CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Uh Cleveland Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$15,851
about 1.1× the $14,044 Medicare rate · typically $10,753–$22,135
modeled estimate · not a bill or quote
What this hospital charges insurers
$26,604
Above the fair price
about $10,753 over the fair price · 1.9× Medicare
Medicare pays $14,044 Fair price $15,851 This hospital $26,604

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 $26,604

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 $15,851 (about 1.1× the $14,044 Medicare rate). Uh Cleveland Medical Center charges insurers about $26,604 — 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 $15,851. 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

✓ 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 $20,033 - $41,534 143%
Blue Cross Blue Shieldmajor $20,033 - $36,214 143%
Aetnamajor $20,033 - $36,514 143%
Cignamajor $20,033 - $28,605 143%
Humanamajor $20,033 143%
Ambetter (Centene) $36,059 257%
CareSource $36,059 257%
Devoted Health $20,033 143%
Medical Mutual $20,033 - $38,470 143%
Molina $20,033 143%
Paramount $20,634 147%
WellCare $20,033 143%
+ 8 smaller / regional plans $20,033 - $33,302

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 11100 Euclid Avenue, Cleveland, OH 44106
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals