Pottstown, PA 19464 · CMS Certification Number 390123. 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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,477 | $82,259 | 6.1× | $12,218 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $14,813 | $112,008 | 7.6× | — |
Complications after hip or knee replacement: 5% (no different from the national rate). Readmissions: 6.1%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 219 beds
Pennsylvania has no certificate-of-need law.
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In 2024 the average total payment to Pottstown Hospital for an inpatient hip or knee replacement stay was $13,477 (MS-DRG 470, 24 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,218 per outpatient case (APC 5115, 88 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $82,259, 6.1× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Grand View Surgery Center at Harleysville, LLC, an orthopedic surgery center 11.9 mi away, is paid about $8,981 by Medicare for a knee replacement (CPT 27447), $4,496 less than an inpatient stay at Pottstown Hospital. Not every patient is a surgery-center candidate.
Pottstown Hospital's average total payment per Medicare stay is lower than 72% of the 64 Pennsylvania hospitals that report inpatient hip or knee replacement.