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Lancaster General Hospital: what a joint replacement costs

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.

Surgery center nearby
$8,576
Surgery Center of Lancaster LLC, 5.4 mi
Outpatient here
$12,047
477 Medicare cases, APC 5115
Inpatient here
$15,095
63 Medicare stays, MS-DRG 470

Medicare prices at Lancaster General Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$15,095$48,9393.2×$12,047
Shoulder replacement$18,970$63,3083.3×$17,157
Hip replacement after a fracture (DRG 522)$17,643$66,1803.8×—

Quality

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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Questions

How much does Medicare pay Lancaster General Hospital for a knee or hip replacement?

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).

What is Lancaster General Hospital's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Lancaster General Hospital?

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.

How does Lancaster General Hospital compare with other Pennsylvania hospitals?

Medicare paid Lancaster General Hospital more than 59% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.