Price AtlasInteractive atlas · All states · techysurgeon.comJefferson 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.
Medicare prices at Jefferson Health-Northeast
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $39,734 | 2.5× | $30,533–$67,278 | 6 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Geisinger | $67,278 | 4.3× | 1 |
| Aetna | $49,264 | 3.1× | 1 |
| Highmark BCBS | $40,131 | 2.5× | 1 |
| Cigna | $39,338 | 2.5× | 1 |
| UnitedHealthcare | $32,712 | 2.1× | 1 |
| Independence Blue Cross | $30,533 | 1.9× | 1 |
From the hospital's price-transparency file (2026-09-15); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-09-15); commercial plans, dollar-amount contracts only.
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 the average total payment to Jefferson Health-Northeast for an inpatient hip or knee replacement stay was $15,755 (MS-DRG 470, 17 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× the average total payment for a Medicare stay. 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?
Jefferson Health-Northeast's average total payment per Medicare stay is higher than 64% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Jefferson Health-Northeast for a hip or knee replacement?
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $39,734 across 6 insurers, ranging from $30,533 to $67,278.