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Saint Vincent Hospital: what a joint replacement costs

Erie, PA 16544 · CMS Certification Number 390009. 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
$7,942
Upmc Hamot Surgery Center LLC, 1.6 mi
Outpatient here
$13,792
221 Medicare cases, APC 5115
Inpatient here
$16,444
30 Medicare stays, MS-DRG 470

Medicare prices at Saint Vincent Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$16,444$116,8057.1×$13,792
Shoulder replacement———$19,594

Quality

Complications after hip or knee replacement: 5.4% (no different from the national rate). Readmissions: 5.8%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 348 beds

Pennsylvania has no certificate-of-need law.

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Questions

How much does Medicare pay Saint Vincent Hospital for a knee or hip replacement?

In 2024 Medicare paid Saint Vincent Hospital an average of $16,444 per inpatient hip or knee replacement stay (MS-DRG 470, 30 stays) and $13,792 per outpatient case (APC 5115, 221 cases).

What is Saint Vincent Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $116,805, 7.1× 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 Saint Vincent Hospital?

Yes for Medicare facility payments. Upmc Hamot Surgery Center LLC, an orthopedic surgery center 1.6 mi away, is paid about $7,942 by Medicare for a knee replacement (CPT 27447), $8,502 less than an inpatient stay at Saint Vincent Hospital. Not every patient is a surgery-center candidate.

How does Saint Vincent Hospital compare with other Pennsylvania hospitals?

Medicare paid Saint Vincent Hospital more than 75% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.