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U P M C Western Maryland: what a joint replacement costs

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.

Surgery center nearby
$8,404
Surgcenter of Western Maryland, LLC, same ZIP
Outpatient here
—
Under 11 cases
Inpatient here
$26,027
20 Medicare stays, MS-DRG 470

Medicare prices at U P M C Western Maryland

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$26,027$29,3681.1×—
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$29,482$33,2351.1×—

Quality

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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Questions

How much does Medicare pay U P M C Western Maryland for a knee or hip replacement?

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).

What is U P M C Western Maryland's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near U P M C Western Maryland?

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.

How does U P M C Western Maryland compare with other Maryland hospitals?

Medicare paid U P M C Western Maryland more than 52% of the 25 Maryland hospitals that report inpatient hip or knee replacement.