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Grand View Health: what a joint replacement costs

Sellersville, PA 18960 · CMS Certification Number 390057. 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
$8,981
Grand View Surgery Center at Harleysville, LLC, 7.5 mi
Outpatient here
$12,569
293 Medicare cases, APC 5115
Inpatient here
$13,286
18 Medicare stays, MS-DRG 470

Medicare prices at Grand View Health

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$13,286$41,8293.1×$12,569
Shoulder replacement———$17,938
Hip replacement after a fracture (DRG 522)$15,412$57,8643.8×—

Quality

Complications after hip or knee replacement: 4.1% (no different from the national rate). Readmissions: 5.8%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 250 beds

Pennsylvania has no certificate-of-need law.

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Questions

How much does Medicare pay Grand View Health for a knee or hip replacement?

In 2024 Medicare paid Grand View Health an average of $13,286 per inpatient hip or knee replacement stay (MS-DRG 470, 18 stays) and $12,569 per outpatient case (APC 5115, 293 cases).

What is Grand View Health's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $41,829, 3.1× 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 Grand View Health?

Yes for Medicare facility payments. Grand View Surgery Center at Harleysville, LLC, an orthopedic surgery center 7.5 mi away, is paid about $8,981 by Medicare for a knee replacement (CPT 27447), $4,305 less than an inpatient stay at Grand View Health. Not every patient is a surgery-center candidate.

How does Grand View Health compare with other Pennsylvania hospitals?

Medicare paid Grand View Health less than 81% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.