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Upmc Carlisle: what a joint replacement costs

Carlisle, PA 17015 · CMS Certification Number 390058. 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
$8,816
Ophthalmology & Surgical Institute of Central Pa, same ZIP
Outpatient here
$11,693
148 Medicare cases, APC 5115
Inpatient here
$12,867
14 Medicare stays, MS-DRG 470

Medicare prices at Upmc Carlisle

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$12,867$40,4173.1×$11,693
Shoulder replacement———$16,837

Quality

Complications after hip or knee replacement: 4.3% (no different from the national rate). Readmissions: 5.3%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 165 beds

Pennsylvania has no certificate-of-need law.

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Questions

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

In 2024 Medicare paid Upmc Carlisle an average of $12,867 per inpatient hip or knee replacement stay (MS-DRG 470, 14 stays) and $11,693 per outpatient case (APC 5115, 148 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $40,417, 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 Upmc Carlisle?

Yes for Medicare facility payments. Ophthalmology & Surgical Institute of Central Pa, an orthopedic surgery center same ZIP away, is paid about $8,816 by Medicare for a knee replacement (CPT 27447), $4,051 less than an inpatient stay at Upmc Carlisle. Not every patient is a surgery-center candidate.

How does Upmc Carlisle compare with other Pennsylvania hospitals?

Medicare paid Upmc Carlisle less than 91% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.