Camp Hill, PA 17011 · CMS Certification Number 390004. 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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,124 | $122,440 | 9.3× | $11,627 |
| Shoulder replacement | — | — | — | $16,837 |
| Hip replacement after a fracture (DRG 522) | $14,551 | $103,070 | 7.1× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $36,358 | 2.8× | $29,025–$40,555 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $40,555 | 3.1× | 1 |
| Cigna | $37,671 | 2.9× | 1 |
| Aetna | $35,044 | 2.7× | 1 |
| Highmark BCBS | $29,025 | 2.2× | 1 |
From the hospital's price-transparency file (2026-03-27); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-03-27); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 4.2% (no different from the national rate). Readmissions: 5.2%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 240 beds
Pennsylvania has no certificate-of-need law.
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In 2024 the average total payment to Penn State Health Holy Spirit Medical Center for an inpatient hip or knee replacement stay was $13,124 (MS-DRG 470, 17 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,627 per outpatient case (APC 5115, 188 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $122,440, 9.3× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. West Shore Surgery Center, an orthopedic surgery center 5.4 mi away, is paid about $8,816 by Medicare for a knee replacement (CPT 27447), $4,308 less than an inpatient stay at Penn State Health Holy Spirit Medical Center. Not every patient is a surgery-center candidate.
Penn State Health Holy Spirit Medical Center's average total payment per Medicare stay is lower than 86% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $36,358 across 4 insurers, ranging from $29,025 to $40,555.