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Jefferson Health-Northeast: what a joint replacement costs

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.

Surgery center nearby
$8,981
Holy Redeemer Ambulatory Surgery Center, 5.2 mi
Outpatient here
$12,683
161 Medicare cases, APC 5115
Inpatient here
$15,755
17 Medicare stays, MS-DRG 470

Medicare prices at Jefferson Health-Northeast

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$15,755$51,6433.3×$12,683
Shoulder replacement———$17,938
Hip replacement after a fracture (DRG 522)$17,917$75,9014.2×—

Quality

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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Questions

How much does Medicare pay Jefferson Health-Northeast for a knee or hip replacement?

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).

What is Jefferson Health-Northeast's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Jefferson Health-Northeast?

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.

How does Jefferson Health-Northeast compare with other Pennsylvania hospitals?

Medicare paid Jefferson Health-Northeast more than 64% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.