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Tidalhealth Peninsula Regional, Inc: what a joint replacement costs

Salisbury, MD 21801 · CMS Certification Number 210019. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.

Surgery center nearby
$8,695
Delmarva Surgery Center, LLC, same ZIP
Outpatient here
—
Under 11 cases
Inpatient here
$27,221
16 Medicare stays, MS-DRG 470

Medicare prices at Tidalhealth Peninsula Regional, Inc

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$27,221$30,1311.1×—
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$26,576$29,7321.1×—

Quality

Complications after hip or knee replacement: 4.6% (no different from the national rate). Readmissions: 5.8%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 362 beds

Maryland requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Tidalhealth Peninsula Regional, Inc for a knee or hip replacement?

In 2024 Medicare paid Tidalhealth Peninsula Regional, Inc an average of $27,221 per inpatient hip or knee replacement stay (MS-DRG 470, 16 stays).

What is Tidalhealth Peninsula Regional, Inc's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $30,131, 1.1× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

Is a knee replacement cheaper at a surgery center near Tidalhealth Peninsula Regional, Inc?

Yes for Medicare facility payments. Delmarva Surgery Center, LLC, an orthopedic surgery center same ZIP away, is paid about $8,695 by Medicare for a knee replacement (CPT 27447), $18,526 less than an inpatient stay at Tidalhealth Peninsula Regional, Inc. Not every patient is a surgery-center candidate.

How does Tidalhealth Peninsula Regional, Inc compare with other Maryland hospitals?

Medicare paid Tidalhealth Peninsula Regional, Inc more than 56% of the 25 Maryland hospitals that report inpatient hip or knee replacement.