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 paid | List price | List ÷ paid | Outpatient 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 Medicare paid Penn Highlands Dubois an average of $13,703 per inpatient hip or knee replacement stay (MS-DRG 470, 39 stays) and $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× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Medicare paid Penn Highlands Dubois less than 64% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.