How much does major hip/knee joint replacement, inpatient, w/ MCC cost in Ohio?

CPT 469 โ€” the fair price, every hospital's price, and the Medicare benchmark for Ohio.

Estimates only. Educational estimates from public Medicare benchmarks and hospital-published prices โ€” not a guarantee, and not legal, medical, or financial advice.
469 Major hip/knee joint replacement, inpatient, w/ MCC
โš  bare numeric assumed MS-DRG; verify
Market typical price
$23,805
99 facilities ยท typical range $21,812 โ€“ $28,767 ยท 1.1ร— Medicare IPPS
What Medicare paysโ“˜
$22,072
Market typical
$23,805
Cash / self-pay price
$48,404
Prices near you โ€” 99 facilities, lowest first
FacilityTypePricevs MedicareQuality
Uh Regional Hospitals (Chardon) lowest โš  likely error Hospital $51negotiated 0.0ร— โ˜…โ˜…โ˜…โ˜…โ˜…
Mount Carmel St Ann'S (Westerville) โš  likely error Hospital $3,982negotiated 0.2ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 4.6%
Mercy Health-Anderson Hospital (Cincinnati) โš  likely error Hospital $4,124negotiated 0.2ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 3.6%
Mercy Health - Defiance Hospital (Defiance) โš  likely error Hospital $4,550negotiated 0.2ร— โ˜…โ˜…โ˜…โ˜…โ˜…
Mercy Medical Center (Canton) โš  likely error Hospital $5,488negotiated 0.2ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 4.0%
Mercy Health - Clermont Hospital (Batavia) โš  likely error Hospital $5,531negotiated 0.3ร— โ˜…โ˜…โ˜…โ˜…โ˜…
Mercy Health Kings Mills Hospital Llc (Mason) โš  likely error Hospital $7,690negotiated 0.3ร— โ€”
Mh St Joseph Warren Hospital (Warren) Hospital $11,601negotiated 0.5ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 4.2%
Ohio State University State Health System (Columbus) Hospital $19,061negotiated 0.9ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 3.9%
Medina Hospital (Medina) Hospital $20,148negotiated 0.9ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 3.8%
Salem Regional Medical Center (Salem) Hospital $20,609negotiated 0.9ร— โ˜…โ˜…โ˜…โ˜…โ˜…
Southeastern Ohio Regional Medical Center (Cambridge) Hospital $20,905negotiated 0.9ร— โ˜…โ˜…โ˜…โ˜…โ˜…
Prices from each hospital's public machine-readable file; imaging & surgery-center prices are published self-pay rates (often the cheapest option). vs Medicare is how many times the Medicare rate each facility charges. 12 unusually low/high prices excluded from the typical price as likely data errors.
See major hip/knee joint replacement, inpatient, w/ MCC prices in another area

What should 469 cost in Ohio?

For major hip/knee joint replacement, inpatient, w/ MCC (CPT 469) in Ohio, a fair self-pay price is around $23,805, with hospitals ranging from $21,812 to $28,767 across 99 facilities. Medicare's benchmark rate is $22,072, the benchmark every published rate is measured against. The card above lists each hospital's price, cheapest first, with CMS quality stars.

Frequently asked questions

How much does major hip/knee joint replacement, inpatient, w/ MCC cost in Ohio?

A fair self-pay price for major hip/knee joint replacement, inpatient, w/ MCC (CPT 469) in Ohio is around $23,805, with hospital prices ranging from $21,812 to $28,767 across 99 facilities. These are estimates from hospital-published prices, not a guarantee.

What is the Medicare rate for CPT 469?

Medicare pays about $22,072 for major hip/knee joint replacement, inpatient, w/ MCC (CPT 469). That's the negotiation floor โ€” a fair cash-pay target is roughly 1.5โ€“2ร— it, well below typical gross charges.

Can I negotiate the price of major hip/knee joint replacement, inpatient, w/ MCC?

Yes. Under the federal Hospital Price Transparency rule hospitals must publish these rates, so you can ask to pay the cash or negotiated rate instead of the gross charge. Paste your bill on the home page for a ready-to-send appeal letter and the exact numbers to cite.

Placing a referral for this?

Enter the patient's ZIP and plan in the facility finder to see every facility near them that publishes a price for 469, ranked, with the phone number and an out-of-pocket estimate.

Compare other procedures in Ohio

Prices last refreshed September 2026 from each hospital's official CMS machine-readable file. Medicare rate: CY2025 OPPS/PFS/CLFS. Estimates only โ€” not a guarantee.