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Upmc Washington: what a joint replacement costs

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.

Surgery center nearby
$8,254
Tri-State Surgery Center LLC, same ZIP
Outpatient here
$11,740
25 Medicare cases, APC 5115
Inpatient here
$14,588
15 Medicare stays, MS-DRG 470

Medicare prices at Upmc Washington

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,588$43,4563.0×$11,740
Shoulder replacement————

Quality

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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Questions

How much does Medicare pay Upmc Washington for a knee or hip replacement?

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).

What is Upmc Washington's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Upmc Washington?

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.

How does Upmc Washington compare with other Pennsylvania hospitals?

Medicare paid Upmc Washington more than 53% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.