of hip or knee replacement without complications, about 4.7 times the average total payment of $21,538. That payment is 10% below the U.S. average of $23,925.
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 $21,538Billed $100,833
About 21¢ was paid for every $1 hospitals in Ohio billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Ohio:
Ohio hospitals: revision of hip or knee replacement without 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 |
|---|---|---|---|---|
| Mount Carmel New Albany Surgical HospitalNew Albany | 86 | $113,127 | $20,638 | $15,076 |
| Crystal Clinic Orthopaedic CenterAkron | 35 | $113,413 | $19,126 | $14,202 |
| Cleveland Clinic - Main CampusCleveland | 31 | $83,405 | $24,577 | $20,597 |
| Christ HospitalCincinnati | 29 | $93,239 | $20,025 | $17,087 |
| Riverside Methodist HospitalColumbus | 24 | $90,602 | $24,486 | $17,621 |
| Toledo Hospital theToledo | 15 | $112,874 | $23,663 | $16,794 |
| Bethesda North HospitalCincinnati | 15 | $64,404 | $20,569 | $16,073 |
| Mount Carmel St Ann's HospitalWesterville | 14 | $121,900 | $19,278 | $17,951 |
| Miami Valley HospitalDayton | 12 | $89,608 | $23,223 | $17,048 |
| Grant Medical CenterColumbus | 11 | $102,265 | $26,734 | $18,939 |
| Blanchard Valley Health AssnFindlay | 11 | $48,794 | $17,301 | $15,781 |
| Avita OntarioOntario | 11 | $125,451 | $23,731 | $15,283 |
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
| Blanchard Valley Health AssnFindlay, OH | $17,301 |
|---|---|
| Crystal Clinic Orthopaedic CenterAkron, OH | $19,126 |
| Mount Carmel St Ann's HospitalWesterville, OH | $19,278 |
| Christ HospitalCincinnati, OH | $20,025 |
| Bethesda North HospitalCincinnati, OH | $20,569 |
Highest
| Grant Medical CenterColumbus, OH | $26,734 |
|---|---|
| Cleveland Clinic - Main CampusCleveland, OH | $24,577 |
| Riverside Methodist HospitalColumbus, OH | $24,486 |
| Avita OntarioOntario, OH | $23,731 |
| Toledo Hospital theToledo, OH | $23,663 |
Revision of hip or knee replacement without complications in other states
Questions
How much does revision of hip or knee replacement without complications cost in Ohio?
In 2024 Medicare data, a hospital stay for revision of hip or knee replacement without complications (DRG 468) at 12 hospitals in Ohio was billed at $100,833 on average, while the average total payment was $21,538, of which Medicare paid $16,495. 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 4.7 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.