Quakertown, PA 18951 · CMS Certification Number 390035. 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 | $16,074 | $151,476 | 9.4× | $12,678 |
| Shoulder replacement | — | — | — | $17,938 |
| Hip replacement after a fracture (DRG 522) | $18,000 | $163,949 | 9.1× | — |
Complications after hip or knee replacement: 3.8% (no different from the national rate). Readmissions: 6.2%. Overall Care Compare rating: 5 of 5 stars. For-profit · Acute · 127 beds
Pennsylvania has no certificate-of-need law.
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In 2024 Medicare paid St Luke's Hospital - Upper Bucks Campus an average of $16,074 per inpatient hip or knee replacement stay (MS-DRG 470, 25 stays) and $12,678 per outpatient case (APC 5115, 65 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $151,476, 9.4× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Grand View Surgery Center at Harleysville, LLC, an orthopedic surgery center 13.3 mi away, is paid about $8,981 by Medicare for a knee replacement (CPT 27447), $7,093 less than an inpatient stay at St Luke's Hospital - Upper Bucks Campus. Not every patient is a surgery-center candidate.
Medicare paid St Luke's Hospital - Upper Bucks Campus more than 69% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.