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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $12,867 | $40,417 | 3.1× | $11,693 |
| Shoulder replacement | — | — | — | $16,837 |
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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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).
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.
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.
Medicare paid Upmc Carlisle less than 91% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.