Cumberland, MD 21502 · CMS Certification Number 210027. 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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $26,027 | $29,368 | 1.1× | — |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $29,482 | $33,235 | 1.1× | — |
Complications after hip or knee replacement: 3.9% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 240 beds
Maryland requires a certificate of need for new surgery centers.
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In 2024 Medicare paid U P M C Western Maryland an average of $26,027 per inpatient hip or knee replacement stay (MS-DRG 470, 20 stays).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $29,368, 1.1× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Surgcenter of Western Maryland, LLC, an orthopedic surgery center same ZIP away, is paid about $8,404 by Medicare for a knee replacement (CPT 27447), $17,623 less than an inpatient stay at U P M C Western Maryland. Not every patient is a surgery-center candidate.
Medicare paid U P M C Western Maryland more than 52% of the 25 Maryland hospitals that report inpatient hip or knee replacement.