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Robert Packer Hospital: what a joint replacement costs

Sayre, PA 18840 · CMS Certification Number 390079. 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
$12,031
Medicare allowed amount, 243 cases, APC 5115
Inpatient here
$16,220
Avg total payment (incl. patient share), 11 Medicare stays, MS-DRG 470

Medicare prices at Robert Packer Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$16,220$58,5173.6×$12,031
Shoulder replacement———$17,082
Hip replacement after a fracture (DRG 522)$18,929$71,3653.8×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$25,5771.6×$13,874–$33,7759
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
UnitedHealthcare$33,7752.1×1
BCBS (other)$28,8191.8×1
Aetna$26,9041.7×1
Mail Handlers$26,9041.7×1
Highmark BCBS$25,5771.6×1
Cdphp$24,8911.5×1
EmblemHealth$19,1171.2×1
Geisinger$13,8740.9×1
UPMC$13,8740.9×1

From the hospital's price-transparency file (2026-03-31); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-03-31); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 5.1% (no different from the national rate). Readmissions: 6.4%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 307 beds

Pennsylvania has no certificate-of-need law.

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Questions

How much does Medicare pay Robert Packer Hospital for a knee or hip replacement?

In 2024 the average total payment to Robert Packer Hospital for an inpatient hip or knee replacement stay was $16,220 (MS-DRG 470, 11 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,031 per outpatient case (APC 5115, 243 cases).

What is Robert Packer Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $58,517, 3.6× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

How does Robert Packer Hospital compare with other Pennsylvania hospitals?

Robert Packer Hospital's average total payment per Medicare stay is higher than 73% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Robert Packer 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 $25,577 across 9 insurers, ranging from $13,874 to $33,775.