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Upmc Williamsport: what a joint replacement costs

Williamsport, PA 17701 · CMS Certification Number 390045. 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
—
No orthopedic surgery center within 25 miles
Outpatient here
$11,740
161 Medicare cases, APC 5115
Inpatient here
$13,787
39 Medicare stays, MS-DRG 470

Medicare prices at Upmc Williamsport

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$13,787$78,1955.7×$11,740
Shoulder replacement$18,198$96,0665.3×$16,610
Hip replacement after a fracture (DRG 522)$15,362$87,8205.7×—

Quality

Complications after hip or knee replacement: 3.8% (no different from the national rate). Readmissions: 5.8%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 255 beds

Pennsylvania has no certificate-of-need law.

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Questions

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

In 2024 Medicare paid Upmc Williamsport an average of $13,787 per inpatient hip or knee replacement stay (MS-DRG 470, 39 stays) and $11,740 per outpatient case (APC 5115, 161 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $78,195, 5.7× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

How does Upmc Williamsport compare with other Pennsylvania hospitals?

Medicare paid Upmc Williamsport less than 63% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.