CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Lutheran Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$15,401
about 1.1× the $14,044 Medicare rate · typically $10,746–$21,597
modeled estimate · not a bill or quote
What this hospital charges insurers
$14,861
About the fair price
about $540 under the fair price · 1.1× Medicare
Medicare pays $14,044 Fair price $15,401 This hospital $14,861

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

Highest price of the 9 OH hospitals we have prices for — worth calling around.

Cheapest $8,680 Priciest $14,861

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 $15,401 (about 1.1× the $14,044 Medicare rate). Lutheran Hospital charges insurers about $14,861 — about the fair price. Located in Cleveland, OH.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

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 $14,861 - $19,466 106%
Blue Cross Blue Shieldmajor $13,964 - $15,516 99%
Aetnamajor $14,861 - $41,086 106%
Cignamajor $15,307 - $29,225 109%
Humanamajor $14,861 106%
Devoted Health $14,861 106%
UniCare $15,604 111%
UPMC Health Plan $14,861 106%
+ 7 smaller / regional plans $14,861 - $60,600

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Facility Profile & Credentials

  • Address: 1730 West 25Th Street, Cleveland, OH 44113
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals