Average Medicaid Hip Replacement Payments in Cleveland, OH: $3,262
Avg. Paid
$3,262
Range
$560.14 – $4,361
Total Claims
130
Providers
4
Typical Payment Range
Typical Medicaid Hip Replacement payments fall between $725.41 and $5,108 per claim (median: $2,764). The top 10% of payments exceed $7,222.
Based on per-provider averages across all Medicaid claims in this category.
Hip replacement surgery replaces damaged or worn parts of the hip joint with artificial components to relieve pain and improve mobility.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Hip Replacement in Cleveland, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nicholas Romeo
2500 Metrohealth Dr |
$560.14 | 12 | 12 |
|
Kim L Stearns
1730 W 25Th St Fl 6 |
$730.60 | 13 | 12 |
|
Lutheran Hospital
1730 W 25Th St |
$2,085 | 22 | 14 |
|
The Metrohealth System
2500 Metrohealth Dr |
$4,361 | 83 | 52 |
What to Expect: Hip Replacement
Hip replacement surgery takes 1-2 hours under general or spinal anesthesia. The surgeon removes damaged bone and cartilage and replaces them with metal, plastic, or ceramic components. Hospital stay is typically 1-3 days. Physical therapy begins immediately. Most people are walking with assistance within a day. Full recovery takes 2-3 months.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 27130 | Total hip arthroplasty | $3,506 | 2,860 | 32 |
| 27125 | Hemiarthroplasty hip | — | — | — |
| 27132 | Conversion total hip arthroplst | — | — | — |
| 27134 | Revision hip acetabular | — | — | — |
| 27137 | Revision hip acetabular comp | — | — | — |
| 27236 | Open treatment femoral fracture | — | — | — |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Hip Replacement cost in Cleveland, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Hip Replacement in Cleveland, OH is $3,262 per claim, based on 130 claims from 4 providers. Typical payments fall between $725.41 and $5,108. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Hip Replacement in Cleveland, OH?
There are 4 Medicaid providers offering Hip Replacement related services in Cleveland, OH according to public payment data.
What is the price range for Hip Replacement in Cleveland, OH?
Medicaid reimbursement for Hip Replacement in Cleveland, OH ranges from $560.14 to $4,361 per claim, with an average of $3,262. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Hip Replacement in Other Cities
Southfield, MI
Avg $612.31
1,025 claims · 2 providers
Phoenix, AZ
Avg $7,253
414 claims · 1 providers
Detroit, MI
Avg $6,939
204 claims · 1 providers
Farmington, CT
Avg $8,535
183 claims · 2 providers
Columbus, OH
Avg $4,008
172 claims · 2 providers
Louisville, KY
Avg $1,264
169 claims · 2 providers
Hartford, CT
Avg $2,846
91 claims · 2 providers
New Haven, CT
Avg $8,190
90 claims · 1 providers
Other Procedures in Cleveland, OH
Blood Work & Lab Tests
Avg $5.86
7,265,730 claims
Office Visit
Avg $41.74
4,839,931 claims
Home Health Visit
Avg $54.94
3,518,961 claims
Emergency Room Visit
Avg $98.94
3,436,346 claims
Behavioral & Mental Health Therapy
Avg $95.38
2,548,278 claims
X-Ray
Avg $8.95
2,124,741 claims
Substance Abuse Treatment
Avg $65.51
1,764,305 claims
Vaccines & Immunizations
Avg $8.45
1,524,000 claims