York, PA 17408 · CMS Certification Number 390101. 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 | $13,314 | $43,694 | 3.3× | $11,789 |
| Shoulder replacement | — | — | — | $17,178 |
| Hip replacement after a fracture (DRG 522) | $14,518 | $67,432 | 4.6× | — |
Complications after hip or knee replacement: 4.2% (no different from the national rate). Readmissions: 6%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 104 beds
Pennsylvania has no certificate-of-need law.
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In 2024 Medicare paid Upmc Memorial an average of $13,314 per inpatient hip or knee replacement stay (MS-DRG 470, 26 stays) and $11,789 per outpatient case (APC 5115, 62 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $43,694, 3.3× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Apple Hill Surgical Partners, an orthopedic surgery center 4.7 mi away, is paid about $8,963 by Medicare for a knee replacement (CPT 27447), $4,351 less than an inpatient stay at Upmc Memorial. Not every patient is a surgery-center candidate.
Medicare paid Upmc Memorial less than 78% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.