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Reading Hospital: what a joint replacement costs

West Reading, PA 19611 · CMS Certification Number 390044. 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
$8,568
Reading Hospital Surgicenter at Spring Ridge, 2.0 mi
Outpatient here
$11,907
Medicare allowed amount, 306 cases, APC 5115
Inpatient here
$16,477
Avg total payment (incl. patient share), 123 Medicare stays, MS-DRG 470

Medicare prices at Reading Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$16,477$70,6434.3×$11,907
Shoulder replacement———$16,990
Hip replacement after a fracture (DRG 522)$17,958$81,4764.5×—

Quality

Complications after hip or knee replacement: 3.6% (no different from the national rate). Readmissions: 5.3%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 744 beds

Pennsylvania has no certificate-of-need law.

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Questions

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

In 2024 the average total payment to Reading Hospital for an inpatient hip or knee replacement stay was $16,477 (MS-DRG 470, 123 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,907 per outpatient case (APC 5115, 306 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $70,643, 4.3× the average total payment for a Medicare stay. 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 Reading Hospital?

Yes for Medicare facility payments. Reading Hospital Surgicenter at Spring Ridge, an orthopedic surgery center 2.0 mi away, is paid about $8,568 by Medicare for a knee replacement (CPT 27447), $7,909 less than an inpatient stay at Reading Hospital. Not every patient is a surgery-center candidate.

How does Reading Hospital compare with other Pennsylvania hospitals?

Reading Hospital's average total payment per Medicare stay is higher than 78% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.