Philadelphia, PA 19114 · CMS Certification Number 390115. 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 | $15,755 | $51,643 | 3.3× | $12,683 |
| Shoulder replacement | — | — | — | $17,938 |
| Hip replacement after a fracture (DRG 522) | $17,917 | $75,901 | 4.2× | — |
Complications after hip or knee replacement: 3.1% (no different from the national rate). Readmissions: 6.3%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 464 beds
Pennsylvania has no certificate-of-need law.
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In 2024 Medicare paid Jefferson Health-Northeast an average of $15,755 per inpatient hip or knee replacement stay (MS-DRG 470, 17 stays) and $12,683 per outpatient case (APC 5115, 161 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $51,643, 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. Holy Redeemer Ambulatory Surgery Center, an orthopedic surgery center 5.2 mi away, is paid about $8,981 by Medicare for a knee replacement (CPT 27447), $6,774 less than an inpatient stay at Jefferson Health-Northeast. Not every patient is a surgery-center candidate.
Medicare paid Jefferson Health-Northeast more than 64% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.