Dubois, PA 15801 · CMS Certification Number 390086. 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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,703 | $36,345 | 2.7× | $12,571 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $15,229 | $42,767 | 2.8× | — |
Complications after hip or knee replacement: 4.2% (no different from the national rate). Readmissions: 5.6%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 244 beds
Pennsylvania has no certificate-of-need law.
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In 2024 the average total payment to Penn Highlands Dubois for an inpatient hip or knee replacement stay was $13,703 (MS-DRG 470, 39 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,571 per outpatient case (APC 5115, 56 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $36,345, 2.7× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Penn Highlands Dubois's average total payment per Medicare stay is lower than 64% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.