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Wellspan York Hospital: what a joint replacement costs

York, PA 17403 · CMS Certification Number 390046. 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
$8,963
Apple Hill Surgical Partners, same ZIP
Outpatient here
$12,137
Medicare allowed amount, 46 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Wellspan York Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$12,137
Shoulder replacement———$17,179
Hip replacement after a fracture (DRG 522)$17,512$124,8927.1×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$54,550—$12,965–$74,0744
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
UnitedHealthcare$74,074—1
Capital Blue Cross$60,832—1
Highmark BCBS$48,269—1
Johns Hopkins HealthCare Plan$12,965—1

From the hospital's price-transparency file (2026-01-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-01-01); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 4.8% (no different from the national rate). Readmissions: 6.2%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 590 beds

Pennsylvania has no certificate-of-need law.

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Questions

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

The Medicare allowed amount averaged $12,137 per outpatient hip or knee replacement case (APC 5115, 46 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Wellspan York Hospital?

Yes for Medicare facility payments. Apple Hill Surgical Partners, an orthopedic surgery center same ZIP away, is paid about $8,963 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Wellspan York Hospital for a hip or knee replacement?

From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $54,550 across 4 insurers, ranging from $12,965 to $74,074.