Washington, PA 15301 · CMS Certification Number 390042. 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 | $14,588 | $43,456 | 3.0× | $11,740 |
| Shoulder replacement | — | — | — | — |
Complications after hip or knee replacement: 4.4% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 260 beds
Pennsylvania has no certificate-of-need law.
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In 2024 Medicare paid Upmc Washington an average of $14,588 per inpatient hip or knee replacement stay (MS-DRG 470, 15 stays) and $11,740 per outpatient case (APC 5115, 25 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $43,456, 3.0× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Tri-State Surgery Center LLC, an orthopedic surgery center same ZIP away, is paid about $8,254 by Medicare for a knee replacement (CPT 27447), $6,334 less than an inpatient stay at Upmc Washington. Not every patient is a surgery-center candidate.
Medicare paid Upmc Washington more than 53% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.