Lancaster, PA 17602 · CMS Certification Number 390100. 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 | $15,095 | $48,939 | 3.2× | $12,047 |
| Shoulder replacement | $18,970 | $63,308 | 3.3× | $17,157 |
| Hip replacement after a fracture (DRG 522) | $17,643 | $66,180 | 3.8× | — |
Complications after hip or knee replacement: 3.2% (no different from the national rate). Readmissions: 5.8%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 632 beds
Pennsylvania has no certificate-of-need law.
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In 2024 Medicare paid Lancaster General Hospital an average of $15,095 per inpatient hip or knee replacement stay (MS-DRG 470, 63 stays) and $12,047 per outpatient case (APC 5115, 477 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $48,939, 3.2× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Surgery Center of Lancaster LLC, an orthopedic surgery center 5.4 mi away, is paid about $8,576 by Medicare for a knee replacement (CPT 27447), $6,519 less than an inpatient stay at Lancaster General Hospital. Not every patient is a surgery-center candidate.
Medicare paid Lancaster General Hospital more than 59% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.