Hip or knee replacement (inpatient stay)
Facility: Metrohealth System
Billing Code: 470 (MS-DRG)
Highest price of the 9 OH hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 OH hospitals with a price for this procedure. Full list below.
A fair price for a Hip or knee replacement (inpatient stay) is about $16,663 (about 1.2× the $14,044 Medicare rate). Metrohealth System charges insurers about $23,845 — above the fair price. Located in Cleveland, OH.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $16,663. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $23,845 - $30,999 | 170% |
| Blue Cross Blue Shieldmajor | $20,549 - $26,688 | 146% |
| Aetnamajor | $18,475 - $35,768 | 132% |
| Cignamajor | $22,564 - $23,845 | 161% |
| Humanamajor | $23,845 | 170% |
| CareSource | $23,845 - $33,383 | 170% |
| Clover Health | $23,845 | 170% |
| Devoted Health | $23,845 | 170% |
| Medical Mutual | $21,860 - $29,146 | 156% |
| Molina | $23,845 - $33,383 | 170% |
| Paramount | $23,845 | 170% |
| UniCare | $23,845 | 170% |
| + 10 smaller / regional plans | $11,573 - $35,768 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Metrohealth System
Compare: Hip or knee replacement (inpatient stay) at other OH hospitals
- Fulton County Health Center · Wauseon $8,680
- Cincinnati Children's Hospital Medical Center · Cincinnati $8,848
- Christ Hospital · Cincinnati $11,295
- Medina Hospital · Medina $12,593
- Bellevue Hospital · Bellevue $12,854
- Lake Health Beachwood Medical Center · Beachwood $12,854
- Cleveland Clinic Avon Hospital · Avon $12,968
- Mh St Joseph Warren Hospital · Warren $13,079
Insurance negotiated median for the same procedure, sorted lowest first.