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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $16,444 | $116,805 | 7.1× | $13,792 |
| Shoulder replacement | — | — | — | $19,594 |
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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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).
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.
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.
Medicare paid Saint Vincent Hospital more than 75% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.